Oregon Workers' Compensation Division


Please Note

We are a service company that can help you file with the Oregon Workers' Compensation Division. We are not associated with this nor any other government agency. We offer paid services and software to help you file. You are not required to purchase our service to file - you may file directly with this agency without using our service.


Contact Information

Mailing address:
350 Winter Street NE
P.O. Box 14480
Salem, OR 97309

Phone: 503-947-7585

Web: Home
Email: workcomp.questions@oregon.gov

Licenses

We track the following licenses with the Oregon Workers' Compensation Division in order to provide compliance services to our clients. As a client, you see this and other reference data in License Manager in-line with your licenses.

A laptop placed on a desk with our License Manager software on display

Oregon Worker Leasing License

Agency:Oregon Workers' Compensation Division
Law:

OAR 436-180-0140

Foreign Qualification is Prerequisite:Yes
Insurance Requirements:

Oregon law requires the worker leasing company (professional employer organization/PEO) and all of the PEO’s Oregon clients to have workers’ compensation insurance. The PEO must maintain coverage even if the PEO has no non-leased administrative staff in the state and all clients carry their own coverage.

Fact Checked:6/8/21

Initial Registration

Form:

Worker Leasing License Application

Filing Method:

Email to WorkerLeasing.WCD@oregon.gov

Agency Fee:

$2,050 due upon approval

Notarize:Required
Required Attachments:
  • Signed releases for tax compliance verification:

  • Written procedures that demonstrate how the applicant will ensure its clients provide adequate training, supervision, and instruction to meet the requirements of ORS chapter 654.
  • A list of all states where the applicant operates as a worker leasing company. For each, identify license, registration, or certification numbers, expiration dates, and disclose any that are not in good standing.
  • If no states are listed under the item above, attach a description of applicant’s experience, training, or education that demonstrates competency in providing worker leasing services. Experience, training, or education listed for each controlling person on will also be considered.
  • Disclosure Addendum (if applicable)
  • Controlling Person affidavit for each controlling person
Fact Checked:6/8/21

Registration Renewal

Form:

Worker Leasing License Application - Renewal

Filing Method:

Email to WorkerLeasing.WCD@oregon.gov

Agency Fee:

$2,050

Due:

Licenses expire biennially by the date of issuance. Renewal applications should be submitted at least 90 days prior to the expiration date.

Notarize:Required
Required Attachments:
  • Signed releases for tax compliance verification:

  • Written procedures that demonstrate how the applicant will ensure its clients provide adequate training, supervision, and instruction to meet the requirements of ORS chapter 654 (only if changes have been made)
  • A list of all states where the applicant operates as a worker leasing company. For each, identify license, registration, or certification numbers, expiration dates, and disclose any that are not in good standing.
  • If no states are listed under the item above, attach a description of applicant’s experience, training, or education that demonstrates competency in providing worker leasing services. Experience, training, or education listed for each controlling person on will also be considered.
  • Disclosure Addendum (if applicable)
  • Controlling Person affidavit for each controlling person
  • Oregon client list including who provides coverage
Fact Checked:6/8/21

Oregon Worker Leasing License - Limited

Agency:Oregon Workers' Compensation Division
Law:

OAR 436-180-0140

Foreign Qualification is Prerequisite:Yes
Insurance Requirements:

Oregon law requires the worker leasing company (professional employer organization/PEO) and all of the PEO’s Oregon clients to have workers’ compensation insurance. The PEO must maintain coverage even if the PEO has no non-leased administrative staff in the state and all clients carry their own coverage.

Notes:

To qualify for a limited license, the applicant must meet all of the following:

  • Be licensed or certified in one of the states listed under item 3(c) below (Alabama, Florida, Illinois, Indiana, Michigan, Montana, North Carolina, South Carolina, and Texas)
  • Have no more than two Oregon clients
  • Have no more than a total of five leased workers in Oregon
  • Be domiciled in a state other than Oregon
  • Not maintain an Oregon location
  • Not directly solicit clients located or domiciled in Oregon
Registered Agent (Special Agency) Required?No
Fact Checked:6/14/21

Initial Registration

Form:

Worker Leasing License Application - Limited

Filing Method:

Email to WorkerLeasing.WCD@oregon.gov

Agency Fee:

$2,050 due upon approval

Notarize:Required
Required Attachments:
  • Signed releases for tax compliance verification:

  • Written procedures that demonstrate how the applicant will ensure its clients provide adequate training, supervision, and instruction to meet the requirements of ORS chapter 654.
  • A copy of current licenses or registrations issued by other states.
  • Client information
Fact Checked:6/14/21

Registration Renewal

Form:

Worker Leasing License Application - Limited (Renewal)

Filing Method:

Email to WorkerLeasing.WCD@oregon.gov

Agency Fee:

$2,050

Due:

Licenses expire biennially by the date of issuance. Renewal applications should be submitted at least 90 days prior to the expiration date.

Notarize:Required
Required Attachments:
  • Signed releases for tax compliance verification:

  • Written procedures that demonstrate how the applicant will ensure its clients provide adequate training, supervision, and instruction to meet the requirements of ORS chapter 654 (only if changes have been made)
  • A copy of current licenses or registrations issued by other states.
  • Client information
Fact Checked:6/14/21

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