The following list includes many frequently used DAS-HRE forms and policies in one central location for the user's convenience. Several of these forms are also found in the Managers and Supervisors Manual and other locations on the DAS-HRE website. Where that is the case, a link to the respective Chapter in the Manual or other resource has been included.
This information is divided into the following sections for convenience:
Administrative Rules
The Department of Administrative Services' primary rule chapter is 11 of the Iowa Administrative Code.
Agency Human Resources Contacts
Agency Human Resources Contacts
Benefits
|
2023 Benefit Information
|
|
(passcode: @2023HRAOpenEnroll)
|
| Slides of the benefits training presentation |
HRE Benefits website Benefits forms and other information can be accessed at this website.
2022-2023 Health and Dental Deduction Schedule PDF
2023 Added-Value Tax Matrix PDF
Coverage Beginning and Ending Dates
Coverage Effective Dates PDF (Updated 06/24/19)
Health and Dental insurance Premiums
2023 Health and Dental Premium -All Employees PDF (All employees except SPOC-covered employees)
2023 Health and Dental Premiums -SPOC-covered Employees PDF
COBRA
COBRA website
COBRA Notification/Election form PDF
2023 COBRA Premiums PDF
Health insurance application PDF
Delta Dental application PDF
Flexible Spending Accounts Benefits after leaving employment brochure
Retiree Health Insurance
2023 Sick Leave Insurance Program (SLIP) premiums PDF
Benefit videos
Wellmark's Find a Provider
Leave Programs
Managing Your Leaves Website
Life Events
Life Events website (updated 05/13/2020)
Life Events Matrix PDF
Life Insurance
2023 Life Insurance Premiums PDF (All employees except SPOC-covered employees)
2023 Life Insurance Premiums for SPOC-covered Employees PDF
Waiver of Life And Long Term Disability Insurance PDF
Updated 12/14/2021
Employment
I-9 Form (Employment Eligibility Verification)
Note: Chrome and Firefox users must right-click and select "Save link as" to download the I-9 form to their computer. The form can then be opened in Adobe Acrobat for completion. Internet Explorer users may click the link to complete the form within the browser, or may save the form to their computer to complete.
Steps in the Hiring Process 552-0492
Confidential Personal Data Form 552-0569
Powerpoint Presentation: Revised DAS Confidential Personal Data Form Information for HRAs
NEOGOV Resources
NEOGOV Webinar
Enrolling Interns in the State of Iowa Internship Program
Family and Medical Leave Act (FMLA)
Family and Medical Leave Act forms are available at the:
Family and Medical Leave website
FMLA State of Iowa Policy
Fiscal Year End Processing
2022 Fiscal Year-End Processing - Compensatory, Holiday, Family Care, and Other Balances
FMLA 2022 Fiscal Year-End Information
Insurance Billings Updated 09/30/22
Billing Adjustment Forms
Health and Dental Forms (Only to be used for exceptions and corrections that can no longer be done in the system)
Trustee Report Adjustments (TRA) (M-005-04) PDF
State Share Transfer - Health & Dental (M-0335) PDF
Refund Form (M-0334) PDF
Transfer Between Carriers (M-0576) PDF
Life and LTD Forms (Only to be used for exceptions and corrections that can no longer be done in the system)
State Share Transfer - Life & LTD (M-005-01) PDF
Supplemental Life Payment (M-005-02) PDF
Refund Form (M-0334) PDF
Example Letter Template: Second Notice Bill for Outstanding Arrears Coming Soon
Internships
Internship Development Program
Layoff
Layoff Plan Merit Covered Employees 552-0752
SPOC Layoff Plan 552-0753
Recall and Outplacement Instructions for Merit-Covered Employees 552-0231B
Retention Point Calculation Worksheet 552-0106
Samples
Sample Layoff Plan - Merit-Covered
Sample Layoff Plan - SPOC-Covered
Sample Layoff Letter - Merit Covered
Sample Layoff Letter - SPOC-Covered
Sample Recall Letter
Life Insurance
Beneficiary Statement PDF (method of benefit payment)
Long Term Disability Insurance
Manuals and Other Resources
Managers and Supervisors Manual
Military Leave
Iowa Code 29A.28
11 IAC 63.9(8A) Military Leave
Forms:
Military Leave Checklist for State of Iowa Employees
Request for Military Leaves Dates
State of Iowa Military Leave Performance/Increase
Military Service - Voluntary Written Notice of Intent Not to Return
Non-SLIP Retirement
Non-SLIP Retirement Process Checklist
Pay
Special Pay/Appointment Action 552-0125
Signature Authorization Form 552-0109
Agreement for Recouping Education Payments 552-0707
Pre-Audit
Excel Calculators - For calculating vacation and sick leave payouts, dates, pay adjustments, pay increases, and more
Pay Period Calendars
2020 Pay Period Calendar
2021 Pay Period Calendar
2022 Pay Period Calendar
2023 Pay Period Calendar
2024 Pay Period Calendar
Step Increase Date Schedules
Step Increase Schedule FY20
Step Increase Schedule FY21
Step Increase Schedule FY22
Step Increase Schedule FY23
Step Increase Schedule FY24 
Employees Moving To/From Executive Branch and...
