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.

Forms

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Frances Online

Employees

Application for Benefits

What You Need to Apply for Benefits Checklist

Supplemental Employers Form

Authorization for Electronic Deposit

Verification of Birth Form

Verification of Serious Health Condition Form

Safe Leave Verification Form

Claimant Designated Representative Form

Request for Hearing

Equivalent Plan Dispute Resolution Form

Authorization for Tax Withholding

Employers

Equivalent Plan Application

Equivalent Plan Checklist

Equivalent Plan Report

Request for Hearing

Small employers

Assistance Grant Application and Grant Agreement

Request for Hearing

Self-employed

Self-Employed Coverage Form

Self-Employed Checklist

Self-Employed Income Verification Form

Terminate Self-Employment Coverage Form

Authorization for Tax Withholding

Request for Hearing

Authorization for Electronic Deposit

Health care and service providers

Verification of Serious Health Condition Form

Health Care Providers: Family and Medical Leave Fact Sheet

Health Care Providers: Safe Leave Fact Sheet

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