Forms

Adjunct Instructor Employment Forms

Contact Greg Esplin, HR Coordinator, at 435-652-7503 for any questions.

Department Responsibilities

New Adjunct Responsibilities

Full Time Staff Member Request to Adjunct Form:

Benefit Forms

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

Public Employees Health Plan

PEHP Flexible Spending Forms:

Family and Medical Leave Act Forms:

Hartford Life Insurance:

DSU Tuition Waiver Program

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

Worker's Compensation Program

  • Workers Compensation Claim form Workers’ Compensation Insurance provides benefits for workers who are injured or suffer an occupational disease as a result of their employment.

The Standard - Long Term Disability:

Faculty Forms

Contact Human Resources at 435-652-7520 for any questions.

Part Time Employment Forms

Contact Jerhett Jerman at 435-652-7522 or jerman@dixie.edu

Hiring Department Responsibility

New Part Time Employee Responsibilities

Payroll Forms

Contact the Payroll Office at 435-652-7611 or payroll@dixie.edu with any questions.

Staff Forms

Contact Human Resources at 435-652-7520 for any questions.

Additional information can be found on the Staff Evaluation page under Employee Resources.

Volunteer Forms

Contact Josh Thayn, Director Event Service & Risk Management at 435-652-7855 for any questions.

Must have Adobe Acrobat Reader® installed on your computer to use the PDF format forms that are on this page. The latest version of Adobe Acrobat Reader® is free at the Adobe web site.