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