PUA is a program under the pandemic ais relief and Economic Security or Cares Act of 2020 that provides unemployment assistance to workers who are not eligible for regular unemployment insurance compensation.
PUA provides temporary benefits to eligible individuals:
- Independent contractors.
- Lack sufficiente work history.
- Do no qualify for a regular unemployment claim.
- Have exhausted other forms of unemployment insurance benefits.
If you believe you may be eligible for regular UI claim you should file a claim using the online claim system.
If the Oregon Employment Department determines that your claim is not valid, you will be able to apply for PUA assistance.
If you know you are not elegible for regular UI and seeking benefits under this new program, please submit your application. The website will direct you to either file a regular UI claim or a PUA. These are two separation application processes:
- If you have already filed for a regular UI claim and do not qualify, you will need to submit a separate PUA application.
Apply for PUA Application in Oregon
Before you begin completing you PUA application, make sure you save the form to your device and open it directly Acrobat or Acrobat Reader if possible.
This allows you to tab through the application easily. The fillable PDF form will not automatically save. It is strongly recommended that you periodically save data entered into a form by using the Save button on the form or by clicking file Save or Save as:
After you have completed the application, save a final version of the file to your device and view it to ensure all fields are complete. To help you file your PUA application, let´s walk you through each section of the application now.
Select the “Use the Online Claim System” option.
Select the corresponding option:
Login to the system with your credentials:
Section A – Applicant Information
Please provide your personal information, including your Social Security Number. This information is needed to verify your identity and establish a PUA claim.
Section B – Applicant Employment
It is important that you provide all of yout employment history, including any self-employment you have done during the last 18 months.
This information will be used to verify your employment, alogn with any proof of earnings you provide, in order to be considered for a higher weekly benefit amount.
Were you scheduled to start a new job that has since closed as a direct result of the pandemic health emergency?
Answer YES if you are unable to reach your job because doing so would require the violation of the Stay Home. Save Live. order, or the employer has closed the place of employment.
Answer YES if you do not have a job because the employer postponed the job offer as a direct result of the pandemic public health emergency.
Answer YES if you do not have a job because the employer rescinded the job offer as a direct result of the pandemic public health emergency.
Did you apply for, receive, or would you be eligible to receive if you had ever applied for:
1: Unemployment compensation under any State or Federal Law?
Answer YES if you have received payment from any ofour unemployment programs such as:
- Regular Unemployment Insurance;
- Unemployment Insurance for Civilian Federal Employees (UCFE);
- Unemployment Insurance for Ex-Service Members (UCX);
- Disaster Unemployment Assistance (DUA);
- Work Share Benefits;
- Payments under the Self-Employment Assistance (SEA) program;
- Pandemic Emergency Unemployment Compensation (PEUC), which is a 13-week extension to regular benefits, or;
- Extended Benefits (EB).
2: Any amounts for loss of wages due to illnessor disability?
Answer YES if you have received any workers compensation or disability pay.
3: Any type of private income protection insurance?
Answer YES if you received any insurance benefit from being unablee to work for a period of time because of illness or injury.
4: Any amount as a supplemental unemployment benefit (SUB)?
Answer YES if you were paid benefits in accordance with a collective bargaining agreement, such as extended layoff benefits or furlough benefits. These are payments that are not wages, but provided as part of a supplemental unemployment benefit.
Are you receiving, or will you receive retirement pay (other than Social Security) within the next 12 months?
Answer YES only if you are receiving, or you will receive, retirement pay within the next 12 months, other tan Social Security.
Next is a series of questions regarding how you may have been impacted by the pandemic public health emergency.
These are YES or NO questions.
If you answer YES to any of these questions, you will need to provide the date that you were impacted and the name of the facility, person or employer.
Have you been diagnosed with the virus, or are you experiencing symptons of virus and seeking a medical diagnosis?
Answer YES if you have been diagnosed by a qualified medical professional or you are seeking a medical diagnosis because you are experiencing symptoms.
Answer NO if you are not experiencing symptoms, or if you are experiencing symptoms, but you are not seeking a medical diagnosis.
Has a member of your household been diagnosed with the virus?
Answer YES only if a member of your household has been diagnosed as having the virus by a qualified medical professional, or has tested positive for the virus and you are unable to work as a result.
Answer NO if a member of your household is experiencing symptoms, but has not yet been diagnosed with the virus.
