OR-VSI: Form OR-VSI, Voluntary Self-identification (2024)

Oregon · Oregon DOR · Used for tax years 2024

2024 Oregon Form OR-VSI, Voluntary Self-identification, collects information about Oregon taxpayers’ race and ethnicity. Completing it is voluntary, and the data may be used only to help the Department of Revenue work toward fairness and equity in the personal income tax system.

Who files this form

No one is required to complete Form OR-VSI. Providing race and ethnicity information is voluntary.

If you choose to complete it, include it with your Oregon income tax return. If you don’t have to file an Oregon return but want to provide this information, go to Revenue Online at www.oregon.gov/dor.

What you'll need

  • Use the race and ethnicity code table printed on Form OR-VSI to select your codes.
  • Enter the first four letters of your last name.
  • If your filing status is married filing jointly, include a separate form for each spouse. Check the box if your name is listed second on the return.

How to file

Include Form OR-VSI when you file your Oregon income tax return.

If you don’t have to file an Oregon return but want to provide this information, go to Revenue Online at www.oregon.gov/dor.

To complete the form:

  • Enter the first four letters of your last name.
  • Enter the code for your primary race or ethnicity in box 1. You may enter up to two additional codes in boxes 2 and 3.
  • If you don’t have a primary racial or ethnic identity, mark the box under line 1 and enter up to three codes from the table.
  • For married filing jointly, include a separate form for each spouse and check the box if your name is listed second on the return.

Common mistakes

  • Use UPPERCASE letters and blue or black ink.
  • Print the form at actual size, 100%.
  • Don’t submit photocopies or use staples.
  • Include the form with your Oregon income tax return.
  • If married filing jointly, include a separate form for each spouse. Check the box if your name is listed second on the return.

Questions people ask

Is Form OR-VSI required?

No. Completing this form is voluntary.

What is the information used for?

The form gathers race and ethnicity data about Oregon taxpayers to help the Department of Revenue work toward fairness and equity in the personal income tax system. The data can’t be used for any other purpose.

Will the department use my SSN or ITIN to connect this information to my tax account?

If you file this form, the department may use your SSN or ITIN to match your tax return and account information to your voluntary self-identification data for the stated purposes. If you don’t file the form, it will not use your SSN or ITIN for those purposes.

What if I don’t have a primary racial or ethnic identity?

Mark the box under line 1 and enter up to three codes from the table.

Can I provide this information if I don’t have to file an Oregon return?

Yes. Go to Revenue Online at www.oregon.gov/dor.

Official sources

All versions of OR-VSI