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 - 2022-2023 Plan Year