HR Forms

Benefit Forms

Contact Michelle Cabana at 435-652-7523 or cabana@dixie.edu for questions.

FAMILY AND MEDICAL LEAVE ACT FORMS
FMLA DSU
A application for FMLA DSU.
FMLA DSU Application (pdf)
FMLA Medical (Employee)
a certification pdf for FMLA Medical.
FMLA Medical Certification (pdf)(for Employee)
FMLA Medical (Family Member)
a certification pdf for FMLA Medical.
FMLA Medical Certification (pdf)(for a Family Member)
OTHER FORMS
Veteran Preference Eligibility Notice
Contact Human Resources at 435-652-7520 for any questions.
Veteran Notice Form (pdf)
Grievance Form
Contact Human Resources at 435-652-7520 for any questions.
Grievance Form (pdf)
Volunteer Form
Contact Josh Thayn, Director Event Service & Risk Management at 435-652-7855 for any questions.
Volunteer Form (pdf)

DSU Tuition Waiver Program

For benefited University employees, including those retired, and their spouses and eligible dependents.

Other Helpful Links