Tualatin Valley Fire & Rescue: Injury, Illness, & Fit for Duty Forms

*Fire Chief: Michael Duyck*
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Forms

Return to Work Checklist 8.5.3D
10.2.4 form
801 Form
Medical Release Form 8.5.3B
Medication Disclosure Form 8.5.3A
Return to Work / Exclusion

SOG

8.5.3 Fit for Duty
8.2.8 Family Medical Leave Act

Contacts

Leith Gerber
Wellness and OHS Program Manager
Leith.Gerber@tvfr.com
Office 503-625-8189

Tess O'Hearn
Sr HR Administrator
Teresa.Ohearn@tvfr.com
Office 503-642-0361
Fax 503-259-1225

TVFR Exposure Service
503-721-0529

Bev Wilkinson
Director of Human Resources
Beverly.Wilkinson@tvfr.com
Office 503-642-0387
Cell 503-793-8570
Fax 503-259-1225

Mike Severson
Wellness Program Coordinator
Michael.Severson@tvfr.com
Office 503-625-8190
Fax 503-625-8188

Cascade Occupational Medicine
Office 503-246-4104
Fax 503-246-3942

Tualatin Valley Fire & Rescue
Command & Business Operations Center
20665 SW Blanton Street
Aloha, Oregon 97007

Tel: (503) 649-8577 | Fax: (503) 642-4814