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Oregon Statewide Payroll Services

OSPS Forms
We Have a Form for That
Employee Forms
Working with Employee Checks
Working with Vendor Checks cut through OSPA
Other OSPS Service Requests
Other Payroll/Benefit Forms
We Have a Form for That
Whatever your interaction with OSPS, you're likely to hear the phrase,
"we have a form for that."
 
The necessity to document formalized requests for OSPS services and OSPA system modifications means we need most communication in writing.  Standardized forms speed along the service process as they ensure all necessary information is captured at one time.
 
We've broken our forms down into several categories.  Please feel free to suggest alternate placement by contacting the OSPS Help Desk.
 
All files below are pdf unless marked otherwise.
Can't find it? Click here to view DAS's master forms page.
 
 
Employee Forms
Forms in this section are generally completed by employees and turned in to agency payroll offices.

 Number Title Effective Date 
 OSPS.99.08  AccelaPay® Enrollment, Change, or Cancel   October 2009
   Bus Pass & Other Transit Forms
 -- This links to the forms page for Facilities Division
  N/A
 OSPS.99.08  Direct Deposit Enrollment, Change, or Cancel   October 2009
 OSPS.99.11  Direct Deposit Suspension due to Leave Without Pay   March 2008
 W-5  Earned Income Credit IRS Form W-5
 -- This form is linked directly to the IRS Web site and updates automatically when IRS updates their form.
 Annually Updated
 OSPS.99.01  Foreign National Residency Determination   August 2008
    Parking Forms
 -- This links to the forms page for State Parking
  N/A
 75.45.02.FO
  Pay Advance Request 
 -- Some agencies have agency-specific forms.  Please check with your payroll office to see if they require a different form.
  June 2008
   Savings Bond Enrollment, Change, or Cancel   --
 OSPS.99.04  W-2 Reissue Request   June 2009
 W-4  Withholding Allowances IRS Form W-4
 -- This form is linked directly to the IRS Web site and updates automatically when IRS updates their form.
 Annually Updated

Working with Employee Checks
Forms in this section deal with manual activity regarding checks payable to employees.

 Number Title Effective Date  
 75.45.01.FO  Authorized Signatures  July 2008
 OSPS.99.10  (Cancel) Reverse Employee Check  September 2007
OSPS.99.16  Early Check Release   August 2008
   Forged Check Affidavit  --
 OSPS.99.14  Found a Replaced Check  July 2008
 FLCH-9  Lost Check Replacement 
 -- Use this for checks that are under $50.00 or that are more than 90 days old.
  March 2006
   Redeemed Check Copy Request (doc)
 -- This is an Oregon State Treasury form link
  
 C-27  Stop Pay Request (pdf)
-- Use this for checks that are $50.00 or more and that are less than 90 days old.
-- This is an Oregon State Treasury form, modified for use by OSPS agency partners.
 March 2009

Working with Vendor Checks cut through OSPA
Forms in this section deal with activity regarding payroll checks not payable to employees.

 Number Title Effective Date 
 OSPS.99.09  Cancel & Rewrite a Vendor Check   August 2008
 FLCH-9  Lost Check Replacement   March 2006
 OSPS.99.15  Vendor Negative Repayment   August 2008

Other OSPS Service Requests
Forms in this section deal with all other OSPS services not specified above.

 Number Title Effective Date 
OSPS.99.07  ACH Stop  June 2009
OSPS.99.11  Auth for Cancelation or Reinstatement of Elec Deposit March 2008
   Corrected W-2s
 -- Links to service menu instructions
  
OSPS.99.18 Distribution Room Access Request  July 2009
 OSPS.99.05  Garnishment Code Request Form
 -- Also child support codes, levies, etc.
  August 2008
 OSPS.99.12  Return of Overpayment  (paying negative balances)
 -- Also submitting self pay insurance payments
  January 2009
 OSPS.99.13   Social Security and Med tax Cert  September 2007
 OSPS.99.06  Work Schedule Code Request   April 2008

Other Payroll/Benefit Forms
These links all belong to other payroll-related entities.  These links are provided for your convenience.  This content is not controlled by OSPS.

 Description Responsible Party 
 PEBB Employer Forms  PEBB
 PERS Employer Forms  PERS 
 Savings Bond Forms  U.S. Treasury

 
Page updated: October 05, 2009

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