Employer Reported Layoffs Due To COVID-19
This form is for employers to report employees they are laying off because of the recent surge of the COVID-19 Pandemic. Reporting employees you are laying off through this form will help the Oregon Employment Department process unemployment insurance benefits faster. ONLY report employees who are being laid off because of the pandemic with this form.
Please submit your business’s information using the form and use the fillable PDF form, “Employer Reported Layoffs” to report employee information. Upload the completed PDF in the “File Attachments” section of the form below. Incomplete information will stop timely claim processing.
Note: If this is the first time you’re filing for unemployment benefits for any of your employees, let them know that they also will need to file their own initial claim.
Oregon Business Identification Number (BIN)
Enter Business Identification Number
Enter the business name associated with BIN
Business Physical Address
Enter the physical address associated with the BIN
Business Mailing Address
Enter the mailing address associated with the BIN
Business Zip Code
Number of Employees
Enter the number of employees included on the Employer Reported Layoff Form
Attach your completed form here
Employer Representative Information
Please provide the name of the person submitting the completed form. The Oregon Employment Department will only reach out if additional information is needed.
Employer Representative Phone Number
Employer Representative Email Address
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