New Employee Resources

Welcome to the City of Salem! Here you will find everything you need to begin your employment with our organization.

All employees are required to adhere to the human resources rules.

For an overview of employee benefits, view the benefits overview course.

 

Forms are due to Human Resources within 30 days of new hire orientation.

457 Automatic Enrollment - AFSCME only
Complete this form for automatic enrollment in the City of Salem
Deferred Compensation 457(b) retirement plan, administered by Voya Financial.
15 KB
Coordination of Benefits
Complete this form to report that you or your dependents have other health insurance coverage.
103 KB
Electronic Disclosure Form
Complete this form to acknowledge the City's intent to deliver plan documents and notices electronically.
33 KB
Health Insurance Enrollment Form
Complete this form to enroll or waive coverage of the City of Salem health plan. Not required for SHA employees.
123 KB
HRA VEBA Election Form
Complete this form if you qualify for the Opt-Out Incentive Waiver and would like your Opt-Out Incentive contributed to the HRA VEBA.
2542 KB
HRA VEBA Enrollment Form
Complete this form if you would like your Opt-Out Incentive to be contributed to the HRA VEBA.
2727 KB
HSA - Enrollment Form
Complete this online form if you would like your Opt-Out Incentive to be contributed to the Health Savings Account (HSA).
148 KB
Life and Long Term Disability Form
Complete this form to enroll in these plans and designate your life insurance beneficiaries.
289 KB
2018 Opt-Out Incentive Waiver Form
Complete this form to waive coverage on the City's health plan because you have other qualifying health insurance. Documentation of enrollment in other qualifying coverage is required.
130 KB
Additional AD&D Policy
70 KB
Additional AD&D Summary
36 KB
Additional Life Policy
186 KB
Additional Life Summary
201 KB
FSA - Enrollment Authorization Form
Complete this form for enrollment authorization and agreement to participate in flexible spending accounts.
189 KB
Voya - EZ Enrollment Form
Complete this form to enroll and participate in the City of Salem Deferred Compensation Plan.
486 KB

 

​Benefits by employee group

Contact us

Human Resources Department
Monday–Friday
8:00 a.m.–5:00 p.m.
555 Liberty ST SE RM 225
Salem OR 97301
Phone: