You are here

HR Information for Human Resources Associates

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 Manuals and Other Resources
Agency Human Resources Contacts Military Leave
Benefits Pay
Central Payroll Pre-Audit
Employment Reasonable Accommodation
Family and Medical Leave Act (FMLA) Relocation
Fiscal Year-End Processing Safety
Insurance Billings Sexual Harassment
Internships Severe Weather Information
Iowa Administrative Code Sick Leave Insurance Program (SLIP)
IowaBenefits State Human Resources Policies
Layoff Taxable Benefits Processing P1 Type 300-301
Life Insurance Telework
Long Term Disability Insurance Temporary Services
  Workers' Compensation

Administrative Rules

The Department of Administrative Services' primary rule chapter is 11 of the Iowa Administrative Code.

return to top

Agency Human Resources Contacts

List of Agency Human Resources Contacts

return to top


 HRA Information: 2020 Enrollment and Change Period

HRE Benefits website Benefits forms and other information can be accessed at this website.

2018-2019 Deduction Schedule PDF 
2019 Added Value Tax Table PDF 
2019 IowaBenefits Automatic Health and Dental P-1 Processing Schedule PDF 
2019 Iowa Benefits Automatic Life P-1 Processing Schedule PDF 

2019 Dental Insurance Premiums 
All employees PDF (except SPOC-covered employees)

2019 Health Insurance Premiums 
All employees PDF (except SPOC-covered employees)
Sick Leave Insurance Program (SLIP) PDF

2019 Life Insurance Premiums 
All employees PDF  (All employees except SPOC-covered employees) 
SPOC-covered employees PDF

Group Insurance Coverage Beginning and Ending Dates 
Coverage Effective Dates PDF (Updated 06/24/19)

Life Events 
Life Events website (updated 06/25/19) 
Life Events Matrix PDF

Waiver of Life and Long-Term Disability Insurance PDF      

Benefit videos Where to get care posters
Terminating an individual in IB participating in FSA Where to get care and save PDF
Updating your beneficiaries in IowaBenefits  Know the cost and save PDF
Wellmark's Find a Provider  Know your condition and save PDF

Updated 07/12/2019

return to top


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 Webinar

Enrolling Interns in the State of Iowa Internship Program

return to top

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

return to top

Fiscal Year End Processing

2019 Fiscal Year-End Processing - Compensatory, Holiday, Family Care, IUP Personal Leave, and Other Balances

return to top

Insurance Billings Updated 02/26/2019

Monthly Insurance Billing Reconciliation Manual  PDF

Monthly Balancing Materials 
Reconciliation Worksheet

Billing Adjustment Forms

Health and Dental Forms
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
State Share Transfer - Life & LTD (M-005-01) PDF
Supplemental Life Payment (M-005-02) PDF
Refund Form (M-0334) PDF

Training Materials
Training Slides 

return to top


Internship Development Program

return to top


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

Sample Layoff Plan - Merit-Covered
Sample Layoff Plan - SPOC-Covered
Sample Layoff Letter - Merit Covered
Sample Layoff Letter - SPOC-Covered
Sample Recall Letter

return to top

Life Insurance

Life Insurance Claim Application PDF (to be completed by agency) 
Beneficiary Statement PDF (method of benefit payment) 

return to top

Long Term Disability Insurance

Please contact the Life and LTD Specialist for application. 

return to top

Manuals and Other Resources

Centralized Payroll Manuals
Managers and Supervisors Manual 
Monthly Insurance Billing Reconciliation Manual  PDF

return to top

Military Leave

Military Leave of Absence Manual
Iowa Code 29A.28
11 IAC 63.9(8A) Military Leave

Military Leave Checklist for State of Iowa Employees (552-0796)
Military Leave of Absence Request (Exceed 30 Days) (552-0797)
Request for Military Leaves Dates (552-0798)
State of Iowa Military Leave Performance/Increase (552-0799)
Military Service - Voluntary Written Notice of Intent Not to Return (552-0800)

return to top


Special Pay/Appointment Action 552-0125
Signature Authorization Form 552-0109
Agreement for Recouping Education Payments 552-0707

return to top


Excel Calculators (for calculating vacation and sick leave payouts, dates, pay adjustments, pay increases, and more)
Pre-Audit Calculators (protected)
Pre-Audit Calculators (unprotected)

