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Category: Payroll Forms

Program I (Pre-2006) & Program II (Pre-2014) Sick & Converted Sick Leave Transfer Request

Complete this form to request a transfer of Program I (Pre-2006) and/or Program II (Pre-2014)  Sick or Converted Sick to use in a current pay period.  Submit the form to your payroll processor or if ERIC is responsible for processing your payroll – fax to 801-538-3616 or email to ericpayroll@utah.gov. VERY IMPORTANT – Please note:  Transfers are not available for immediate use, after the adjustment has been made the change must go through an update process before the hours will be available for you to enter – if you intend to enter the hours in the Employee Self Serve ...

Overtime Agreement for Officers

Complete this form to select your overtime compensation pay if you are an FLSA non-exempt Public Safety Officer, Correctional Officer or Fire Protection Employee only. Overtime agreement for officers  

Overtime Agreement for Non-exempt Employees

Complete this form to select your overtime compensation pay if you are an FLSA non-exempt employee. Overtime agreement for non exempt  

FI41 Additional Withholding

Complete this form if you would like to have additional money withdrawn from you bi-weekly paycheck for Utah Income Tax Withholding. The link below will take you to the DAS Finance Forms web page to access the most recent version of this form. Finance forms are fillable PDFs. Forms ending with an asterisk save information to and retrieve information from their database and require a login to access. These forms must be opened in a browser other than Chrome. If you get the “Please wait…” message after clicking on a form link, use the save-as or download function, then open the form from ...

FI7 Accepting Terms of Dual Employment

An employee who has more than one position with State government is considered to be in Dual Employment. An employee in dual employment must accept the following terms in order to continue working in more than one position. The link below will take you to the DAS Finance Forms web page to access the most recent version of this form. Finance forms are fillable PDFs. Forms ending with an asterisk save information to and retrieve information from their database and require a login to access. These forms must be opened in a browser other than Chrome. If you get the “Please wait…” message ...

FI21 Direct Deposit Form

Use this form to add new or updated direct deposit accounts for your paycheck.  Additions and updates can also be made electronically in the Employee Self Serve system.  Completed forms must be submitted to State Payroll via fax to 801-538-3244. The link below will take you to the DAS Finance Forms web page to access the most recent version of this form. Finance forms are fillable PDFs. Forms ending with an asterisk save information to and retrieve information from their database and require a login to access. These forms must be opened in a browser other than Chrome. If you get the ...

W4

Complete Form W-4 so your employer can withhold the correct federal income tax from your pay. Consider completing a new Form W-4 each year and when your personal or financial situation changes.  This change may also be done electronically in the Employee Self Serve System. How do I know what number of withholding allowances to claim on my W-4? Publication 505, Tax Withholding and Estimated Tax is available on the IRS web site:  https://www.irs.gov/.  This publication is typically updated in March (for the current year) and provides information which may be useful to employees ...

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