Are you caring for a family member, or a member of your household, who has been diagnosed with the virus?
Answer YES if the care requires such ongoing and constant attention that your ability to perform other work functions is severely limited.
Answer NO if you are assisting a family member who is able to adequately care for themselves.
Is there a child or other person in the household, for whom you have the primary caregiving responsibility for that is unable to attend school or another facility that closed as a direct result of the virus public health emergency, and such school or facility care is required for you to work?
Answer YES if you are required to remain at home to provide care for the child or other person in the household.
Answer YES if your job allows for telework, but the amount of care requires such ongoing and constant attention that it is not possible for you to perform work at home.
Have you become the breadwinner or provider of major support for a household because the head of the household has died as a direct result of pandemic?
Answer YES if the head of household previously contributed the majority of financial support, has died as a direct result of pandemic, and you are now the person in the household expected to provide financial support.
Has your place of employment closed as a direct result of the virus public health emergency?
Answer YES if your employer shut down due to an emergency declaration or due to necessary social distancing protocols.
Have you quit a job as a direct result of pandemic?
Answer YES if you have been diagnosed with the virus by a qualified medical professional, or were experiencing symptoms and seeking a diagnosis, but your employer was unable to accommodate your situation by allowing you to work from home or take time off and you had to leave work.
Answer YES if you had to care for another individual either because they were ill or because their normal care facility was closed (such as daycare/school or eldercare), and you had to quit work because your employer could not accommodate you situation by allowing you to work from home or take time off.
Are you unable to reach your place of employment because you have been advised by a health care provider to self-quarantine due to concerns related to the virus?
Answer YES if you have been advised by a qualified medical professional that you may be infected with the virus and that you should self-quarantine.
Answer YES if you had direct contact with another person who has tested positive for the virus or been diagnosed with the virus by a qualified medical professional, and have been advised by a health care provider to self-quarantine to prevent further possible spread of the virus. Such circumstances would render you unable to reach your place of employment.
Answer YES if your inmune system is compromised because of a serious health condition and you have been advised by a health care provider to self-quarantine in order to avoid the greater-than-average health risk that you might face if you were to become infected by the virus.
Are you unable to reach your place of employment because of a quarantine imposed as a direct result of the pandemic public health emergency?
Answer YES if you are unable to reach your place of employment because doing so would require the violation of the Stay Home. Saves Lives. order.
Do you have the ability to continue to receive payment from you employer while working from home?
Answer YES if you have been offered the option of continuing to work for pay by teleworking and have refused such offer.
Answer YES if you have been offered the option of continuing to work for pay by teleworking and have accepted the offer, but you are working less than what you were performing prior.
Are you receiving paid sick leave or other paid leave benefits?
Answer YES if you are receiving any paid leave benefits for your customary work hours.
This includes sick leave, vacation and any other paid leave.
Are you currently self employed?
Answer YES if you have performed any self-employment within the most recently completed tax year.
Section D – Self-Employment Information
Complete this section only if you have performed self-employment within the most recently completed tax year. If you have not performed self-employment, please skip this section and complete section e.
We understand that these questions do not apply to all self-employment situations. However, these questions are required for all individuals who indicate they have been self-employed.
Please do you best to respond to the in this section.
At the time of the pandemic, was this self-employment your primary occupation and primary means of livelihood?
If you answer NO please explain what is your primary occupation and primary means of livelihood if it is not self-employment.
What services did you perform?
Please describes the type of services you perform for your business in the space below.
Do you have a business name?
If you have a business name, please provide the name in the space below.
Do you file a business return? Such as Schedule C 1120 o 1065.
Some business returns are part of your personal income tax return. You can answer YES, even if you are filing your business income with your personal return. If you file a business return, please provide the type of business return that you file in the space below.
Do you determine how the work is to be performed?
Answer YES if you decide how you perform work.
Answer NO if the company you provide service for determines how you perform your work.
Do you have the right to hire someone to help you perform your services?
Answer YES if you can hire employees for your business.
Answer NO if the company you provide services for does the staff hiring or strictly prohibits you from hiring others to assist you.
If YES, can you discharge them?
Answer YES if you also have the ability to fire your employees.
Answer NO if the company you provide services for is the one who fires employees.
Do you determine where the work is going to be performed?
Answer YES if you determine where your work will performed.
Answer NO if the company you provide services for determines where the work will be performed.
Do you determine your rate of compensation?
