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Category: Employment Forms

Schedule A Agreement

Career Service Exempt Conversion Election Agreement & Acknowledgement Career Service Exempt Appointments   

Abusive Conduct Intake Form

This form is for the purpose of reporting Abusive Conduct, consistent with DHRM Rule R477-16. If you would like to make a complaint of Unlawful Workplace Harassment, as described in DHRM Rule R477-15, please contact your HR Specialist. Abusive Conduct Intake Form

Classification Position Analysis Form – PAF

All information on the PAF (Position Analysis Form) should be completed by the incumbent and/or supervisor to reflect the tasks currently assigned to the position.  Please refer to the Classification Review Request (CRR-3) form to initiate a request for a preliminary classification review of an incumbent filled position(s). Position Analysis Form PAF Revised 10.9.14

Conflict of Interest Form

DHRM Rules R477-9-2 and R477-9-3 require that employment with the state be the principal vocation for full-time employees. A state employee may only engage in outside employment or receive honoraria or paid expenses for activities outside of state employment when the employment or activities do not: a. Interfere with the employee’s efficient job performance. b. Conflict with the interests of the agency or the State of Utah. c. Give reason for criticism or suspicion of conflicting interests or duties. An employee must notify agency management in writing if outside employment or paid ...

Reference Release Form

Use this form when conducting interviews to authorize the release of reference information from a prior employer for an applicant. Reference Release Form

Position Classification Grievance Form

Complete this form to notify your local Human Resource office you do not agree with a Classification decision. Position classification Grievance Form 3/31/17

Classification Review Request CRR-3

This form is for use by supervisors/managers when requesting an incumbent filled position classification review.  The information provided on this form will determine whether or not there is sufficient change to proceed with and justify a formal classification review. 2015-Classification-Review-Request-CRR-3

Classification Review Request CRR-2 – Position Change Request

This form is for use by supervisors/managers when requesting a position schedule change, create a new position, reclassify a vacant position, or abolish a position.  The information provided will determine whether or not there is sufficient justification for requested change. In addition, you should review any applicable job descriptions. 2015-Classification-Review-Request-CRR-2

URS Statement of Ineligibility

Utah Retirement Systems (URS) requires we notify a new employee they are not eligible for a retirement contribution made on their behalf by the state but that they can still opt to contribute to a 401k plan on their own.  Employee must select whether they would like to contribute or not and sign this form to be submitted to URS. URS Statement of Ineligibility

Request for Personnel Action

The EPAR system is the preferred method of request but there are some instances an HR representative may need to use this form to request a new hire action.  Please use the EPAR or Onboarding system whenever possible. Personnel-Action-Request

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