Payroll Forms

 Contact Us
LeighAnn Wheeler, Director
Ph: (435) 893-0459

Kelli Stevens, HR Specialist
Ph: (435) 893-0409
Suite 116
Richfield, UT  84701
Fx: (435) 893-0495

Office Hours
Monday - Friday
8:00 am - 5:00 pm
(excluding holiday)
***IMPORTANT*** 
  • All payroll forms MUST be signed and dated to be valid.
  • Adjustments to payroll will only be made with a valid form.
  • Payroll changes will be effective the pay period after submittal of a valid form.
PAYROLL CHANGES
Direct Deposit Form  
Duty Weapon & Uniform Withholding Form (See downloads for this document - auto calculates)
Payroll Change Form - (Change in address, marriage, new child, 401k, HSA, etc.)
W-4 Form  - (payroll tax deductions)

ANNUAL NOTIFICATION FORMS
Conflict of Interest Form
Outside Employment Form
Cell Phone Form 
PTO Sell-Back Form

SUPERVISOR PERFORMANCE LOG
Supervisor Performance Log Instruction Guide
Supervisor Log

TRAVEL FORM - (This form must be submitted to the Clerk/Auditor's office)
Travel Reimbursement Form fillable Excel version (See downloads for this document - auto calculates)
Travel Reimbursement Form print & write PDF version

LINKS TO PAYROLL INFORMATION

Paystub & W2 Online Login Link    -   Doculivery  Setup Instructions
Timekeeping Online Login Link

SUBMITTING FORMS
 
  • ALL forms must have required signatures before submitting to the HR office to be valid
  • You may bring your signed forms to the HR office, or
  • You may submit your forms through this website - Submit Forms (Click Here)
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