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Guaranty Contract - Oregon

Guaranty Contract - Oregon 2026

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The document is a Guaranty Contract for workers' compensation insurance between an insurer and the Oregon Department of Consumer and Business Services, specifically for policies effective before July 1, 2009. It outlines the necessary information required from employers, including legal name, tax identification numbers, business type, employee count, and nature of business. The contract guarantees that the insurer will cover compensable injuries under Oregon law and details termination procedures for the contract.

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Click ‘Get Form’ to open the Guaranty Contract - Oregon in the editor.
Begin by entering the 'Mailing date' in the designated field. This is crucial for tracking purposes.
Fill in the 'Legal name of employer' accurately, ensuring it matches the registration with the Oregon Secretary of State.
Provide your 'Federal tax number (FEIN)' and 'Business identification number (BIN)' as required.
Specify the 'Type of ownership' by selecting from options like sole owner, partnership, or corporation.
Indicate how many 'Notices of Compliance' you need for posting at your business locations.
Enter the 'Annual average number of employees in Oregon', ensuring accuracy based on a 12-month period.
Describe your business's primary nature in Oregon, using clear examples relevant to your operations.
Complete additional fields such as previous coverage status and contact information before finalizing your form.

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