DHS, State of Oregon and Federal Posting Requirements



|[pic] |DHS|OHA, State of Oregon and |[pic] |

| |Federal Posting Requirements | |

|Posting | |

|location | |

|Lobby |Staff |Form number |Revision date |Form title |Agency responsible |Order information |

| |X |WHD 1088 |07/16 |Federal Minimum Wage (English) (poster) |Federal US DOL | |

| |X |WHD 1088sp |07/16 |Federal Minimum Wage (Spanish) (poster) |Federal US DOL | |

| |X | |Yearly |Oregon Minimum Wage (English) (poster) |BOLI | |

| |X | |Yearly |Oregon Minimum Wage (Spanish) (poster) |BOLI | |

| |X |WHD 1462 |07/16 |Employee Rights — Employee Polygraph Protection Act Notice (English) |Federal US DOL | |

| | | | |(poster) | | |

| |X |WHD 1462SP |07/16 |Polygraph Protection Act Notice (Spanish) (poster) |Federal US DOL | |

| |X |WHD 1420 |04/16 |Employee Rights and Responsibilities under the Family and Medical |Federal US DOL Wage and| |

| | | | |Leave Act (English) (poster) |Hour Division | |

| |X |WHD 1420SP |04/16 |Employee Rights and Responsibilities under the Family and Medical |Federal US DOL Wage and| |

| | | | |Leave Act (Spanish) (poster) |Hour Division | |

| |X | |01/19 |Oregon Family Leave Act Poster (English) (poster) |BOLI | |

| |X | |01/19 |Oregon Family Leave Act Poster (Spanish) (poster) |BOLI | |

|X |X | |1/19 |Domestic Violence, Harassment, Sexual Assault or Stalking (DVHSAS) |BOLI | |

| | | | |poster (English) | | |

|X |X | |1/19 |Domestic Violence, Harassment, Sexual Assault or Stalking (DVHSAS) |BOLI | |

| | | | |poster (Spanish) | | |

|X |X |OFCCP EEOC-P/E-1 |11/09 |Equal Employment Opportunity is the Law (English) (poster) |Federal EEOC | |

| | | | | | |Also available in Arabic and Chinese at the following website: |

| | | | | | | |

| X |X |OFCCP EEOC-P/E-1 |11/09 |Equal Employment Opportunity is the Law (Spanish) (poster) |Federal EEOC | |

| |X | |04/17 |Your Rights under USERRA (Uniformed Services Employment and |Federal US DOL | |

| | | | |Reemployment Rights Act) (poster) |Veteran’s Employment & | |

| | | | | |Training Services | |

|X |X |MSC 0475C |12/99 |And Justice for All (poster) |Federal |DHS/OHA Publications and Forms |

| |X |440-1507E |10/16 |“It’s the Law” OSHA (English) (poster) |DCBS, OSHA | |

| | | |OR-OSHA | | | |

| |X |440-1507S |10/16 |“It’s the Law” OSHA (Spanish) (poster) |DCBS, OSHA | |

| | | |OR-OSHA | | | |

|X |X | | |“No Smoking or Vaping” (English) (poster or decal) |OHA |

| | | | | | |ionalResources/Pages/index.aspx#flyers |

| |X |N/A | | |DCBS - Workers’ |Workers’ Compensation Division issues a poster specific for each DHS |

| | | | | |Compensation Division |Division, institution and State Operated Community Programs. Contact HR if |

| | | | |Workers’ Compensation Division Notice of Compliance | |you do not have the necessary insurance policy number or Tax ID number. |

| | | | | | | |

| |X |Form 11 | |Employment Insurance Notice (poster) |Employment Dept |The Employment Dept automatically sends this notice after an account is set|

| | | | | | |up or reopened. If a duplicate is needed, call 503-947-1488 option 3. |

| | | | | | |Callers will be asked for their ID number and Tax ID number. Contact HR if |

| | | | | | |you do not have these numbers. |

| |X |440-3353 |11/15 |Summary of Work-Related Injuries and Illnesses |DCBS, OSHA |Posted annually Feb 1 – April 30, even if no injuries. A blank form can be |

| | | | |Prior Year (form) | |found at the following web site: |

| | | | |OSHA Citations, Appeal information, Complaints and DHS/OHA Responses |DCBS, OSHA |Posted per occurrence |

| |X |440-973 | |Emergency Information |DCBS, OSHA |

| | | | | | |ency+information |

|X |X |DHS 0304 |06/03 |“We’re Here to Help You Just Ask Us” |DHS |DHS/OHA Publications and Forms |

