Forms

Find Paid Leave forms in one place, so you can quickly and easily find what you’re looking for.

 
 

Frances Online

You can file most forms and documents in Frances Online. 

What is Frances Online? Frances Online is Oregon’s payroll reporting system and online system for applying for Paid Leave and unemployment insurance benefits and choosing Paid Leave coverage. You can easily create an account. Employees and self-employed people with coverage can create an account in Frances Online now.

Have questions about Frances Online? Review our commonly asked questions.

Employees

Application for Benefits
Download
What You Need to Apply for Benefits Checklist
Download
Supplemental Employers Form
Download
Authorization for Electronic Deposit
Download
Verification of Birth Form
Download
Verification of Serious Health Condition Form
Download
Safe Leave Verification Form
Download
Designated Representative Form
Download
Request for Hearing
Download
Equivalent Plan Dispute Resolution Form
Download
Authorization for Tax Withholding
Download

Employers

Equivalent Plan Application
Download
Equivalent Plan Checklist
Download
Equivalent Plan Report
Download
Request for Hearing
Download

Small employers

Assistance Grant Application and Grant Agreement
Download
Request for Hearing
Download

Self-employed

Self-Employed Coverage Form
Download
Self-Employed Checklist
Download
Self-Employed Income Verification Form
Download
Terminate Self-Employment Coverage Form
Download
Authorization for Tax Withholding
Download
Request for Hearing
Download
Authorization for Electronic Deposit
Download

Health care and service providers

Verification of Serious Health Condition Form
Download
Health Care Providers: Family and Medical Leave Fact Sheet
Download
Health Care Providers: Safe Leave Fact Sheet
Download

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