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  UM8026 - OREGON PUBLIC ENTITY ENROLLMENT  

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Year
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Quarter
First Quarter
Second Quarter
Third Quarter
Fourth Quarter
 Required
Business Type
Insurer
Oregon Public Entities
TPA
 All if blank.
Foreign/Domestic/Alien
Foreign
Domestic
Alien
 Domestic companies have their principal place of business in Oregon, while Foreign companies have their principal place of business in a state other than Oregon. Alien companies are insurance companies formed outside of the United States, that do business in Oregon.
Insurer
All if blank.
County
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Zip Code
All if blank.
Report output format
Format:
Headers: Yes    No        (may not apply to all formats)