HR Forms

Human Resources Forms
Accident/Injury Report Form (SAIF)
Please return to Human Resources as soon after an accident or injury has occurred.
Please read the instructions carefully, included in each packet, and return to Human Resources as soon as possible.

Medical Attention Required Packet
No Medical Attention Required Packet
Employee/Supervisor and Customer Incident forms
Employee Incident/Accident Report form
Customer Incident-Accident Report form

What to do if I have been exposed to blood?

Bloodborne Pathogens Exposure Control Plan
Employee Address Change

  • Address changes will only be made once Human Resources receives a signed Address Change Form.
Address and/or Name Update
Emergency Contact
Legal Name Change
  • Legal Name change requests must be accompanied by one of the following documents; updated social security card, updated passport, or updated US employment authorization card and presented in person.
  • Legal name changes will only be processed upon Human Resources receiving a signed Name Change Form.
Name Change
Payroll Forms
Please return forms to Human  Resources.
Oregon W-4 and Instructions
Direct Deposit
Family Medical Leave Form
The FMLA/OFLA request must be returned to Human Resources before FMLA/OFLA will be taken/granted.
Family Leave Request Form
Wasco County Family Leave Policy
Request for Hardship Leave
Personnel Status Change Forms
Personnel Action Form - Fillable
Position Approval (Workspace Setup) Form