Answer YES if you determine your rate of pay.
Answer NO if the company provide services for determines your pay.
Do you have an investment in tools, equipment, etc.?
Answer YES if you have an investment in tools, equipment or anything else towards your business and list how much you have invested in the space below.
Can the company you provide services to terminate you?
Answer YES if the company or clients you provide services to can terminate your employment at any time.
Do you have more than one client?
Answer YES if you have more than one client and list the number of clientes you have in the space below.
Section E – Authorization for Tax Withholding
All benefits you receive under PUA are taxable income, if you are required to file a tax return.
You must authorize the Employment Department to withhold federal and/or state taxes from your unemployment insurance benefits.
Section F – Retroactive Filing
PUA is payable beginnig the week of 02/02/2020, or the first week you became out of work due the pandemic whicever is later.
This section allows you to retroactively claim up to six prior weeks for PUA. Please enter the enter the week ending date for each week you wish to claim. If you need to claim for more than six weeks, please complete a separate weekly certification for each week you would like to request.
For unemployment purposes, our weeks are Sunday through Saturday. For each week you wish to claim benefits, please list the Saturday daye of that week.
For example, if you want to claim for the week of April 19th 2020 through April 25th 2020, you would enter Saturday April 25th 2020 in the week ending column.
Please list the total hours of work you performed.
Please provide your total gross earnings for each week.
If you are self-employed, report any earnings you receive, regardless of whether you worked during the week.
If you are employed as an employee, report any earnings you will receive from work performed during the week, regardless of whether you have received the pay or not.
Please use the drop down to select what type of earnings you received during each week.
The first question has four sub questions
Did you apply for or receive:
- Any insurance payments for loss of wages due to illness or disability?
- Any payments from private income protection insurance?
- Any payments of a supplemental unemployment benefit?
- Were any amounts payable to you from any retirement, pension, or annuity payments from a plan contributed or mantained by an employer you received payment from in 2019?
If you answered YES to any of the questions in a. thourgh d., please provide details regarding each payment in the box below.
Question 2 – Were you able and available for work during the week based on our state requirements?
Answer YES if you were able and available for work based on the Oregon Employment Department´s current temporary rules.
If you are unsure, please visit: https://govstatus.egov.com/ORUnemployment_COVID1
Question 3 – Are you currently impacted by the pandemic public health emergency?
Answer YES if you are currently impacted by the pandemic. Answer NO if you are not currently impacted by the pandemic. If “YES”, explain in the space below how you are currently impacted.
Question 4 – Did you refuse any work during any of the weeks claimed above?
Answer YES if an employer offered you work but you refused regardless of the reason.
Section G – ReliaCard disclosure
The Employment Department pays unemployment insurance benefits electronically either by direct deposit or a U.S. Bank ReliaCard Visa debit card.
If you do not apply for direct deposit, you will be sent a ReliaCard within 10 days after receiving your first payment.
For all new claims, the first payment is usually sent by paper check.
With the U.S. bank ReliaCard Visa, Oregon Department Employment deposit your payment on to a prepaid debit card. This card can be used anywhere visa cards are accepted.
Section H – Misrepresentation
You must read and agree to the misrepresentation advisory to process your claim. This notifies you that if you intentionally lie or emit information to get UI benefits for which you are no entitled, you must repay benefits including monetary and other penalties and may be subject to criminal prosecution.
Section I – Applicant Certification
Please sign your name and date your application. Without your certification, the Oregon Department Employment cannot process your claim.
If you are found to be eligible for PUA, the Oregon Department Employment will establish a minimum claim of $205.
If you wish to have us evaluate your claim for an increased weekly benefit amount. You must provide proof of your income for your most recently completed tax year.
In order to have the possibility of a higher claim amount, you must have an earnings in excess of $16,480 for the year 2019.
If you are self-employed, you may provide your most recent tax return with your net income. You may also provide profit loss statements if you have not filed your taxes yet showing your net income for your business.
If you were employed by someone else, you may provide your W-2 or paystubs for tax year 2019, January thourgh December.
Make sure you claim your benefits each week you wish to receive payment.
After you have filed your claim, you will receive a Wage and Potential Benefit letter in the mail advisingn you that you do not qualify for an unemployment claim.
This is only advising you that you do not qualify under regular Unemployment insurance benefits.
After your claim is processed as a PUA claim, you will receive a NEW letter advising you of your new eligibility under PUA.