Personnel Department

City of Los Angeles, CA

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

61 - 80 of 108 forms

Form Title Topics
Blue Shield PPO Claim Form (Current as of 1/2014)
Blue Shield/PrimeMail Order Form (Current as of 1/2014)
Blue Shield Spectrum PPO SBC
Blue Shield Vision Benefit Summary (Current as of 1/2015)
Blue Shield Vision Claim Form (Current as of 1/2014)
California State Law AB 25 - Domestic Partner Rights
Checklist for Surviving Family Members (Revised 07/21/15)
Choosing Between a PPO and HMO Dental Plan (Revised March 2006)
Delta HIPAA Authorization Form
Disability Claim Package (Revised November 2007)
Domestic Partnership Information Sheet (Revised October 2015)
Eligibility of Grandchildren
Ending a Marriage or Domestic Partnership
Evidence of Insurability (Medical History Statement) for Standard Insurance
FICA Withholding & Taxation of Disability Benefits (Revised December 2006)
Flex Benefits Contact Sheet
Flex Benefits FAQs for Employees thinking about Retirement
Frequently Asked Questions About Disability Benefits From The Standard
Full-Time Student Status Form (Revised October 2010)
Health Care Reform Notice

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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