- ADA Authorization for Use or Disclosure of Health Information (PDF Document, 46kb)
- Job Accomodation Request (PDF Document, 35kb)

- Address Change Form
- Affidavit of Benefit Eligible Dependent Status (PDF Document, 72kb)
- Membership Application for CityShape I & II Fitness Centers
- Notice of Change in Family Status (Word Document, 46kb)
- Statement of Domestic Partnership (non-health benefits) (PDF Document, 28kb)

- Request for Catastrophic Leave (PDF Document, 43kb)

- Classification Action Request (P-4) & Fiscal Analysis - Updated for SAP (Word Document, 157kb)
- Position Abolishment Request Form - Updated for SAP (Word Document, 329kb)
- Position Transfer Form (to be used when transferring positions between bureaus) - Updated for SAP (Word Document, 111kb)
- Request for Employee Reclassification in Deep Class Series - Updated for SAP (Word Document, 84kb)
- Request for Pre-Approval of Extension of Limited Term Position - Updated for SAP (Word Document, 86kb)

Healthcare Continuation Coverage after Separation from Service

- Current Participant Forms

- ODS Dental Claim Form

- Certificate of Receipt of CDL Drug/Alcohol Testing Policies & Procedures (Word Document, 25kb)
- Drug and Alcohol Investigation Report (PDF Document, 5kb)
- Posting Requirements (Word Document, 39kb)
- Procedure for Investigating Discrimination/Harassment Complaints (Word Document, 57kb)

- Bureau Notice of Layoff Form (Word Document, 91kb)
- Employee Separation Notice and Checklist (Retirement or Resignation) (Word Document, 84kb)
- Notice of Separation from a PERS Covered Position (Excel Document, 36kb)
- Off-Cycle Check Request for Employee Separation
- OR PERS Service Retirement Application Instructions & Forms

- BHR Organizational Unit & Position Maintenance Form (Excel Document, 53kb)
- BHR Overpayment Report Form (Word Document, 246kb)
- BHR Personnel Action Request Form (SUPERFORM) (PDF Document, 10,618kb)
- BHR Personnel Action Request Form Guidelines (Word Document, 64kb)
- BHR Quota Adjustment Form (Excel Document, 47kb)
- CityKids Childcare Application (PDF Document, 26kb)
- Conviction/Criminal History Records Request Release (Word Document, 28kb)
- Critical HR Admin Rules Confirmation of Receipt (Word Document, 26kb)
- Direct Deposit Authorization Form (Word Document, 42kb)
- DMV Record Evaluation Form (PDF Document, 75kb)
- Education and Work Experience Form (Word Document, 147kb)
- I-9 Employment Eligibility Verification
- Management Leave Award Form (Word Document, 48kb)
- Minor Employment - Parent Authorization (PDF Document, 39kb)
- Notice of Vacancy Form (Word Document, 112kb)
- Quarterly Forecast For Staffing And Hiring Plans (Word Document, 191kb)
- Reference Record Form (Word Document, 47kb)
- Request for Work Schedule Creation (Excel Document, 29kb)
- Telework Agreement (Attachment to HR Administrative Rule 4.04) (Word Document, 79kb)
- Veteran's Preference Points Form (PDF Document, 40kb)
- W-4 Form (PDF Document, 180kb)

- DCAP Reimbursement Form
- MERP Reimbursement Form

- City of Portland Authorization for the Use or Disclosure of Protected Health Information.doc (73kb)
- City of Portland Authorization for the Use or Disclosure of Protected Health Information.pdf (PDF Document, 46kb)
- HIPAA Authorized Representative Form (Word Document, 42kb)
- HIPAA Complaint Filing Form (Word Document, 95kb)
- HIPAA General Authorization Revocation Form (Word Document, 48kb)
- HIPAA Notice of Privacy Practices (NPP) (Word Document, 61kb)
- HIPAA Privacy & Information Security Training Acknowledgement Form (Word Document, 45kb)
- HIPAA Privacy & Security Policies & Procedures (PDF Document, 626kb)
- HIPAA Privacy Policy for Health Plan (Word Document, 90kb)
- HIPAA Request for Access to Protected Health Information (Word Document, 120kb)
- HIPAA Request for Alternate Communication (Word Document, 50kb)
- HIPAA Request for an Accounting of Disclosures (Word Document, 65kb)
- HIPAA Request for Restriction of Protected Health Information (Word Document, 45kb)
- HIPAA Request to Amend Protected Health Information (Word Document, 62kb)

- BHR Site Team Assignments (Word Document, 32kb)
- HR Administrative Rules
- Official Personnel File

Request for lateral movement by existing permanent full-time and part-time employees

- Transfer Request Form

- Authorization for Use or Disclosure of Medical Information (Word Document, 66kb)
- Designation Notice (148kb)
- Eligibility Notice (Word Document, 166kb)
- Employee - Certification of Health Care Provider (PDF Document, 638kb)
- Family Member - Certification of Health Care Provider (PDF Document, 536kb)
- FMLA Fact Sheet (PDF Document, 43kb)
- FMLA/OFLA Leave of Absence Application (PDF Document, 30kb)
- Link to "Leave of Absence without Pay" form (PERS)
- OFLA Fact Sheet (PDF Document, 421kb)
- Qualifying Exigency - Certification (PDF Document, 80kb)
- Service Member - Medical Certification (PDF Document, 219kb)
- Statement of Domestic Partnership (non-health benefits) (PDF Document, 82kb)

- Continuation of Group Supplemental Life Insurance and Dependents Life Insurance (Portability)
- Request for additional Supplemental Life or Spouse Life Coverage

- ODS Medical Claim Form

- HR Administrative Rule 6.07 - Military Leave
- HR Administrative Rule 6.07(A) Military Leave - Vacation Donation Program
- Policy Guidance & Procedures for Military Leave of Absence (PDF Document, 48kb)
- Re-employment of an Employee on Military Leave of Absence (Word Document, 49kb)
- USERRA Certification Form (link to PERS form)

Employee Military Leave Information Packet (view all)

- Guidelines and Instructions for Managers/Supervisors (Word Document, 88kb)
- Overall Evaluation Forms (Word Document, 91kb)

- Authorization for Release of Personnel File Information (PDF Document, 34kb)
- Authorization for Use or Disclosure of Medical Information (PDF Document, 94kb)
- Public Records Information, Access and Retention (Word Document, 39kb)
- Records Manual and Forms

- Employee Name Change Request Form
- New Employee Information Form
- Social Security and Name Change Information Page

- Form for Authorization/Reimbursement
- Form for Vehicle Reimbursement for Use of Private Auto
- Travel Guide