Request For Waiver Of Training Credit Form
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1Clear Form
FOR REVENUE USE ONLY
REQUEST FOR
Code
Date Received
WAIVER OF TRAINING CREDIT
Name
Employment Status
Self-employed or retired
Employed by _______________________County
Name of county
Other ___________________________________
Purpose of waiver request:
Retirement.
Military Service.
You have been retired for more than 6 months
You have been in military service for more
of the year.
than 6 months of the year.
Illness or Disability.
Accident or Other Health Problems.
You have been on a leave-of-
Prohibits your ability
absence for more than 6 months of the year.
to complete the Continuing Education requirements.
You must fi le your request by December 31 of the year in which
Waiver credit hours requested for:
you are requesting the waiver.
Technical
_______________________
I request this waiver be effective for calendar year _______.
Management _______________________
Applicant’s Signature
Date
X
Assessor’s or Manager’s Approval
(if Employed by a County or Department of Revenue)
Date
X
FOR REVENUE USE ONLY
Send you waiver requests to:
Waiver is:
Granted
Denied
Continuing Education
Property Tax Division
Credits issued:
Technical
_____________________________
Oregon Department of Revenue
__________________________
Management
955 Center St NE
Authorized By
Salem OR 97309-5075
Date
X
150-338-008 (Rev. 06-07)
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