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Human Resources

Human Resources Information for HRAs and PAs

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
Benefits Pay
Central Payroll Pre-Audit
Employment Reasonable Accommodation
Family and Medical Leave Act (FMLA) Relocation
Fiscal Year End Processing Severe Weather Information
Internships Sick Leave Insurance Program (SLIP)
Iowa Administrative Code State Human Resource Policies
IowaBenefits Telework
Layoff Temporary Services
Life Insurance Workers' Compensation
Long Term Disability Insurance



Administrative Rules

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

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HRE Benefits website Benefits forms and other information can be accessed at this website.
Chapter 6, Managers and Supervisors Manual
attention  2015 Health and Dental Rates
Insurance Coverage Effective Dates
Tax Treatment of Dependents Enrolled in Health and Dental Insurance
updated  2015 Added Value Tax Table

Healthy Opportunities Newly Eligible Employee Procedures
Newly Eligible Employee Procedures
Healthy Opportunities Participation Election
Overview for Newly Eligible Employees
Healthy Opportunities Eligible Employee Effective Date Calculator


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I-9 Form (Employment Eligibility Verification)
      Instructions for Completing Form I-9

Steps in the Hiring Process 552-0492
Confidential Personal Data Form 552-0569

Chapter 4, Managers and Supervisors Manual

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Family and Medical Leave Act (FMLA)

FMLA Application & Intent to Return to Work 552-0599
Employee Rights and Responsibilities under the Family and Medical Leave Act
Leave Retention 552-0649
Notice of Eligibility and Rights & Responsibilities 552-0730
FMLA Return to Work Certification 552-0731
FMLA Designation Notice 552-0762
Certification of Health Care Provider for Employee's Serious Health Condition 552-0755
Certification of Health Care Provider for Family Member's Serious Health Condition
Certification of Qualifying Exigency for Military Family Leave
Certification for Serious Injury or Illness of Covered Servicemember for Military Family Leave
Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave
Servicemember Family Leave Tracking 552-0725
Guidance on Military Leave and Military Pay Differential 2013

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Fiscal Year End Processing

2014 Fiscal Year-End Processing - Compensatory, Holiday, Family Care, and Personal Leave Balances

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Application for State Employment 552-0072
Internship Completion Data 552-0342
Intern Hire Data 552-0343
Request for Intern List 552-0279

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AFSCME Request for Determination of Qualification 3rd Step Bumping Application 552-0699 AFSCME 3rd Bumping Application 552-0737
Application for State Employment 552-0072
Calculating AFSCME Seniority 552-0735
Calculating UE/IUP Seniority - Social Services Unit 552-0736
Contract Layoff Plan 552-0753
Non-Contract Layoff Plan 552-0752
Recall and Outplacement Instructions for Non-Contract Employees 552-0231B
Recall Instructions for Contract Covered Employees 552-0231A
Recall/Outplacement Application 552-0231C
Retention Point Calculation Worksheet 552-0106
Sample Contract Class Layoff Plan Cover Letter
Sample Non-Contract Class Layoff Plan Cover Letter
Sample Notice of Layoff Letter to Employee
Sample Notice of Layoff with 3rd Bumping Option
Sample Recall Letter (contract class from which laid off)
Sample Recall Letter (pick 15)
Sample Return to Recall Letter
Sample Seniority List with Layoff Line

Chapter 16, Managers and Supervisors Manual
Classes Constituting a Series

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Life Insurance

Life Insurance -- Claim Form
Life Insurance -- Claim Form Instructions

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Trainee/Journey Class List (3.60 in the Supervisors and Managers Manual)
Competency Library

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Long Term Disability Insurance

Long Term Disability Application Instructions

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Manuals and Other Resources

HRIS Employee Information Manual
HRIS Warrant Information Manual
Managers and Supervisors Manual
Applicant Screening Manual

