Weber County Utah

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Human Resources - Employee Forms

Home » HR » Employee Forms

Payroll

  • 2025 Payroll and Holiday Calendar
  • 2024 Payroll and Holiday Calendar

BENEFITS

  • Select Health - Health Insurance
  • MetLife - Dental & Vision Insurance
  • Health Equity - Health Savings Account (HSA)
  • National Benefit Services (NBS) - Flexible Spending Accounts (FSA) & Dependent Care Reimbursements
  • Utah Retirement Systems - Retirement Forms
  • The Standard - Forms
  • The Standard - Enrollment Decision Support Tool
  • The Standard - Filing a Supplemental Insurance Claim

REIMBURSEMENTS

  • Tuition Reimbursement Program
  • FSA Claim Form
  • Cafeteria Plan Enrollment Form
  • Continual Reimbursement Request
  • Gym Reimbursement Agreement

EMPLOYEE RELATIONS

  • Americans with Disabilities Act (ADA) Intake Form
  • Americans with Disabilities Act (ADA) Medical Form
  • Reasonable Suspicion Process Form

APPEAL/GRIEVANCE

  • Employee Grievance Form

POLICY DISCLOSURES

  • Nepotism Disclosure Form
  • Personal Relationship Disclosure Form
  • County Officers and Employees Disclosure Act Form

FMLA

  • 1. Certification of Health Care Provider for Employee's Serious Health Condition
  • 2. Certification of Health Care Provider for Family Member's Serious Health Condition
  • Certificaiton for Serious Injury or Illness of a Current Servicemember - for Military Family Leave
  • Certification for Serious Injury of Illness of a Veteran for Military Caregiver Leave

Other

  • Telecommuting
  • Volunteer Application

Weber County
Human Resources


Human Resources Home
Jobs
Benefits
Forms
Performance Management
Policies
Retirement
Training
Worker's Compensation
Employee Portal
FAQ
Verification of Employment

Contact

Phone
Office: 801-399-8623
Fax: 801-399-8307

Office Address
Weber Center
2380 Washington Blvd Suite #340
Ogden, Utah 84401


Hours
8:00 a.m. to 5:00 p.m.
Monday to Friday
Excluding Legal Holidays

Weber County, Utah

Founded in 1850, Weber County occupies a stretch of the Wasatch Front, part of the eastern shores of the Great Salt Lake, and much of the rugged Wasatch Mountains.

  • Address

    Weber Center
    2380 Washington Blvd
    Ogden, Utah 84401

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