Are you an Oregon employer? If so, then you should be familiar with the Form WH 216 1. This form is a requirement of both employers and employees, mandated by the Employment Department of Oregon as part of their wage withholding and reporting process. In this blog post, we’ll take a look at when to use it, how to file it properly, and where to find additional information regarding its use. Whether you’re new to being an employer or have been in this role for some time, following the rules outlined in Form WH 216 1 will ensure that you remain compliant with all state regulations; read on for key tips and insights regarding this important document!
| Question | Answer |
|---|---|
| Form Name | Oregon Form Wh 216 1 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | wh 216 1 wh 216 1 form |
BUREAU OF LABOR AND INDUSTRIES
Wage and Hour Division
ANNUAL EMPLOYMENT CERTIFICATE APPLICATION
for minors 14 through 17 years of age
Business Name _____________________________________________ Telephone (_____) ___________Ext.
Corporation Name (if any)
Type of Business____________________________________________ NAIC Code (if known) __________________
Site Address
|
(Street) |
(City) |
(State) |
(Zip) |
(County) |
Mailing Address |
|
|
|
|
|
|
(Street/P.O. Box Number) |
(City) |
(State) |
(Zip) |
(County) |
1.ESTIMATE the number of minors to be employed in the next twelve (12) month period:
2.Do you anticipate employing
3.Describe the duties of the minors to be employed, the work areas, and the address(es) where the work is to be performed, if other than the above site. Please attach a list of locations if necessary.
4.List all
5. Do you anticipate employing minors in agriculture? |
Yes _____ |
No _____ |
Operation of or riding in or on a tractor? |
Yes _____ |
No _____ |
Operation of or riding in or on other farm machinery? |
Yes _____ |
No _____ |
I certify that the information contained in this application is true and that I have received a summary of the child labor laws. I agree to:
1)Employ minors consistent with the application herein;
2)Comply with child labor laws; and
3)Report any changes in the above information by filing a Notice of Change (To Annual Employment Certificate) form between renewal periods within 15 days of the change.
_________________________________________________________________________ Date
(Signature of Employer or Representative)
______________________________________________ Telephone No. (_____)_________________ Ext.
(Printed Name of Employer or Representative)
RETURN THIS APPLICATION TO:
Bureau of Labor and Industries
Child Labor Unit - Suite 1045
800 NE Oregon Street
Portland, OR
Telephone: (971)
Fax: (971)