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OR SAIF G1023 2015 free printable template

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Wage Request Form Please provide an explanation for other gross earnings entries. Does the worker receive other considerations? (for example, subsistence/travel pay, housing, meals, etc.)? Yes No
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How to fill out OR SAIF G1023

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How to fill out OR SAIF G1023

01
Obtain the OR SAIF G1023 form from the official website or your local SAIF office.
02
Fill in your personal information including name, address, and contact details at the top of the form.
03
Provide details about your business, including its legal name and Oregon Business Identification Number (BIN).
04
Complete the section regarding the reason for submitting the form, selecting the appropriate option.
05
If applicable, list any employees that will be covered under the policy.
06
Sign and date the form at the bottom to certify that all information is accurate.
07
Submit the completed form as instructed, either by mailing it to the appropriate SAIF office or submitting it online if that option is available.

Who needs OR SAIF G1023?

01
Employers in Oregon who wish to obtain or update their workers' compensation insurance coverage.
02
Businesses that are required to report their employee information to ensure compliance with state regulations.
03
New businesses in Oregon that need to establish their insurance coverage for employee protection.
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OR SAIF G1023 is a form used by employers in Oregon to report their payroll and employee information to the Oregon Department of Consumer and Business Services.
Employers who have employees working in Oregon are required to file OR SAIF G1023, particularly those who are subject to Oregon's workers' compensation laws.
To fill out OR SAIF G1023, employers must provide accurate details about their business, including employee wages, hours worked, and any classification codes relevant to their industry.
The purpose of OR SAIF G1023 is to report and document employee details for workers' compensation coverage, ensuring compliance with Oregon's workers' compensation laws.
The information reported on OR SAIF G1023 includes employer identification details, total payroll, employee classification codes, and wages paid to employees over a specified period.
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