Department of Transportation
Regents Institution
Judicial Branch, Legislative Branch, or Community Based Corrections
Additional Resources (cheat sheets, checklists, and more)
Appeal Board Claim Process
Calculations for Pay Adjustments/Term leave Pay
Checklist - Terminations
Checklist - Regular Retirements (Non-SLIP)
Dates Cheat Sheet
Documentation Required for Pre-Audit
Email Subject Line
Helpful Links
HRIS Cheat Sheet
HRIS – Table of Codes
Postal Service Abbreviations
Reemployment vs. Reinstatement
Transfer vs. Reassignment
Termination Type Guidance
P-1 Type Descriptions (sorted by P-1 number)
001 New Hire - Permanent Position
099 Reinstatement
219 Home Address/Home Phone Change
400 Types Terminations
402 Retirement
501 Leave of Absence
620 Merit Increase
636 Pay Increase Due for Past Pay Period
849 Settlement Pay
Reasonable Accommodation
Request for Reasonable Accommodation 552-0574
Relocation
Agreement for Recouping Payments 552-0751
Calculation of Mortgage Interest Differential 552-0703
Calculation of Market Value Differential 552-0704
Calculation of Income Tax Assistance Payment 552-0705
IRS Tests for Preparing Relocation Expense Claims 552-0706
Statement of Ownership of Principal Residence 552-0668
Moving Company Bid Sheet 552-0702
Relocation Expenses Recap
Travel Payment for Relocation Expenses
Travel Payment for Relocation Subsistence
Questions? Send an email to Centralized Payroll
Safety
OSHA Recordkeeping Decision Tree
OSHA 300, 300A Forms & Electronic Recordingkeeping Slides
Severe Weather Information
Severe Weather Policy
Severe Weather FAQ
Severe Weather Request for Assistance form
Sexual Harassment
Sexual Harassment Policy for Executive Branch Employees
Sexual Harassment Policy Reference Guide
Sick Leave Insurance Program (SLIP)
Sick Leave Insurance Program Enrollment 552-0713
Sick Leave Insurance Program Calculation Worksheet (for estimates only)
Sick Leave Insurance Program Checklist for Human Resources Associates
State Human Resource Policies
This section lists the more frequently accessed policies of DAS-HRE and Iowa state government.
Equal Opportunity, Affirmative Action and Anti-Discrimination Policy
State of Iowa Employee Handbook
Employee Assistance Program Policy
FMLA State of Iowa Policy
Substance Abuse
Substance Abuse Policy Guidelines for Supervisors
Relocation
Violence Free Workplace Policy
Employee Complaint Form (fillable)
Steps in the Hiring Process 552-0492
Taxable Benefits Processing
Taxable Benefits (P1 Type 300-301) Processing on HRIS
Telework
Temporary Services
Temporary Staffing Services Vendor Request 552-0647
Temporary Staffing Information
Unemployment Insurance Management
Workers' Compensation
Workers' Comp Benefit Election Form
Workers' Compensation First Report of Injury or Illness
Workers’ Compensation Provider List
Last updated 03/02/23