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Payroll Forms and Publications

These forms are used by employees to request changes of current information in the Human Resource Information System (HRIS). Forms are completed by the employee and submitted to their Department Personnel Associate. 

Federal & Iowa Tax Forms

 Federal W-4 Form
 Iowa W-4 Form • A link to the webpage and form provided by the Iowa Department of Revenue
 Federal and State Withholding Adjustment Request (Flat Rate)
 Tax Treatment of Non-Qualified Tax Dependents • HRE's Informational Web Page

IRS Publications & Tax Tables

Federal Withholding Tables for 2019
Federal Publication 15 (Circular E) Employer's Tax Guide
Federal Publication 15-A Employers Supplemental Tax Guide
Federal Publication 15-B Employer's Tax Guide to Fringe Benefits

Duplicate W-2 Request Form

  
  For State of Iowa Employees Only attention
Duplicate W-2 Wage and Tax Statement

To request a Duplicate W-2 Wage and Tax Statement, print and deliver a completed Duplicate W-2 Request Form with a fee of $5.00 for each tax year requested, to DAS-Centralized Payroll. Types of payment accepted are cash or check payable to Treasurer, State of Iowa.

attention Duplicate W-2 Request Forms emailed to Centralized Payroll are not accepted due to confidential information required to process the request.

Health, Dental and Life Insurance Forms

Insurance Billing Reconciliation for HRAs - Links directed to the HRE website
Employee and/or State Share Transfer between Carriers
Employee Supplemental Life Payment
Health and Dental Insurance Trustee Report Adjustments Excel
Health and Dental Insurance Trustee Report Adjustments Word
Payroll Journal Reconciliation Worksheet
Refund for Health, Dental and Life Insurance
State Share Transfer for Health and Dental
State Share Transfer for Life and Long Term Disability

Miscellaneous Forms and Publications

For Human Resources Associates of the State of Iowa
P-17 Electronic Worker's Comp Supplement Calculation Form 
P-30 Payroll Form

questions Questions? Send an email to Centralized Payroll email • Contact information for Centralized Payroll Staff