Payroll

• Direct Deposit Form
• W-4 Form
• Compensatory Time Program Participation
• 2022 Payroll and Holiday Calendar
• 2023 Payroll and Holiday Calendar

BENEFITS

• Select Health - Health Insurance
• Dental Select - 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

REIMBURSEMENTS

• Tuition Reimbursement Program
• Weber County C.O.B. Reimbursement Request Form
• Weber County Medical Reimbursement Request Form
• Weber County Retiree Reimbursement Request Form
• FSA Claim Form
• Cafeteria Plan Enrollment Form
• Continual Reimbursement Request
• The Standard File Short-term Disability Claim
• Continual Reimbursement Substantiation Form
• 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