Forms-Human Resources | Salt Lake County

2019 Holiday Schedule	1,525 KB
2018 Holiday Schedule	1,525 KB
Career Mobility Agreement	1.597 KB
First Report of Injury	304 KB
Gift Card Request	2.32 MB
New Employee Onboarding Packet (for supervisors)	50 KB
Report an on-The-Job Injury or Illness
Termination Checklist	41 KB
Training Repayment Agreement	1,525 KB

PEHP Group Term Life Change Form

Condensed Position Description Questionnaire	2,670 KB
Job Description Template	64 KB
Position Description Questionnaire	3,072 KB

Alcohol and Drug Reasonable Suspicion Checklist	1,602 KB
Conflict of Interest - Salt Lake County Disclosure Statement	1,667 KB
Designation of Representative	1,525 KB
Disclosure of Prescription Drugs	1,598 KB
Drug Screening Authorization Form	157 KB
EEO Complaint Form - Submit	1,526 KB
EEO Complaint Form - Withdraw	1,524 KB
Employee Disciplinary Notice of Written Warning	1,596 KB
Employee Disciplinary Notice Intent to Demote - Letter Template	26 KB
Employee Disciplinary Notice Suspend Without Pay - Letter Template	28 KB
Employee Disciplinary Notice Terminate - Letter Template	28 KB
Employee Grievance Form	1,526 KB
Mediation Agreement Form	1,528 KB
Request for Appeal Hearing, Appeal Pre-Filing Form	1,531 KB
This form should be filed with Mary Van Buren
Workplace Violence Statement Form	133 KB

ADA HIPAA Form	1,598 KB
ADA Intake Form	1,596 KB
ADA Interactive Process Worksheet (for Agency use only)	1,593 KB
ADA Medical Information Questionnaire	1,598 KB

Software Training Agreement	1667 KB
Tuition Reimbursement Application	1537 KB

Family Medical Leave Request Form	230 KB
Notice of Eligibility- Rights and Responsibilities - FMLA	249 KB
Employee's Serious Health Condition	248KB
Family's Serious Health Condition	200 KB
Military Family Leave Qualifying Exigency	189KB
Designation Notice - FMLA	189KB

Cash FormAward Letter-Example
Incentive Plan
In-Grade Advancement Plan
Salary Recommendation Form

Acting in Position Agreement	1,527 KB
Criminal Records Billing	1,526 KB
Criminal Records Name Check and Fingerprint Check Waiver	1,597 KB
Form I-9 Acceptable Documents for Eligibility Verification	461 KB
Form I-9 Employment Eligibility Verification (Spanish) - HR Use Only	327 KB
Internship Agreement Form	96 KB
Mileage Form Instructions, Policy #1350	70 KB
Mileage Reimbursement	70 KB
New Hire Information – Merit/Sworn	2,484KB
New Hire Information - Temporary	2,484 KB
New Hire Information – Appointed /Elected /Time-Limited	2,486 KB
Contract - Notice of Appointment Time Limited Employee	1,526 KB
On-Call and Call Back Pay	1, 526 KB
Overtime Compensation Agreement Form	1,664 KB
Payroll Access Form	1, 596 KB
Release of Information Form-49 CFR Part 40 Drug and Alcohol Testing For FMCSA RegulatedEmployers
Snow Removal Agreement	1,596 KB
Utah Retirement Systems Leave Notification (MELV-2)	242 KB
W-4, Current Year	113 KB
Workflow Approval List	95 KB
Workflow Approver Request	161 KB
Workflow Deadline Calendar	241 KB
Workflow Form	695 KB

Performance Plan and Appraisal	1,436 KB
Performance Improvement Plan	56 KB
Pro-Rate Annual Appraisal Calculation	1,594 KB

ADP/Recruiting Management Access	1,526 KB
Reference Check Release Form	291 KB
Template for Reference Check Questions	431 KB