Pay Period Calendars
2017 Pay Period Calendar
2018 Pay Period Calendar
2019 Pay Period Calendar
2020 Pay Period Calendar

Step Increase Date Schedules
Step Increase Schedule FY17
Step Increase Schedule FY18
Step Increase Schedule FY19
Step Increase Schedule FY20 

Presentations from HRA Trainings
2017 HRA Training Presentation 08-23-17
2015 PA Training Powerpoint - Excel Calculators

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)
P1 and M5 Types and Approval Levels
Appeal Board Claim Process
Applicant Tracking System Requirements for P1 Approval
Calculations for Pay Adjustments/Term leave Pay
Checklist - Terminations
Checklist - Regular Retirements (Non-SLIP)
Dates Cheat Sheet
Donated Leave Forms & Deduction Information
Documentation Required for Pre-Audit
Email Subject Line
Helpful Links
HRIS Cheat Sheet
HRIS – Table of Codes
Leave Code Chart and Definitions
Payroll Processing Times Calendar
Postal Service Abbreviations
Reemployment vs. Reinstatement
Transfer vs. Reassignment
Termination Code Guidance
When to Process an M5 or a P1

P-1 Type Descriptions (sorted by P-1 number)
005 Full-time Appointment – New Hire
015 Part-time Appointment – New Hire
025 Commission/Board Member New Hire
039 Temporary Type Appointment – New Hire
055 Transfer to SLIP
064 Board Member Reemployment
069 Reemployment
080-081 AmeriCorps > Temp Appt / Temp Appt > AmeriCorps
086 Temporary Appointment to Permanent Position
088 Lateral Transfer within Agency or Inter-Agency Transfer
099 Reinstate from Outplacement
099 Reinstatement
219 Home Address/Home Phone Change
239 Tax Status Change
249 Automatic Deposit Change
300 Taxable Fringe Benefit
304 Credit Union Deduction Change
400 Types Terminations
402 Retirement
470-475 SLIP Calculation
501 Leave of Absence
502 Leave Code Correction
620 Merit Increase
636 Pay Increase Due for Past Pay Period
677 Reassignment in Lieu of Layoff (Outplacement)
839 Health Insurance Opt-Out Correction
844 Move Pay/ Income Not Subject to Retirement/ Workers Comp Pay
845 Catastrophic Leave/ Other Pay Adjustment/ Term Leave Pay/ Sick Leave Pay (Legislative and Judical branches only)
846 Catastrophic Leave/ Other Pay Adjustment/ Term Leave Pay/ Sick Leave Pay
849 Settlement Pay

return to top

Reasonable Accommodation

Request for Reasonable Accommodation 552-0574

return to top


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

return to top


OSHA Recordkeeping Forms and Requirement Guide
OSHA Recordkeeping Decision Tree
OSHA Recordkeeping Resources 
  OSHA 300, 300A Forms and Electronic Recordkeeping
               Slide Deck
               OSHA 300 form slide deck handout 
NAICS - Electronic Mandatory Reporting
NAICS - Partially Exempt Industries

return to top

Severe Weather Information

Severe Weather Policy
Severe Weather FAQ
Severe Weather Request for Assistance form

return to top

Sexual Harassment

Sexual Harassment Policy for Executive Branch Employees
Sexual Harassment Policy Reference Guide

return to top

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

return to top

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 
Violence Free Workplace Policy
Employee Complaint Form (fillable)
Steps in the Hiring Process 552-0492 

return to top

Taxable Benefits Processing

Taxable Benefits (P1 Type 300-301) Processing on HRIS

return to top


Telework Program

Telework Application
Telework Agreement
Telework Status Report

return to top

Temporary Services

Temporary Staffing Services Vendor Request 552-0647
Temporary Staffing Information

return to top

Workers' Compensation

Workers' Comp Benefit Election Form 
Workers' Compensation First Report of Injury or Illness
Workers’ Compensation Provider List

return to top

Lasy updated 07/18/2019