County Employee Forms

Utah County Employee Forms

Please note : Most forms on this page are in the .pdf format. You must have Adobe Acrobat Reader to view pdf files. Some web browsers include the Acrobat Reader plug-in. If you do not have Acrobat Reader, it is a free download from the Adobe web site.

Beneficiary Designation Forms

Utah Retirement Systems Nonretired Members Change Form

How to Designate and Update Beneficiaries

Health Equity Beneficiary Designation Form

Workers Compensation

Workers Compensation Employee Responsibilities

Workers Compensation Injury Report

Workers Compensation Options

Workers Compensation Days Missed Form

Workers Compensation Supervisor Report Form

Workers Compensation Prescription Information

Health Saving Account Change Forms

HSA Guidebook

HSA Employee Contribution Change Form

Payroll Forms

W-4 Instructions

2021 W-4 Form

Direct Deposit Instructions

Charitable Contribution Form

FMLA and ADA Forms

How to Apply for FMLA

Utah County FMLA Policy - Section IX-A-6 of Utah County Rules and Regulations

Employees Guide to FMLA

ADA Request Form

Miscellaneous

2021 - Utah County Employee Benefits Enrollment Guide

Benefits Overview

Direct Deposit Form for Expense Reimbursements

Mobile Device Discounts - AT&T and Verizon

Mobile Device Discounts - Sprint

Name and Address Change Form

Sick Leave Conversion Form

Sick Leave Donation Form

Planning For Retirement

401 (k), ROTH 401(k), 457 Contribution Rate Changes (All changes are made online through your online Prudential Account)

www.Prudential.com/online/retirement
Prudential Customer Service : 877-778-2100

How to set up and register your online Prudential account

URS Pre-Retirement Checklist

URS Steps to Retirement

How to set up a MyURS Account