Tax season can be a challenging and stressful time for many Oregon residents, especially those who are unfamiliar with state tax laws and regulations. If you’re an Oregon taxpayer who has specific capital gains or business income to report this year, then you need to become familiar with Form 4821. This form is designed specifically for individual taxpayers in the Beaver State whose total income includes taxable capital gains or losses from their owned businesses or rental properties—and it must be included when filing their Oregon tax returns. In this blog post we’ll examine what types of information will need to be reported on Form 4821, as well as discuss potential penalties that may result if the form isn’t filed correctly by your state's deadline.
| Question | Answer |
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| Form Name | Oregon Form 4821 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | 4821 proof of insurance oregon form |
Form 4821: Oregon Proof of Coverage
EDI Insurer Profile
Workers’ Compensation Division
Insurers must complete this form before submitting or authorizing a vendor to send
A separate form is required for each subsidiary insurer within an insurance group that is licensed to write workers’ compensation insurance in Oregon.
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Insurer FEIN |
The following vendor is hereby authorized to submit EDI
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Vendor FEIN |
Contact information for EDI
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Contact information for EDI
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Contact information for person who prepared profile information, if different from above:
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Date profile prepared:
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Complete and return to the WCD EDI Coordinator
By fax:
By