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Agency Name:___ Date:___Site Address:___Current Capacity:___ New Capacity:___Plan for individuals that will be moving out of current site:___ ___ ___ ___ ______Agency Signature CDDP Comments:___ ___
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The Oregon Department of Human Services is a state agency responsible for providing a wide range of social services to Oregon residents.
Certain employers in Oregon are required to file the Department of Human Services report, including those with employees who are receiving public assistance.
To fill out the Oregon Department of Human Services report, employers must provide information about their employees who are receiving public assistance.
The purpose of the Oregon Department of Human Services report is to track the employment status of individuals receiving public assistance.
Employers must report information such as the employee's name, social security number, hours worked, wages earned, and public assistance received.
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