| PEBB Health Insurance Forms |
| PEBB Enrollment, Update, and Beneficiary Forms |
| PEBB Appeal Form |
| Health Insurance Reimbursement Forms |
| PEBB Statewide Plan Forms (Providence) (Includes Medical Claim Form, Prescription drug claim form, prescription drug prior authorization form, etc) |
| Providence Choice Forms |
| Moda Medical & Dental Forms |
| Flexible Spending Account Claim Forms (Healthcare and Dependent Care) (.pdf file) |
| Flexible Spending Account - Other Forms |
| VSP Reimbursement Form (.pdf file) |
| Family & Medical Leave |
| Medical Certification Form (.pdf file) |
| Tuition Reduction (Staff Fee Privileges) |
| Staff Fees Form - Employee |
| Staff Fees Form - Family Transfer |
| Retirement |
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Public Employees Retirement System (PERS)
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Optional Retirement Plan (ORP)
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Tax Deferred Investment (TDI) 403(b) Plan
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Oregon Savings Growth 457 Plan (OSGP)
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| Retiree Health Insurance Enrollment Forms |
| PEBB Retiree Health Insurance Application |
| PEBB Retiree Pay Type Option Form - submit with PEBB Retiree Application |
| PERS Health Insurance Forms |
| Workers' Compensation Forms |
| Office of Insurance and Risk Management Services website |
| Workers' Compensation forms |
| OSU Report of Accident (web form) |
| Important Information for Employees with Occupational Injuries (.pdf file) |
| Continued Benefits for Injured Workers Notice (.pdf file) |