Please rate Form Oq 08-18-22
To pay: Complete Form OR-OTC-V and mail with your check, payable to Oregon Department of Revenue.
Where to send: Fax to: 503-947-1700 Mail to: Oregon Department of Revenue, PO Box 14800, Salem OR 97309-0920
Report: State Withholding, Statewide Transit, TriMet, Lane Transit District (LTD), Unemployment Insurance (UI), Paid Leave and Workers' Benefit Fund (WBF) Assessment.
Declaration: Under penalty of false swearing, I declare that the information in this report and any enclosures are true, correct, and complete.
| Question | Answer |
|---|---|
| Form Name | Form OQ/OA |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 121 |
| Avg. time to fill out | 21 min |
| Edition | Rev. 08-18-22 |
| Where to send | Oregon Department of Revenue, PO Box 14800, Salem OR 97309-0920 |
| Matches the agency's file | Yes, checked October 4, 2026 |
| Other names | OQ/OA, Form OQ/OA, Form OQ, Oregon OQ, 150-206-522 |
| Official source | Form OQ/OA (Rev 08-18-22), Oregon Department of Revenue |
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