Fillable HR Policy and Policy Change Request Form (Salt Lake County)

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HR Policy and Policy Change Request Form (Salt Lake County)

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The HR Policy and Policy Change Request Form (Salt Lake County) form is 2 pages long and contains:

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Page of
Salt Lake County Human Resources
Human Resources
Version Date: 3/18/2015
Please note requests for new HR Policies or HR Policy changes must be made through an Elected Official or
Department Director. Please fill out the following:
General/Contact Information
Please submit this form to Human Resources to request a new HR Policy or amend an existing HR Policy. The purpose
of this form is to track change requests and facilitate communication between Human Resources and the requesting
party.
HR Policy and Policy Change Request Form
Phone Number:Email Address:
Point of Contact Name:Date Requested:
Department DirectorElected Official
Please describe the new policy or policy change proposed and indicate the reason for the request:
Relevant Section(s):
Policy Name:Policy Number:
Policy Information/Request Details
Page of
Salt Lake County Human Resources
Human Resources
Version Date: 3/18/2015
Briefly describe how the new policy or policy change will impact your office, agency or department:
Briefly describe the impacts of the new policy or policy change County-wide:
FOR HUMAN RESOURCES USE ONLY
Date Received:
Passed on to DA for drafting? Yes No
If not passed on to DA, indicate why:
Date of Response of requesting party:
Summary of response to requesting party:
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HR Policy and Policy Change Request Form (Salt Lake County)

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Completed 14 February 2021

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