Form 150-206-029 - Ach Debit Authorization Agreement And Application For Combined Payroll Tax And Assessment Page 6

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Clear Form

EFT WebPay/ TelePay Worksheet

for Combined Payroll Tax Payments

—Complete a worksheet each time before you access the EFT system—

This worksheet will help to make your report accurate. It also provides you with a copy of your report and your confirmation

number. Please make copies of this blank worksheet as you need them.

WebPay System Address: https://OregonEFT.net

Date Payment Initiated: ________________________

TelePay System Telephone Number: 1-877-869-6090

You enter:

The WebPay internet address or the TelePay telephone number.

TelePay responds:

“Welcome to the Oregon Combined Payroll Tax and Assessment Payment TelePay System.”

TelePay prompts:

“Please enter your State of Oregon Business Identification Number” (followed by the pound sign).

–

You enter:

(up to 9-digit Business Identification Number)

TelePay prompts:

“Please enter your 4-digit PIN” (followed by the pound sign).

You enter:

(4-digit Personal Identification Number)

TelePay prompts:

“Please enter the quarter and 4-digit year for the tax payment you are making.”

You enter:

(quarter/4-digit year is Q/YYYY format)

Ex: 1/2003 [Quarter 1 (Jan., Feb., Mar.)/2003]

TelePay prompts:

“Please enter the 8-digit date you want the payment made.”

You enter:

(8-digit tax payment due date is MM/DD/YYYY format)

Note: You cannot enter today’s date. The date entered must be at least 1 banking day after the day of your call.

TelePay prompts:

“Please enter your state Unemployment Tax Payment” (followed by the pound sign).

You enter:

State Unemployment Tax