Benefit Forms

All Employee Groups

  • Affidavit of Domestic Partnership
  • Medicare CMS L564 Form (CMS.gov website)
  • Oregon PERS Individual Account Program (IAP) Beneficiary Change
  • TriMet Transit Pass Salary Reduction Agreement Form

Employee Group: Non-Represented | SEIU

  • Health Savings Account (HSA) Enrollment/Change Form - 2023-2024 Plan Year