Search PortlandOnline
Search Disability - Non-Service Connected
Search
Home
Services
Visiting
Government
Community
Employees
Business
POL
Government
Bureaus & Offices
FPDR
Member Benefits
Forms
Disability - Non-Service Connected
Check List for Filing Nonservice Claim
(PDF Document, 50kb)
Attending Physicians Report (APR)
Direct Deposit Authorization Notice
Nonservice Disability Claim Form
(PDF Document, 40kb)
Report of Earnings from Outside Employment
Work Status Report (WSR)
Withholding Certificate
IRS Form W-4
http://www.irs.gov/pub/irs-pdf/fw4.pdf
Legal Representative Form
PDF Information
Some of the links on this page are to PDF documents. To open PDF files you will need Adobe Acrobat Reader installed on your computer, it is available for free from
Adobe.com.
Forms
Disability - Service Connected
Disability - Non-Service Connected
Pension
Questions & Comments
If you have any questions or comments, please contact our
site administrator
.
© 2013
City of Portland, Oregon
Privacy Policy
-
Accessibility
PortlandOnline
-
Services
-
Visiting
-
Government
-
Community
-
Employees