Part Time Employment Forms
Contact Jerhett Jerman at 435-652-7522 or firstname.lastname@example.org
Hiring Department Responsibility
- Part-Time Employment Assignment Form (pdf) Employee’s supervisor completes the form to setup a part-time employee. Used for new part time hires, re-hires, rate increase requests, or new position assignments.
- Health Insurance Marketplace Coverage (pdf) As part of the Affordable Care Act, employers are required to provide a notice of the availability of a Health Insurance Marketplace.
New Part Time Employee Responsibilities
- Online Part-Time DSU Application To be complete for all part time positions.
- DSU Direct Deposit Form (pdf) Use to set up direct deposit of earnings into employee’s financial institution.
- Employment Eligibility Verification form (I-9)
- W-4 Tax Withholding Form (pdf) Use to set your tax marital status and allowances for federal withholding tax.