| | | | |(Alternate Format) (poster) (IN REVISION) | | |

|X | |MSC 2090 |02/14 |DHS/OHA Notice of Privacy Practices for Medical Assistance and |DHS/OHA | |

| | | | |Premium Assistance Programs – OHP Medicaid version | | |

|X | |OHA 2090 |02/14 |OHA Notice of Privacy Practices – For use by Oregon State Hospital |DHS/OHA | |

| | | | |only | | |

|X | |OHA 2090 OSPHL |10/18 |OHA Notice of Privacy Practices – for use by the Oregon State Public |DHS/OHA | |

| | | | |Health Laboratory only | | |

|X | |DHS 7265 |10/02 |DHS Will Not Discriminate (various languages) (poster) |DHS |DHS/OHA Publications and Forms |

|X |X |AFS 1541 |12/00 |No one Deserves to be Hurt! (multi-language) (poster) |DHS |DHS/OHA Publications and Forms |

|X | |MSC 0503P |10/04 |Register and Vote (English) (poster) |SOS |DHS/OHA Publications and Forms |

|X | |MSP 0503P |10/04 |Register and Vote (Spanish) (poster) |SOS |DHS/OHA Publications and Forms |

|X | |DHS 9001 |07/16 |Client Complaint Information (various languages) (flyer) |DHS |English: |

| | | | | | |Spanish |

| | | | | | |Other languages available: Russian, Vietnamese, Laotian, Arabic, Somali, |

| | | | | | |Bosnian, Burmese, Cambodian, Farsi, Hmong, Korean, Mien, Romanian, Chinese,|

| | | | | | |English large print and Spanish large print. |

| | | | | | |They can be found at the following link: |

| | | | | | | |

|X | |DHS 0170 |01/12 |Client Complaint or Report of Discrimination Form (various languages)|DHS |DHS/OHA Publications and Forms |

| | | | |(form) | | |

|X | |DHS 0171 |01/12 |Client Comment Form (various languages) (form) |DHS |DHS/OHA Publications and Forms |

|X |X |MSC 9011 |01/06 |SOS Fraud, Waste and Abuse (poster) |SOS |DHS/OHA Publications and Forms |

|X | |MSC 0407 |Yearly |ODVA Veteran Benefits Magazine (brochure) |ODVA |DHS/OHA Publications and Forms |

|X |X |See form title |01/12 |DHS Core Values (poster) |DHS |DHS/OHA Publications and Forms |

| | | | |DHS 9921 – Core Values in our daily work | | |

| | | | |DHS 9922 – Integrity | | |

| | | | |DHS 9923 – Stewardship | | |

| | | | |DHS 9924 – Responsibility | | |

| | | | |DHS 9925 – Innovation | | |

| | | | |DHS 9926 – Respect | | |

| | | | |DHS 9927 – Professionalism | | |

| | | | |DHS 9919 – Service Equity | | |

|X | |MSC 9960 |06/13 |I Speak card (brochure) |DHS/OHA |DHS/OHA Publications and Design |

|X | |MSC 9961 |06/13 |Telephonic Interpretive Services sticker |DHS/OHA |DHS/OHA Publications and Design |

|X | |MSC 9962 |06/13 |I speak poster (poster) |DHS/OHA |DHS/OHA Publications and Design |

| |

| Additional Aging and People with Disabilities and Self-Sufficiency posting requirements: |

|X | |DHS 3400 |10/10 |Resource Guide for Low-income Families |DHS |DHS/OHA Publications and Forms |

| | | | |(various languages) (brochure) | | |

|X | |MSC 0784 | |Oregon Telephone Assistance Program |PUC | |

| | | | |(various languages) (form) | | |

Additional Self-Sufficiency posting requirements:

X | |DHS 7824 |11/04 |Disability Rights (poster) |DHS |DHS/OHA Publications and Forms | |X | |DHS 9217 |08/03 |Know your Rights (various languages) (flyer) |DHS |DHS/OHA Publications and Forms | |X | |DHS 7852 |10/10 |Welcome to the TANF Program Brochure

(various languages) (brochure) |DHS |DHS/OHA Publications and Forms | |X | |DHS 8660 |09/10 |Client Safety Packet on Good Cause

(various languages) (forms) |DHS |DHS/OHA Publications and Forms | |X | |DHS 1540 |03/12 |What Do You Need To Be Safe?

(various languages) (brochure) |DHS |DHS/OHA Publications and Forms | |

Bureau of Labor and Industries (BOLI) Civil Rights Division Oregon posting requirements:



DHS/OHA Publications and Forms:



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