THIS IS A FILLABLE FORM

                 INSTRUCTIONS FOR COMPLETING FORM OES-33

Firm Name:       Enter legal entity and firm name.

Account No.:     Enter registration number as assigned by the Oklahoma Employment Security Commission

Address:         Enter proper mailing address, city, state and zip code

Enter amount of refund claimed.

Signature:       (1)  If employer is a sole proprietor, the application must be signed by the owner;
                 (2)  If the employer is a Corporation, the application must be signed by the president, treasurer, or
                       other principal officer;
                 (3)  If the employer is a partnership or other unincorporated organization, the application must be
                       signed by a duly authorized member of the organization.

OES-33  Rev. 3-23

OES-33 (Rev. 3-23)
                                          State of Oklahoma
                                 OKLAHOMA EMPLOYMENT SECURITY COMMISSION
                                                  P.O. Box 52003
                                          Oklahoma City  OK  73152-2003

        RESET
                                       REFUND APPLICATION

See reverse side for instructions

Firm  Name                                                             Account No.

Address

City

State                                     ZIP Code
                                 Phone                                 SEND to Employerunitfax@oesc.ok.gov
                                 Email

AMOUNT OF REFUND CLAIMED: $________________.  NOTE:  DO NOT USE THIS CREDIT on subsequent
reports.  Using this credit on subsequent reports could cause interest charges at a later date.

Firm:                                                                             Date:

Signature:                                                                        Title: 
OVER $5,000.00  Notary Required

                  Subscribed and sworn to before me this : _______ day of _________________, 20____

                  Notary Public: ______________________________ My Commission Expires:______________

                                      FOR COMMISSION USE ONLY

Refund is hereby [__] granted   [__] denied in the amount of $___________________ for the following reason

________________________________________________________________________________________

________________________________________________________________________________________

Verified: ________________________________ Date: _____________

                                                                                                   0033

OES-33  Rev. 3-23