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Form OR-VSI Instructions

Purpose of this form

Oregon's goal is to have a tax system that treats everyone fairly. One way for the state to reach this goal is to under- stand how our tax system impacts taxpayers based on their race or ethnicity. Form OR-VSI gives you a way to help the state by sharing how you identify your race or ethnicity.

Your information is confidential

Form OR-VSI is an optional form that you may include when you file your Oregon personal income tax return. It's up to you to choose whether you want to provide this information. Either way, there will be no impact on your tax or other accounts with us.

Limited use. Your information can only be used to create reports that will help lawmakers make Oregon's tax system more equitable.

  • Your information cannot be used for any other purpose.
  • Tax return preparers, including tax software companies, may only use your information to help you prepare and file your return.
  • The data can only be shared with the Oregon Legislative Revenue Office and the Oregon Office of Economic Analysis, where it can only be used for research purposes.

If you choose to file this form, we may use your Social Security number (SSN) or individual taxpayer identification number (ITIN) to match your tax return and account information to your voluntary self-identification (VSI) data for the purposes described above. If no form is filed, the department will not use your SSN or ITIN for those purposes [Oregon Administrative Rule (OAR) 150-316-0662.]

If you choose not to provide this information, or if you would like to provide this information separately, you don't need to include the form when you file your return. To provide your information separately, go to Revenue Online. There you'll find a secure means for entering your information.

Not filing an Oregon return?

You may provide your race and ethnicity information through Revenue Online even if you're not required to file an Oregon personal income tax return.

Note: Don't send us a paper copy of Form OR-VSI unless you're also filing your Oregon return on paper.

Completing the form 

Form OR-VSI was designed to be filed with your Oregon personal income tax return. If your filing status is married filing jointly, you and your spouse would each complete a separate form. 

Note: The term “married" includes registered domestic partners (RDPs) and the term “spouse" includes each RDP.

Is your name listed second on a joint return?

Mark the box near the top of your own form only if your Oregon filing status is married filing jointly and your name is listed second on your return.

Are you filing your return on paper?

Enter the first four letters of your last name in the space provided. We'll use this information to keep all pages of your return together until they've been processed. It won't be used for any other purpose.

Race or ethnicity codes

On Form OR-VSI, you'll find a list of 40 categories of racial or ethnic identity to choose from. Each category has a three-digit code. You can enter up to 3 codes on the form to identify your race or ethnicity: one code for your primary (main) race or ethnicity, and up to two additional codes.

Not sure what your race or ethnicity is? If you don't know your race or ethnicity, and you would like to identify your primary or additional race or ethnicity that way, enter code 999 in the appropriate box.

Note: If you don't have a primary race or ethnicity, mark the box below box 1. You may still enter up to 3 codes, but none of them will be considered as your primary race or ethnicity.

Box 1: Primary race or ethnicity. Enter the three-digit code that best describes the way you identify your primary race or ethnicity.

Boxes 2 and 3: Additional race or ethnicity. You may enter one or two additional codes to indicate other ways that you identify your race or ethnicity.

Include Form OR-VSI when you file your Oregon return.

Amending your Oregon return?

Include Form OR-VSI with your amended Oregon return if:

  • You didn't include it with your original return, but you want to provide your information now.
  • You want to change the information you provided earlier.

You don't need to include Form OR-VSI with your amended Oregon return if you're not making any changes to the information you already provided.

Changing Form OR-VSI only. Log into or create an account on Revenue Online if you would like to change the information you provided on Form OR-VSI.



Contact us

Do you have questions or need help? 

Phone: 503-378-4988 or 800-356-4222

TTY: We accept all relay calls. 

Email: questions.dor@dor.oregon.gov

Contact us for ADA accommodations or assistance in other languages.