HR Info for HRAs

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 sections for convenience:

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Administrative Rules

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

Administrative Rules - All 

Administrative Rules – Human Resource Rules: 

• Chapter 50 Definitions
• Chapter 51 Coverage and Exclusions
• Chapter 52 Job Classification
• Chapter 53 Pay
• Chapter 54 Recruitment, Application, and Examination
• Chapter 55 Eligible Lists
• Chapter 56 Filling Vacancies
• Chapter 57 Appointments
• Chapter 58 Probationary Period
• Chapter 59 Promotion, Transfer, Temporary Assignment, Reassignment, and Voluntary Demotion
• Chapter 60 Separations, Disciplinary Actions, and Reduction in Force
• Chapter 61 Grievances and Appeals
• Chapter 62 Performance Review
• Chapter 63 Leave
• Chapter 64 Benefits
• Chapter 65 Political Activity
• Chapter 66 Conduct of Employees
• Chapter 71 Combined Charitable Campaign

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Agency Human Resources Contacts

• Agency Human Resources Contacts

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Appeal Board Claims

• Appeal Board Claims Process with examples

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Benefits Resources

• 2025 HRA Open Enrollment Training    
  •  Slide Presentation    
  •  Presentation Recording 
• 2023-2024 Benefit Deduction Schedule  
• 2024-2025 Benefit Deduction Schedule  
• 2024 Added-Value Tax Matrix     
• 2025 Added-Value Tax Matrix
• Coverage Effective Dates
• Premium Conversion (Pre-tax) Program Form

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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.

• Instructions for Completing Form I-9
• Handbook for Employers, Guidance for Completing Form I-9
• 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

   

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Employment & Income Verification

(Clear Verify Services effective 5/1/2024 )

Clear Verify Flyer

What Do I Do When an Employee or Verifier Calls

Editable Scripting for Verifiers - Word Document

Clear Verify User Guide for Employers

FAQ for Employers

Types of Verifications  - Fulfilled vs. Not Fulfilled

Clear Verify Employee Announcement 

Employment & Income Verification Webpage

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Fiscal Year End Processing

• 2022 Fiscal Year-End Processing - Compensatory, Holiday, Family Care, and Other Balances
• FMLA 2022 Fiscal Year-End Information

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Insurance Arrears and Adjustments

Arrears Forms

• Department Reimbursement for Terminated Employee Arrears Premiums Form

Training Materials

• Process for Terminating an Employee with an Arrears Balance
• Arrears for Terminated Employees on Medical Leave – Job Aid

HRA Helps and Example Letters

• Example Letter Template:  Bill for Outstanding Arrears 

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Internships

• Internship Implementation Guide
• Internship Commonly Asked Questions

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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

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Life & Long Term Disability Insurance

• HRA - Life Processing Steps Guide

• Beneficiary Life Claim Letter Template (example to be sent with beneficiary statement)

   

• HRA - LTD Processing Steps Guide
• LTD Claim Cover Letter for Employee (sample letter)
• LTD Employee and Physician Statement (to be completed by the employee)
• LTD Employers Statement  (to be completed by the agency)
• Agency LTD Term Letter Template (After approval for LTD, when removing from payroll)

 

Manuals and Other Resources

• Managers and Supervisors Manual 

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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

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Pay

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

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Pre-Audit

Excel Calculators - For calculating vacation and sick leave payouts, dates, pay adjustments, pay increases, and more

Dates Cheat Sheet

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Pay Period Calendars

• 2021 Pay Period Calendar
• 2022 Pay Period Calendar
• 2023 Pay Period Calendar
• 2024 Pay Period Calendar
• 2025 Pay Period Calendar

 

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Clawback Calendars

• Clawback Calendar FY 2024
• Clawback Calendar FY 2025

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Next Increase Date Schedules

• Next Increase Date Schedule FY22
• Next Increase Date Schedule FY23
• Next Increase Date Schedule FY24
• Next Increase Date Schedule FY25 

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Hire

• Reemployment vs. Reinstatement
• Transfer vs. Reassignment
• Dates Cheat Sheet

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Terminations

• Termination Checklist 
• Termination Type Guidance

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Additional Resources

(cheat sheets, checklists, and more)

• Excel Calculators - For calculating vacation and sick leave payouts, dates, pay adjustments, pay increases, and more
• Calculations for Pay Adjustments/Term leave Pay
• Dates Cheat Sheet
• Documentation Required for Pre-Audit
• Helpful Links
• Postal Service Abbreviations
• Zip Code Lookup 
• 849 Settlement Pay

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Reasonable Accommodation

• Request for Reasonable Accommodation 552-0574

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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

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Retirement Checklists and Templates

Regular Retirements

• Regular Retirement Process Checklist
• Regular Retirement Exit Letter Template

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 Retirement Process Checklist
• SLIP Retirement Exit Letter Template

Medicare Retirements

• Medicare Retirement Process Checklist
• Medicare Retirement Exit Letter Template

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Safety

• Ergonomic Office: Self-Assessment - Enroll  in Workday Learning 

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Severe Weather Information

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

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Sexual Harassment

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

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State Human Resources 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
• Zero Tolerance Policy
• Employee Complaint Form (fillable)
• Email Signature Block Policy
• Steps in the Hiring Process 552-0492 

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Taxable Benefits Processing

• Tax Treatment of Health & Dental Insurance

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Telework

• Telework Program

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Temporary Services

• Temporary Staffing Services Vendor Request 552-0647
• Temporary Staffing Information

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Hire

• Reemployment vs. Reinstatement
• Transfer vs. Reassignment

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Transfers

• Employee Information Transfer Form (EITF) 

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Terminations

• Termination Checklist 
• Termination Type Guidance 

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Unemployment

• UT Meet & Greet  - Using Unemployment Tracker
• UT - 1st time login Step by Step Guide
• UT - Multi-factor Authentication Step by Step Guide 

Unemployment Tracker Videos:

         First Time Login  

         Change Your Password

          Reset MFA

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Workers' Compensation

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

 

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