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             Form 132 Domestic
             Oregon Employee Detail Report

                                                                                                           6524010123
                                                   Include with Form OA
You must complete this form if you have employees and pay Unemployment Insurance (UI) tax (or reimburse the          Date received
Employment Department for unemployment benefits) or withhold State Income Taxes or Paid Leave. If you fail to 
report all employees with correct and accurate information, including correct Social Security numbers, you may 
be charged penalties  (ORS 657.571 and 657B.920).  
Do not submit photocopies. 

Business name

Federal employer identification number (FEIN) Business identification number (BIN)     Quarter/Year (Q/YY) Total UI subject wages (must equal Form OA, 8a).

                                                                                       /

1. 1a. Social Security number (SSN)           1b. Employee first initial and last name                             1c. Whole hours worked

   1d. State income tax withholding           1e. UI subject wages                     1f. Paid Leave subject wages

2. 2a. Social Security number (SSN)           2b. Employee first initial and last name                             2c. Whole hours worked

   2d. State income tax withholding           2e. UI subject wages                     2f. Paid Leave subject wages

3. 3a. Social Security number (SSN)           3b. Employee first initial and last name                             3c. Whole hours worked

   3d. State income tax withholding           3e. UI subject wages                     3f. Paid Leave subject wages

4. 4a. Social Security number (SSN)           4b. Employee first initial and last name                             4c. Whole hours worked

   4d. State income tax withholding           4e. UI subject wages                     4f. Paid Leave subject wages

5. 5a. Social Security number (SSN)           5b. Employee first initial and last name                             5c. Whole hours worked

   5d. State income tax withholding           5e. UI subject wages                     5f. Paid Leave subject wages

6. 6a. Social Security number (SSN)           6b. Employee first initial and last name                             6c. Whole hours worked

   6d. State income tax withholding           6e. UI subject wages                     6f. Paid Leave subject wages

                                                   Continue to next page 
150-206-524 (Rev. 08-18-22)                                                                                          Page 1 of 2

               Form 132 Domestic
               Oregon Employee Detail Report
    Business identification number (BIN)  Quarter/Year (Q/YY)
                                                                                    6524020123
                                          /
7.  7a. Social Security number (SSN)      7b. Employee first initial and last name                                   7c. Whole hours worked

    7d. State income tax withholding      7e. UI subject wages                      7f. Paid Leave subject wages

8.  8a. Social Security number (SSN)      8b. Employee first initial and last name                                   8c. Whole hours worked

    8d. State income tax withholding      8e. UI subject wages                      8f. Paid Leave subject wages

9.  9a. Social Security number (SSN)      9b. Employee first initial and last name                                   9c. Whole hours worked

    9d. State income tax withholding      9e. UI subject wages                      9f. Paid Leave subject wages

10. 10a. Social Security number (SSN)     10b. Employee first initial and last name                                  10c. Whole hours worked

    10d. State income tax withholding     10e. UI subject wages                     10f. Paid Leave subject wages

11. 11a. Social Security number (SSN)     11b. Employee first initial and last name                                  11c. Whole hours worked

    11d. State income tax withholding     11e. UI subject wages                     11f. Paid Leave subject wages

12. 12a. Social Security number (SSN)     12b. Employee first initial and last name                                  12c. Whole hours worked

    12d. State income tax withholding     12e. UI subject wages                     12f. Paid Leave subject wages

13. 13a. Social Security number (SSN)     13b. Employee first initial and last name                                  13c. Whole hours worked

    13d. State income tax withholding     13e. UI subject wages                     13f. Paid Leave subject wages

14. 14a. Social Security number (SSN)     14b. Employee first initial and last name                                  14c. Whole hours worked

    14d. State income tax withholding     14e. UI subject wages                     14f. Paid Leave subject wages

                                                                                                                     C. Total whole hours worked
Column totals. Total boxes C, D, E, and F from both pages.

    D. Total state income tax withholding E. Total UI subject wages                 F. Total Paid Leave subject wages

150-206-524 (Rev. 08-18-22)                                                                                          Page 2 of 2