Retiree Forms

Do you need to change beneficiaries?  Add or remove dependents? Update payment information?  Find the forms you need here.

On this page

  1. Retiree Medical & Dental Plan Change Form:
  2. Other Required Forms:
  3. Life Insurance Beneficiary Change Forms:

Do you need to change beneficiaries? Add or remove dependents? Update payment information?

All forms can be electronically signed and emailed to our office. If you are sending in a paper form, please use:

Multnomah County Retiree Benefits Office501 SE Hawthorne Blvd. Suite 320Portland, OR 97214

Retiree Medical & Dental Plan Change Form:

Other Required Forms:

Life Insurance Beneficiary Change Forms:

Last reviewed February 9, 2024

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