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The City of Portland, Oregon

Office of Management & Finance

Bureau of Human Resources

Knowledgeable | Helpful | Responsive

Phone: 503-823-3572

Benefits Line: 503-823-6031

1120 SW 5th Ave, Room 987, Portland, OR 97204

More Contact Info

Exceptions and Accommodations Request Forms

Medical Exception Request Form

COVID-19 Vaccine Medical Exception Request Form

Religious Exception Request Form

COVID-19 Vaccine Religious Exception Request Form

PHI Release Form

Authorization for Use or Disclosure of Protected Health Information related to COVID-19 Vaccination Status

Reasonable Accommodations Overview

Information about the Reasonable Accommodations process and guidance

Pregnancy Reasonable Accommodation Request Form

To request an accommodation because of a pregnancy, childbirth, or a relatedmedical condition (including lactation).

Religious Accommodation Request Form

Religious Accomodation Request Form

ADA Accommodation Request

Request form for a job accommodation