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Application for Oregon Worker Leasing License - Oregon

Application for Oregon Worker Leasing License - Oregon 2026

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The document is an initial application form for obtaining a worker leasing license in Oregon. It outlines the necessary information and supporting documentation required from the applicant, including personal details, business history, and disclosures regarding any legal or financial issues. The application must be submitted via email along with a fee of $2,050 upon approval. The license is valid for two years and requires renewal. Additionally, it includes sections for controlling persons associated with the applicant to provide their information and disclosures.

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Click ‘Get Form’ to open the Application for Oregon Worker Leasing License in our editor.
Begin by filling out the 'Applicant Information' section. Provide your full legal name, assumed business name, and FEIN. Indicate if you provide temporary workers under the same FEIN in any state.
Complete the 'Contact Information' section. Include details for both licensing and secondary contacts, ensuring phone numbers and emails are accurate.
In the 'Supporting Documentation' section, attach signed releases for tax compliance verification from relevant agencies and written procedures demonstrating client training protocols.
Fill out the 'Applicant Business History' section honestly, answering questions about any criminal convictions or financial issues. If applicable, complete the attached Disclosure Addendum.
For each controlling person listed, provide their information and experience in the worker leasing industry. Ensure all disclosures are completed accurately.
Finally, review your application thoroughly before signing and submitting it via email to WorkerLeasing.WCD@oregon.gov.

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