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

Chapter 5, Managers and Supervisors Manual

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2014 Pay Period Calendar
2015 Pay Period Calendar
Appeal Board Claim Process
P1 and M5 Types and Approval Levels
BrassRing Requirements
Calculations for Pay Adjustments/Term leave Pay
Donated Leave Forms & Deduction Information
Documentation Required for Pre-Audit
Email Subject Line
Employees Moving from One Branch to Another
Employees Moving to & from the Department of Transportation
FY2014 Year-End Reminders
Helpful Links
HRIS Cheat Sheet
HRIS – Table of Codes
Leave Code Chart and Definitions
Payroll Processing Times Calendar
Postal Service Abbreviations
Pre-Audit Calculators (protected)
Pre-Audit Calculators (unprotected)
Reemployment vs. Reinstatement
Shift Differential Chart
Step Increase Date Schedule FY14
Step Increase Date Schedule FY15
Step Increases for Employees on Intermittent Leave
When to Process an M5 or a P1
P-1 Type
005 Full-time Appointment – New Hire
015 Part-time Appointment – New Hire
025 Commission/Board Member New Hire
039 Temporary Type Appointment – New Hire
058 Recall of Contract Covered Terminated Employee to State Employment
058 Recall of Non-Contract Terminated Employee to State Employment
059 Recall of Contract Covered Employee
059 Recall of Non-Contract Covered Employee
064 Board Member Reemployment
069 Reemployment
086 Temporary Appointment to Permanent Position
088 Lateral Transfer
099 Reinstate from Outplacement
099 Reinstatement
275-846 Donated Leave-Catastrophic Pay
400 Types Terminations
402 Retirement
501 Leave of Absence
502 Leave Code Correction
520 Return From Leave of Absence
619 Non-Contract Employee Pay Increase (Merit Increase)
636 Pay Increase Due for Past Pay Period
662 Promotion
669 Demotion
677 Reassignment in Lieu of Layoff (Outplacement)
692 Reclassification
839 Health Insurance Opt-Out Correction
846 Catastrophic Leave/ Other Pay Adjustment/ Term Leave Pay/ Sick Leave Pay

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Reasonable Accommodation

Request for Reasonable Accommodation 552-0574
Working with Persons with Disabilities: A Guide for State Supervisors and Managers

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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
Agreement for Recouping Payments 552-0707
Statement of Ownership of Principal Residence 552-0668
Moving Company Bid Sheet 552-0702
Relocation Expenses Recap (sample)
P-9 Pay Information Example
Travel Payment for Relocation Expenses (sample)
Travel Payment for Relocation Subsistence (sample)

Chapter 19, Managers and Supervisors Manual

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Severe Weather Information

Severe Weather memo
Severe Weather FAQ
Severe Weather Request for Assistance form

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Sick Leave Insurance Program (SLIP)

Sick Leave Insurance Program Enrollment
Sick Leave Insurance Program Calculation Worksheet (for estimates only)
Sick Leave Insurance Program Checklist for PAs
Executive Branch Non Contract SLIP Retiree Wellness Participation

Chapter 7, Managers and Supervisors Manual

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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 (Managers & Supervisors Manual 2.40)
State of Iowa Employee Handbook
Supervisory Referrals to EAP (Managers & Supervisors Manual 9.25)
Donated Leave for Employees (Managers & Supervisors Manual 6.85)
Donated Leave for Immediate Family Members (Managers & Supervisors Manual 6.87)
FMLA State of Iowa Policy ( Managers & Supervisors Manual 6.90)
Substance Abuse (Managers & Supervisors Manual 9.50)
Substance Abuse Policy Guidelines for Supervisors (Managers & Supervisors Manual 9.55)
Relocation (Managers & Supervisors Manual 19.05) (See also CBA)
Hepatitis B Policy (Managers & Supervisors Manual 15.65)
Tuberculosis Exposure Control Policy (Managers & Supervisors Manual 15.75)
Standard Emergency Procedure Guideline (Managers & Supervisors Manual 15.20 )
Steps in the Hiring Process 552-0492
AIDS Policy (Managers & Supervisors Manual 15.70)

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Telework Application
Telework Agreement

Chapter 18, Managers and Supervisors Manual

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Temporary Services

Professional/Administrative Support Temporary Services Request 552-0658
Professional Staff Leasing Request - Merit Resources 552-0647

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Workers' Compensation

Workers' Compensation First Report of Injury or Illness
Workers’ Compensation Provider List

Leave Code Changes and New FMLA and Workers’ Compensation Time Types Recorded Nov. 6, 2012 (44 minutes). Slides used during the presentation


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Updated 2014/12/30