This form is for employees who are approved for LTD only. Use this form to indicate when you would like any eligible leave balances to be paid out.
Request for payment of leave for LTD approved employees
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Department of Human Resource Management
For inquiries or to schedule an appointment, contact us.
State Office Building
Suite 2120
Salt Lake City, Utah
84114-1531
Suite 2120
Salt Lake City, Utah
84114-1531
Phone: (801) 538-3025
Fax: (801) 538-3081
TDD: (801) 538-3696
Fax: (801) 538-3081
TDD: (801) 538-3696
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