This form should take around 30 minutes to complete.
Use our Online Case Management System for Filing an Appeal
How To Create A New User Account
Public User Guide - Appeal Hearing Request (464.6 KB)
If you experience difficulty filing an appeal through the online case management system, you may use the fillable form below:
Note: when we enter your information from the PDF into the system, the system will send to you an email from the following address: USA-PHO-CMS-noreply@synisys.org
Check your junk/spam folder for this email notification. The Notice of Hearing (date/time/location of hearing) will be sent by the system to the email address you provided unless you complete the Opt-Out form. The system email address is unable to receive incoming emails. For all inquiries or emails, please contact the Hearings Office Clerks.
Opt Out Form
If you want to receive notification via U.S. Postal Mail instead of email, you are required to submit the Opt Out Form with your Appeal Hearing Request Form.
Statement of Rights and Procedures
Request to Reschedule
All requests to reschedule must be submitted through the online case management system. Sending an email is insufficient. If you have trouble using the online case management system’s reschedule feature feel free to contact the Hearings Office Clerks for assistance or to request a PDF of the Reschedule Form.
Hearings Office Case Management System
Title 22 - Hearings Officer
Review the City of Portland Code related to appeal hearings before the Hearings Officer.
Chapter 22.10 Appeals to the Code Hearings Officer
Appeal Administrative Rules
These administrative rules apply to appeal hearings.