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:
The Department of Administrative Services' primary rule chapter is 11 of the Iowa Administrative Code.
HRE Benefits website Benefits forms and other information can be accessed at this website.
2020-2021 Health and Dental Dedution Schedule PDF
2019-2020 Deduction Schedule PDF
2020 Added-Value Tax Matrix PDF
2020 IowaBenefits Automatic Health and Dental P-1 Processing Schedule PDF
2020 Iowa Benefits Automatic Life P-1 Processing Schedule PDF
Coverage Beginning and Ending Dates
Coverage Effective Dates PDF (Updated 06/24/19)
Flexible Spending Accounts
2020 Changes to FSA Accounts Video of June 17, 2020 webcast.
2020 Changes to FSA Accounts slides
Flexible Spending Accounts Benefits after leaving employment brochure
2020 Sick Leave Insurance Program (SLIP) premiums PDF
Wellmark's Find a Provider
Updating your beneficiaries in IowaBenefits
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.
Family and Medical Leave Act forms are available at the:
Monthly Balancing Materials
Billing Adjustment Forms
Please contact the Life and LTD Specialist for application.
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)
Employees Moving To/From Executive Branch and...
Department of Transportation
Judicial Branch, Legislative Branch, or Community Based Corrections
Additional Resources (cheat sheets, checklists, and more)
P1 and M5 Types and Approval Levels - Updated!
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
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)
001 New Hire - Permanent Position
055 Transfer to SLIP
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
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
Agreement for Recouping Payments 552-0751
Calculation of Mortgage Interest Differential 552-0703 This form must be opened in Internet Explorer (IE).
Calculation of Market Value Differential 552-0704 This form must be opened in Internet Explorer (IE).
Calculation of Income Tax Assistance Payment 552-0705 This form must be opened in Internet Explorer (IE).
IRS Tests for Preparing Relocation Expense Claims 552-0706 This form must be opened in Internet Explorer (IE).
Statement of Ownership of Principal Residence 552-0668 This form must be opened in Internet Explorer (IE).
Moving Company Bid Sheet 552-0702 This form must be opened in Internet Explorer (IE).
Relocation Expenses Recap
Travel Payment for Relocation Expenses
Travel Payment for Relocation Subsistence
NAICS - Partially Exempt Industries
New Employee Safety Orientation video
OSHA Recordkeeping Forms and Requirement Guide
OSHA Recordkeeping Decision Tree
OSHA Recordkeeping Resources
OSHA 300, 300A Forms and Electronic Recordkeeping (Recording)
OSHA 300 form slide deck handout
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 Policy Guidelines for Supervisors
Violence Free Workplace Policy
Employee Complaint Form (fillable)
Steps in the Hiring Process 552-0492
Lasy updated 07/14/2020