Employee Working Outside Oregon

Please check this box to confirm you are not self-reporting and that you have followed the University policies and procedures around .

This form should not be used to self-report. This form must be completed by the department manager or authorized department representative. Work based outside of the state of Oregon must follow an approval process. Remote Work Based Outside of the State of Oregon

Please provide your first and last name

Employees may not self report their out of state or out of country work status.

Please provide your email address

Please provide your email address.

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