Form 132 Amended
   Oregon Amended Employee Detail Report

             Include with Form OQ/OA Amended                                                             6525010123
                                                                                                                    Date received
Federal employer identification number (FEIN) Business identification number (BIN)    Quarter/Year (Q/YY)

                                                                                           /
Business name

1. 1a. Social Security number (SSN)           1b. Employee first initial and last name

                                                          Corrected Amount                 Original Reported Amount Net Change

   1c. Whole hours worked............................................

   1d. State income tax withholding ..............
   1e. Statewide Transit Tax (STT)  
   subject wages .....................................
   1f. Statewide Transit Tax (STT)  
   withholding ..........................................
   1g. Unemployment Insurance (UI)  
   subject wages .....................................

   1h. Paid Leave subject wages ...................
2. 2a. Social Security number (SSN)           2b. Employee first initial and last name

                                                          Corrected Amount                 Original Reported Amount Net Change

   2c. Whole hours worked............................................

   2d. State income tax withholding ..............

   2e. STT subject wages ..............................

   2f. STT withholding....................................

   2g. UI subject wages .................................

   2h. Paid Leave subject wages ...................
3. 3a. Social Security number (SSN)           3b. Employee first initial and last name

                                                          Corrected Amount                 Original Reported Amount Net Change

   3c. Whole hours worked............................................

   3d. State income tax withholding ..............

   3e. STT subject wages ..............................

   3f. STT withholding....................................

   3g. UI subject wages .................................

   3h. Paid Leave subject wages ...................

150-206-525 (Rev. 08-18-22)                                          Continue to next page                          Page 1 of 2

   Form 132 Amended
   Oregon Amended Employee Detail Report
   Business identification number (BIN)                   Quarter/Year (Q/YY)
                                                                             6525020123
                                                          /
4. 4a. Social Security number (SSN) 4b. Employee first initial and last name

                                                          Corrected Amount   Original Reported Amount Net Change

   4c. Whole hours worked............................................

   4d. State income tax withholding ..............

   4e. STT subject wages ..............................

   4f. STT withholding....................................

   4g. UI subject wages .................................

   4h. Paid Leave subject wages ...................

5. 5a. Social Security number (SSN) 5b. Employee first initial and last name

                                                          Corrected Amount   Original Reported Amount Net Change

   5c. Whole hours worked............................................

   5d. State income tax withholding ..............

   5e. STT subject wages ..............................

   5f. STT withholding....................................

   5g. UI subject wages .................................

   5h. Paid Leave subject wages ...................

6. 6a. Social Security number (SSN) 6b. Employee first initial and last name

                                                          Corrected Amount   Original Reported Amount Net Change

   6c. Whole hours worked............................................

   6d. State income tax withholding ..............

   6e. STT subject wages ..............................

   6f. STT withholding....................................

   6g. UI subject wages .................................

   6h. Paid Leave subject wages ...................

150-206-525 (Rev. 08-18-22)                                                                           Page 2 of 2