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HR Forms & Documents

Any COVID-19 specific related forms can be found on the COVID-19 Information Page.

This page provides employees with easy access to frequently referenced or requested forms, documents, and schedules pertaining to Tooele City's workplace. Click on the drop down arrow below.  If you cannot find what you need here, please contact the Human Resource Office at 435.843.22HR.
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Document Center

The Document Center provides easy access to public documents. Click on one of the categories below to see related documents or use the search function.

Categories always sorted by seq (sub-categories sorted within each category)
Documents sorted by HEADER in Ascending Order within category

Forms & Documents49 documents

  • 2024 FY Salary Schedule
    document Header 2024 FY Salary Schedule
  • 2024 Pay Period Schedule
    document Header 2024 Pay Period Schedule
  • 401K Change Form – John Hancock
    document Header 401K Change Form – John Hancock
  • 401K Employee Information Change Request – John Hancock
    document Header 401K Employee Information Change Request – John Hancock
  • 401K Enrollment or Change Form – URS
    document Header 401K Enrollment or Change Form – URS
  • Absentee Request Form
    document Header Absentee Request Form
  • ADA Reasonable Accommodation Employee Packet, Request Form, & Medical Provider Form
    document Header ADA Reasonable Accommodation Employee Packet, Request Form, & Medical Provider Form
    January 2023
  • Address Change Form
    document Header Address Change Form
  • Appendix D – Dust Mask Use
    document Header Appendix D – Dust Mask Use
  • Application for Leave
    document Header Application for Leave
    (use for FMLA or LOA)
  • Change in Family Status - Reminders
    document Header Change in Family Status - Reminders
  • Confined Space Entry Permit
    document Header Confined Space Entry Permit
  • Direct Deposit Form
    document Header Direct Deposit Form
  • Disclosure Statement-Conflict of Interest
    document Header Disclosure Statement-Conflict of Interest
  • Education Reimbursement Application
    document Header Education Reimbursement Application
  • Emergency Contact Information
    document Header Emergency Contact Information
  • Employee Requisition Request
    document Header Employee Requisition Request
  • Employment Applications
    document Header Employment Applications
  • Expense Report
    document Header Expense Report
  • Flexible Spending Account Enrollment Form (2023-2024)
    document Header Flexible Spending Account Enrollment Form (2023-2024)
  • Flexible Spending Account Reimbursement (PEHP Flex$)
    document Header Flexible Spending Account Reimbursement (PEHP Flex$)
  • FMLA Cert Serious Injury / Illness of Service Member
    document Header FMLA Cert Serious Injury / Illness of Service Member
  • FMLA Certification of Health Care for Employee
    document Header FMLA Certification of Health Care for Employee
  • FMLA Certification of Health Care for Family
    document Header FMLA Certification of Health Care for Family
  • Grievance Form
    document Header Grievance Form
  • Health Insurance Waiver Form (2023-2024)
    document Header Health Insurance Waiver Form (2023-2024)
  • Health Savings Account Enrollment Form (2023-2024)
    document Header Health Savings Account Enrollment Form (2023-2024)
  • Hepatitis Immunization Election Declaration or Refusal
    document Header Hepatitis Immunization Election Declaration or Refusal
  • I-9
    document Header I-9
  • Incident Investigation Form
    document Header Incident Investigation Form
  • Incident Report Form
    document Header Incident Report Form
  • Life Insurance Beneficiary Form (Mutual of Omaha)
    document Header Life Insurance Beneficiary Form (Mutual of Omaha)
  • Life Insurance Change Form (Mutual of Omaha)
    document Header Life Insurance Change Form (Mutual of Omaha)
  • Life Insurance Enrollment Form (Mutual of Omaha)
    document Header Life Insurance Enrollment Form (Mutual of Omaha)
  • Line of Duty Beneficiary Form
    document Header Line of Duty Beneficiary Form
  • Medical and Dental Enrollment & Change Form
    document Header Medical and Dental Enrollment & Change Form
  • Out of State Travel (Advanced Request)
    document Header Out of State Travel (Advanced Request)
  • Outside Employment Disclosure & Review Form
    document Header Outside Employment Disclosure & Review Form
  • Overnight In-state Trip Authorization
    document Header Overnight In-state Trip Authorization
  • Reasonable Suspicion Checklist & Instruction Sheet
    document Header Reasonable Suspicion Checklist & Instruction Sheet
  • Remote Work Application & Agreement
    document Header Remote Work Application & Agreement
  • Separation Notice
    document Header Separation Notice
  • Short-Term Disability Insurance Claim
    document Header Short-Term Disability Insurance Claim
  • Time Card
    document Header Time Card
  • URS Beneficiary Change Form
    document Header URS Beneficiary Change Form
  • Vision Claim Form
    document Header Vision Claim Form
  • Vision Enrollment Form
    document Header Vision Enrollment Form
  • W-4 (2024 W4)
    document Header W-4 (2024 W4)
  • Withholding Instructions - State Tax Authorization for Voluntary Additional Utah Income Tax Withholding
    document Header Withholding Instructions - State Tax Authorization for Voluntary Additional Utah Income Tax Withholding