{"data":{"id":"us-or/ors-652.520","jurisdiction":"us-or","citation":"ORS 652.520","heading":"Form of statement of wage claim.","body":"The statement to be presented under ORS 652.510 shall be substantially in the following form:\nState of Oregon           )\n                                    )           ss.\nCounty of _____,        )\n      I, _____, being first duly sworn, say that _____ is\nindebted to me in the sum of ___ dollars over and above all just credits and setoffs, on account of work, services and labor performed by me for the said _____, upon the following terms and conditions, to wit: That I was employed by the said _____ on or about the ___ day of _____, 2__, to work (here describe character of work) at the rate of ___ dollars per month (or for a reasonable consideration for such work), and that under said contract I began to work on the ___ day of _____, 2__, and between that day and the ___ day of ______, 2__, I performed work, services and labor ___ days, amounting to the sum of ___ dollars (or the reasonable value of ___ dollars); that the said _____ has paid me on account of the said labor the sum of ___ dollars, and no more; and that there is now due me, the sum of ___ dollars, over and above all just credits and offsets; and that during the 90 days next preceding the ___ day of _____, 2__, I had performed ___ days’ labor under said contract, amounting to the sum of ___ dollars (or that said services were reasonably worth the sum of ___ dollars); and that, applying all the credits above stated, there is due me from the said ______, on account of labor for the said 90 days, the sum of ___ dollars, and no more; claim as due me.\n      Subscribed and sworn to before me this ___ day of _____, 2__.","path":["16 - Trade Practices, Labor and Employment","51. Labor and Employment; Unlawful Discrimination","Chapter 652 — Hours; Wages; Wage Claims; Records"],"source_url":"https://www.oregonlegislature.gov/bills_laws/ors/ors652.html","current_through":"2025 Edition","vintage":"","retrieved_at":"2026-09-03T23:50:16Z","sha256":"6545caa6dd480c6aae5f7f0bd52f5e710f1d8c38f5291c747731621c472e2de8","source_id":"us-or","stale":false,"prev":"us-or/ors-652.515","next":"us-or/ors-652.530"},"notice":"GroundRules: Original legal text. Not legal advice."}