Personnel Department

Official Website: http://per.lacity.org

Personnel Department is one of 45 departments and agencies in the City of Los Angeles. Its mission is delivering HR solutions to employ, develop, and engage a dynamic city workforce.

Forms & Documents

Browse all Personnel Department government forms

1 - 20 of 108 forms

Form Title Topics
2009 Maternity and Disability Guidelines (Revised August 2008
2014 Blue Shield Evidence of Coverage (EOC) Access+ HMO (Full)
2014 Blue Shield Evidence of Coverage (EOC) Access+ HMO SaveNet (Narrow)
2014 Blue Shield Evidence of Coverage (EOC) Shield Spectrum PPO
2014 DeltaCare USA DHMO Evidence of Coverage (EOC)
2014 Delta Preferred Option (PPO) Evidence of Coverage (EOC)
2014 Delta Preventive Evidence of Coverage (EOC)
2014 Kaiser Permanente Evidence of Coverage (EOC) for Civilian Employees
2015 Kaiser Permanente Evidence of Coverage (EOC) for Civilian Employees
2016 Cash-in-lieu Affidavit for Civilian Employees
2016 Flex Benefits FAQs
2016 Flex Open Enrollment Guide
2016 Flex Open Enrollment Highlights
2016 Group AD&D Insurance Certificate & Policy
2016 Group Life Insurance Certificate & Policy
2016 Group Long Term Disability Certificate & Policy
2016 Group Short Term Disability Certificate & Policy
2017 Anthem Full Network (CACare HMO) Evidence of Coverage (EOC)
2017 Anthem Full Network (CACare HMO) Summary of Benefits and Coverage (SBC)
2017 Anthem Narrow Network (Select HMO) Evidence of Coverage (EOC)

Contact Information & Office Locations

1 contact point

Main Office

Address:
700 East Temple Street
Room 100
Los Angeles, CA 90012

Phone numbers:
  • (213) 473-9311
  • (213) 473-9354 (TDD)
Fax numbers:
  • (213) 473-9312
Hours of operation:
  • Office Hours: Monday through Friday - 7:00 am until 4:00 pm

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