The Department of Human Resources

Official Website: https://www.chicago.gov/city/en/depts/dhr.html

The Department of Human Resources facilitates the effective delivery of city services through the establishment of a professional human resources management program.

Forms & Documents

Browse all The Department of Human Resources government forms

All 13 forms

Form Title Topics
Blue Cross Blue Shield of Illinois Medical Claim Form
Civilian LTD Information
Creditable Coverage Notice
Diabetes Management Program Enrollment Form
Fire LTD Enrollment
FSA Claim Form – Connect Your Care (as of January 1, 2019) – Dependent Care
FSA Claim Form – Connect Your Care (as of January 1, 2019) – Medical Healthcare
HIPAA Authorization Form
HIPAA Notice of Privacy Practices
Police LTD Enrollment
PSEBA Application
Term Life Beneficiary Designation Form (MetLife)
Term Life Enrollment – Optional/Spouse/Child

Contact Information & Office Locations

1 contact point

Main Office

Address:
121 N LaSalle St
Room 100
Chicago, IL 60602

Phone numbers:
  • (312) 744-4966
  • (312) 744-5035 (TYY)
Fax numbers:
  • (312) 744-2563

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