Weber County Utah

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Human Resources - Employee Forms

Home » HR » Employee Forms

Payroll

  • Direct Deposit Form
  • W-4 Form
  • Compensatory Time Program Participation
  • 2019 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 Hartford - Evidence of Insurability Form
  • The Hartford: Customer Solutions Center 800-523-2233

REIMBURSEMENTS

  • Tuition Reimbursement Program
  • Weber County C.O.B. Reimbursement Request Form
  • Weber County Medical Reimbursement Request Form
  • Weber County Retiree Reimbursement Request Form
  • 2018 FSA Claim Form
  • 2018 Cafeteria Plan Enrollment Form
  • 2018 Continual Reimbursement Request
  • Short Term Disability Claim
  • Supplemental Insurance Claim

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

Weber County
Human Resources


Human Resources Home
Jobs
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Forms
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Training
Worker's Compensation
Employee Portal

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

  • Phone

    801-399-8406

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