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Oregon Health Authority

Forms

PEBB and Vendor/Carrier Forms

** Open a form by clicking the link in the 'Title' column.  Download the form to your computer before filling it out!  Fill in all required fields.  Save your PDF before sharing it!

Questions about your benefits?

Contact PEBB Member Services by calling 503-373-1102 or email: pebb.benefits@odhsoha.oregon.gov