Home Open Enrollment Information Employee Benefits Self-Insured Benefits Through Scott County New Hire Information Payroll Forms and Information Life Events Retiree Information Well-Being Job Postings Federal Programs Resources Daily News

Payroll Forms and Information

image

Payroll Forms
  • Address and Legal Name Change Form
  • Direct Deposit Authorization
  • W-4 Form
  • MN W-4 Form
  • PERA Change Form (Beneficiary/Address Changes)
  • Retro Time Entry Paper Form
  • Request for Separation Pay to be Processed Early
  • Health Care Savings Plan Beneficiary Designation Form
  • Paid Time Off (PTO) Cash Out Election Form

 

 

 

Payroll Information
  • Pay Check Deductions (Effective 1/1/2025)
  • 2025 Payroll Calendar 
  • MN Wage Theft Law Employee Notice Statement
  • 2024-2025 Benefit Plan Premiums
  • Paid Time Off Program (PTO)
  • Vacation/Sick Leave Program
  • Notice of Earned Sick and Safe Time (Intermittent/Temporary Employees)
  • Floating Holiday Schedule
  • Scott County Holidays


Back
  
DISCLAIMER

Disclaimer
This site provides general information about the benefits provided under your employer’s benefit plan(s) based on information provided by your company. Gallagher makes no guarantees regarding the accuracy or reliability of this information. The information on this site does not include all the terms, coverage, exclusions, limitations, and conditions contained in the official Plan Document(s), applicable insurance policies, and contracts (collectively, the “plan documents”), it does not address all the specific issues which may be applicable to you, and it should not be construed as, nor is it intended to provide, legal advice. To the extent that any of the information contained on this site is inconsistent with the plan documents, the provisions set forth in the plan documents will govern in all cases. If you wish to review the plan documents or you have questions regarding specific issues or plan provisions, you should contact your company’s Human Resources/Benefits Department.

This site may contain links to websites of other parties not owned or controlled by Gallagher. Gallagher is not responsible for the policies of other website owners or the accuracy of content contained on those other websites. Links to other websites do not constitute or imply endorsement by Gallagher of those websites, any products or services described on those websites, or any other material contained in them, and Gallagher is not liable, directly or indirectly, for any damage or loss relating to your reliance on or use of such sites.

Terms of Use

Privacy Policy

Quick Links
Home | Open Enrollment Information | Employee Benefits | Self-Insured Benefits Through Scott County | New Hire Information | Payroll Forms and Information | Life Events | Retiree Information | Well-Being | Job Postings | Federal Programs | Resources |

Disclaimer
This site provides general information about the benefits provided u...Read More

©   Arthur J. Gallagher & Co.