Text Size:   A+ A- A   •   Text Only
Oregon Employment Department - WorkSource Oregon
Notice of Claim Filed - Form 220
When a person files or restarts a claim, the most recent employer receives a Notice of Claim Filed. If a claimant did not work and earn four times the weekly benefit amount from his or her last employer, we will also mail a Form 220 to the next-to-last employer. Mail or fax the Form 220 to the Employment Department within ten days after the date we mailed the form to protect your appeal rights.
 
Employment Department adjudicators investigate separation and eligibility issues. We rely on you, the employer, for much of our information about a claimant’s eligibility. Your timely response to the Notice of Claim Filed Form 220 entitles you to a decision you can appeal if an issue exists that may affect the person’s eligibility for benefits. If a claimant stopped working for you for any reason other than lack of work, provide details of the separation in the space provided on the form and use the back if necessary. Please be sure your information is correct and true. Willful false statements can result in additional charges against your account.
 
It is important that you respond to requests for separation information on former employees. The facts surrounding an employee’s separation can directly affect your tax rate because we decide to pay or deny claimants based, in part, on this information. If you do not provide any information, the Employment Department will make a decision based on available information. Decisions to allow benefits affect all base year employers as their accounts may be subject to charges for benefits paid as a result of the person’s most recent separation.

Page updated: August 25, 2008