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HR Forms

Please send all requests you would normally send to your HR Business Partner using the HR Request form. This includes Acting-In, Career Mobility, Incentive Plans, In-Grade and Grade Advancements, Job Description, Salary Reviews, Pay Equity Reviews, Reclassifications and Recruitment. Please attach the required documents.

Note: If you receive an error when trying to access a PDF file it means you need to download the PDF and open in Acrobat

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HR Forms

HR Administration Forms
File Last Updated Size
2022 Holiday Schedule Dec 22, 2021 134 kB
2023 Holiday Schedule Dec 08, 2022 236 kB
2024 Holiday Schedule Nov 21, 2023 218 kB
Career Mobility Agreement Jan 06, 2022 170 kB
Appointed Positions Apr 01, 2022 91 kB
First Report Of Injury Apr 01, 2022 303 kB
Gift Card Request Nov 23, 2022 148 kB
Termination Checklist Dec 16, 2019 40 kB
Training Repayment Agreement Dec 16, 2019 134 kB
Voluntary Furlough Request Form Apr 08, 2022 88 kB
Background Check Agency Billing Form Sep 13, 2024 117 kB
Criminal Record Check Waiver Form Aug 30, 2024 143 kB
New Employee Onboarding Packet (for supervisors) Dec 16, 2019 2419 kB

HR Benefits Forms
File Last Updated Size
Affidavit of Parties Establishing Adult Designee Status Mar 01, 2024 219 kB
HIPAA Special Enrollment Rights and Section 125 Election Change Events May 30, 2024 218 kB
Life Events - Adult Designee May 30, 2024 213 kB
Life Events - Birth_Adoption May 30, 2024 159 kB
Life Events - Divorce May 30, 2024 222 kB
Life Events - Loss of Other Coverage May 30, 2024 153 kB
Life Events - Marriage May 30, 2024 178 kB
PEHP Group Term Life Change Form Dec 16, 2019 255 kB
QLE HIPAA FAQ's May 30, 2024 236 kB

HR Classification Forms
File Last Updated Size
Classification Appeal Hearing Officer Manual Oct 15, 2020 138 kB
Condensed Position Description Questionnaire Jul 18, 2023 233 kB
CLASS_JobDescription235PermittingandLicensingSpv Dec 29, 2014 49 kB
CLASS_JobDescription267PlanningSpv Dec 29, 2014 49 kB
Job Description Template Dec 16, 2019 58 kB
Position Classification Appeal Hearing Officer Oct 15, 2020 170 kB
Position Classification Appeal Staff Review Apr 01, 2022 121 kB
Position Description Questionnaire May 23, 2023 354 kB
CLASS_TaskLaw Dec 29, 2014 98 kB
CLASS_TaskManagerLevel Dec 29, 2014 95 kB
CLASS_TaskTechnician Dec 29, 2014 96 kB

HR Employee Relations (ADA) Forms
File Last Updated Size
ADA Intake Form Nov 18, 2022 167 kB
ADA HIPAA Form Nov 18, 2022 118 kB
ADA Interactive Process Worksheet (for Agency use only) Apr 27, 2022 88 kB
ADA Medical Information Questionnaire Nov 18, 2022 253 kB

HR Pay Policy Forms
File Last Updated Size
Bonus Award Letter-Example Dec 16, 2019 41 kB
In-Grade Advancement Plan Jan 13, 2020 202 kB
Incentive Plan Dec 16, 2019 144 kB
Salary Recommendation Form Jan 13, 2020 547 kB
SLC Language Differential Form Oct 04, 2024 315 kB

HR Payroll and New Hire Forms
File Last Updated Size
2024 Payroll Due Dates Apr 17, 2024 85 kB
Acting in Position Agreement May 22, 2020 218 kB
ePar Action - Reason Grid May 10, 2022 154 kB
ePar Access Request Mar 02, 2022 206 kB
ePar Deadlines 2024 Jan 09, 2024 217 kB
Mileage Reimbursement Dec 17, 2019 69 kB
New Hire Information - Temporary May 06, 2022 143 kB
Time Limited Appointment Contract Apr 12, 2022 86 kB
On-Call and Call Back Pay Dec 17, 2019 225 kB
Overtime Compensation Agreement Form Dec 17, 2019 160 kB
Payroll Access Form Dec 17, 2019 191 kB
Release of Information Form-49 CFR Part 40 Drug and Alcohol Testing For FMCSA RegulatedEmployers Dec 17, 2019 15 kB
Utah Retirement Systems Leave Notification (MELV-2) Dec 17, 2019 81 kB
Workflow Form Mar 29, 2021 832 kB
New Hire Information – Appointed /Elected /Time-Limited Apr 06, 2022 145 kB
New Hire Information – Merit/Sworn Apr 06, 2022 146 kB
Background Check Agency Billing Form Aug 14, 2024 225 kB
Criminal Record Check Waiver Form Aug 14, 2024 185 kB
ePAR Guide - Approver Instructions (Fluid) Sep 02, 2022 175 kB
ePAR Guide - Initiator Instructions (Fluid) Sep 02, 2022 196 kB
ePAR FAQs Jan 13, 2020 77 kB
W-4, Current Year Mar 23, 2023 184 kB
Internship Agreement Form Jul 16, 2020 180 kB
REC_ADPVirtualEdgeAccess Dec 29, 2014 194 kB
REC_NewHireMeritProcess Feb 01, 2015 95 kB
REC_NewHireTempProcess Feb 01, 2015 196 kB

HR Performance and Development Forms
File Last Updated Size
COVID-Supplemental PDP for Redployed/Reassigned Employees Sep 25, 2020 220 kB
Performance Improvement Plan Feb 16, 2023 56 kB
Performance Plan and Appraisal Dec 17, 2019 1435 kB
Pro-Rate Annual Appraisal Calculation Dec 17, 2019 1593 kB

HR Recruitment Forms
File Last Updated Size
Reference Release Dec 11, 2020 290 kB
Template for Reference Check Questions Dec 17, 2019 430 kB