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

41 - 60 of 108 forms

Form Title Topics
2018 Anthem Vivity HMO Summary of Benefits and Coverage (SBC)
2018 DeltaCare USA DHMO Evidence of Coverage (EOC)
2018 Delta Preferred Option (PPO) Evidence of Coverage (EOC)
2018 Delta Preventive Evidence of Coverage (EOC)
2018 Kaiser HMO Evidence of Coverage - Civilian
2018 Kaiser HMO Summary of Benefits and Coverage (SBC) - Civilian
2019 Anthem Full Network (CACare HMO) Summary of Benefits and Coverage
2019 Anthem PPO Summary of Benefits and Coverage (SBC)
2019 Kaiser HMO Summary of Benefits and Coverage (SBC) - Civilian
Accelerated Benefit Provisions
Adding a Dependent Child
Affidavit of Domestic Partnership (Revised October 2015)
Anthem Member Advocate
Away From Home Care Brochure (HMO) (Current as of 1/2014)
Away From Home Care Flyer (HMO) (Current as of 1/2014)
Beginning a Marriage or Domestic Partnership
Benefit Protection Plan Frequently Asked Questions (Revised 01/10/18)
Blue Shield Access+ HMO (Full) SBC
Blue Shield Access+ HMO SaveNet (Narrow) SBC
Blue Shield Declaration of Disability for Over Age Dependent Child Form (Current as of 1/2014)

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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