[OSSSA218] [OSSSA2018] ANNUAL REQUEST FOR W-2 COUNT-YEAR ENDING 2019

[Julie Sinacola]

Dear Section 2018 Employer:

Please complete the attached form requesting information on the total number of W-2's issued by your entity for the year ending December 31, 2019. This should include all W-2s which reflect FICA withholdings.

Annually, this information is gathered for the computation of the yearly Oregon State Social Security administrative fee. The statistics supplied by you for the year ending 2019 will become the basis for the fee paid in 2020 - 2021 by your entity.

You may return the completed form at your earliest convenience via email, fax or by mail.
Please remember to include contact details at the bottom of the form for update purposes.

Thanking you in advance for your assistance.

Sincerely,



Julie Sinacola
Oregon State Social Security Administration
Oregon Public Employees Retirement System
503-603-7633


*****CONFIDENTIALITY NOTICE*****

All information in this email, including attachments, is approved solely for delivery to and authorized use by its intended recipients. Use, dissemination, distribution, or reproduction of this message and/or any of its attachments by unintended recipients is not authorized and may be unlawful. If you are not an intended recipient of this message or an authorized assistant to an intended recipient, please notify the sender by replying to this message and then delete it from your system.

-------------- next part --------------
An HTML attachment was scrubbed...
URL: <https://omls.oregon.gov/pipermail/osssa218/attachments/20200203/9a1f170a/attachment.html>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: SSA FEE FORM.pdf
Type: application/pdf
Size: 43180 bytes
Desc: SSA FEE FORM.pdf
URL: <https://omls.oregon.gov/pipermail/osssa218/attachments/20200203/9a1f170a/attachment.pdf>