Iowa Department of Administrative Services Forms

This form is used for certifying a healthcare provider's confirmation of an employee's serious health condition under the Family and Medical Leave Act (FMLA) in Iowa.

This form is used for providing authorization to set up direct deposit for funds in Iowa.

This form is used for terminating a domestic partnership in the state of Iowa.

This form is used for employee separation purposes in Iowa. It helps facilitate the process of terminating an employee's employment.

This form is used for applying to join the State Police Officers Council Group in Iowa.

This document is used in the state of Iowa to declare that a signature on a document has been forged.

This document is an agreement specifically for recouping relocation payments in the state of Iowa. It outlines the terms and conditions for repayment of such payments.

This form is used for requesting an alternative duty assignment in the state of Iowa.

This form is used for Cobra notification and election in the state of Iowa. It allows employees to elect to continue their employer-sponsored health coverage after a qualifying event.

This Form is used for collecting confidential personal data in Iowa.

This form is used for requesting assistance during an emergency evacuation in the state of Iowa. It helps individuals seek assistance and provide necessary information in case of an emergency situation.

This document, Form CFN552-0730, is used in Iowa to notify individuals about their eligibility and rights & responsibilities in a particular matter. It provides important information that individuals need to know and understand.

This Form is used for requesting adjustments to federal and Iowa flat tax income tax withholding in the state of Iowa.

This Form is used for documenting and organizing the necessary steps when an employee is separating from their employment in Iowa.

This form is used for retiree participation election in the Healthy Opportunities Wellness Program in Iowa for non-contract slip employees in the executive branch.

This form is used for canceling health and dental coverage for domestic partnerships in Iowa.

This form is used for requesting a refund for health, dental, life, and long-term disability insurance in the state of Iowa.

This Form is used for requesting military leave dates in the state of Iowa.

This document is used to authorize a person who will sign and approve audit documents on behalf of the pre-auditor in the state of Iowa.

This document is used for requesting financial assistance in case of an unexpected and unavoidable emergency in the state of Iowa. It helps individuals to access funds for unforeseen circumstances that require immediate attention.

This form is used for vendor conversion in the state of Iowa.

This Form is used for transferring between carriers in the state of Iowa.

This document is for manual disbursement using ACH or Federal Wire in the state of Iowa.

This form is used for transferring the shares of a company registered in the state of Iowa.

This form is used for vendor modification requests by designated agencies in Iowa.

This document is used in the state of Iowa to provide sworn statements regarding the fraudulent use of warrants. It helps the authorities investigate and take action against individuals involved in warrant fraud.

This type of document is used for appealing claims related to administrative processes in Iowa.

This form is used for domestic partners in Iowa who want to reenroll in health and dental insurance.

This form is used for making adjustments to the trustee report for health and dental insurance in Iowa.

This Form is used for recording general accounting expenditures in the state of Iowa.