Resources
You can download, print, and use these Paid Leave Oregon resources to learn more about the program or share with employees.
Resources available in other languages
Resources in English, Español, Русский, 简体中文, 繁体中文, Tiếng Việt, 한국어, and العربية can be accessed by using the top navigation bar. Resources in additional languages are found here:
Forms
Find Paid Leave forms in one place, so you can quickly and easily find what you’re looking for.
Equivalent Plan Application
DownloadEquivalent Plan Report
Learn moreSelf-Employed Coverage Form
DownloadSelf-Employed Income Verification Form
DownloadTerminate Self-Employment Coverage Form
DownloadApplication for Benefits
DownloadVerification of Birth Form
DownloadVerification of Serious Health Condition Form
DownloadRequest for Hearing
DownloadEquivalent Plan Dispute Resolution Form
DownloadAssistance Grant Application and Grant Agreement
DownloadAuthorization for Electronic Deposit
DownloadSupplemental Employers Form
DownloadSafe Leave Verification Form
DownloadAuthorization for Tax Withholding
DownloadCustomer Information and Records Request
Learn moreFact sheets
Get quick answers to questions you have about how Paid Leave Oregon works.
Contributions Fact Sheet
DownloadBenefits Fact Sheet
DownloadSmall Employers Fact Sheet
DownloadTaxability Fact Sheet
DownloadPlace of Performance Fact Sheet
DownloadHow to Check Employee Contributions
DownloadSelf-Employed Coverage Fact Sheet
DownloadAuthorized Agent Fact Sheet
DownloadClaimant-Designated Representative Fact Sheet
DownloadChecklists
Download or print a checklist to help remember your next steps.
Equivalent Plan Checklist
DownloadSelf-Employed Checklist
DownloadWhat You Need to Apply for Benefits: Family Leave Checklist
DownloadWhat You Need to Apply for Benefits: Medical Leave Checklist
DownloadWhat You Need to Apply for Benefits: Safe Leave Checklist
DownloadAuthorized Representative Checklist
DownloadAuthorized Representatives
An authorized representative acts on behalf of the claimant.
Authorized Agent for a Deceased Claimant Packet
DownloadAuthorized Agent for a Deceased Claimant Form
DownloadAuthorized Agent for an Incapacitated Claimant Form
DownloadAuthorized Agent for an Incapacitated Claimant Packet
DownloadAuthorized Agent Fact Sheet
DownloadAuthorized Representative Checklist
DownloadClaimant Designated-Representative Form
DownloadClaimant-Designated Representative Fact Sheet
DownloadGuidebooks
Employee Guidebook
DownloadEmployer Guidebook
DownloadEquivalent Plan Guidebook
DownloadSolvency Guide
Learn moreSelf-Employed Guidebook
DownloadAppeals
If you need to file an appeal, this page has information about how to get help.
Appeals
Learn moreMore resources
Additional resources
OFLA FMLA Chart
Learn moreEmployer Administered Plan Minimum Requirements
DownloadEmployer Size Instructions
DownloadWA-OR Place of Performance Letter October 2022
DownloadEquivalent Plan Model Notice Template
DownloadPrepaid Debit Card
Learn moreApproved Equivalent Plan Insurance Carriers
DownloadEmployer template
DownloadModel Notice (Poster)
The model notice poster informs employees about the benefits provided by Paid Leave Oregon and tells employees about their rights and duties under the program. Employers are required to post the model notice poster at each work site and they must provide it electronically or by mail to any remote workers.
The model notice should be displayed or sent out in the language(s) the employer uses to communicate with employees.
The poster is legal-size (8.5 inches by 14 inches) available for download and printing in 11 languages.
The model notice should be displayed or sent out in the language(s) the employer uses to communicate with employees.
The poster is legal-size (8.5 inches by 14 inches) available for download and printing in 11 languages.
Still have questions?
Administrative rules
Learn about Paid Leave Oregon’s administrative rules at Paid Leave Oregon rules. (This link will take you to a different site.)
Administrative Rules
Learn moreVideos
Hear from Oregon employers about what Paid Leave Oregon means to them and their employees.
