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Employee Forms

Supporting Documents

PDF icon Employee Change of Address Form (57 KB)
PDF icon Oregon Laborers (Local 737) Address Change Form (254 KB)
PDF icon Request for Family and Medical Leave (52 KB)
PDF icon Workplace Injury Incident Report (644 KB)
PDF icon Employee Health Care Certification FMLA (491 KB)
PDF icon Family Member Health Care Certification FMLA (358 KB)
PDF icon Return to Work Status (73 KB)
PDF icon 801 (53 KB)
PDF icon Instructions to Physician for Worker's Comp Injuries (89 KB)
PDF icon 2023 IRS W-4 (89 KB)
PDF icon 2023 Oregon W-4 (52 KB)
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Human Resources
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  • Notice of Nondiscrimination in the Provision of City Services
  • Job Interest Card

Contact Information

Human Resource Manager
Karee Miller

Human Resources:
(541)447-2366
City Hall:
(541)447-5627
City Hall Fax:
(541)447-5628

 

 

 

 

 

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City of Prineville Oregon  387 NE Third Street Prineville, OR 97754  (541) 447-5627

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