Phone: 503-823-3572
Benefits Line: 503-823-6031
1120 SW 5th Ave, Room 987, Portland, OR 97204
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