201 Carter Drive, Suite 100 West Chester, PA 19383 (610) 436-2800 Fax: (610) 436-3464
Americans with Disabilities Act- Accommodation Request
PASSHE Change Enrollment Form
PASSHE Highmark Health Insurance Claim
PASSHE Medco Presciption Mail Order
PASSHE Prescription Drug Reimbursement
PASSHE Student Certification
Tuition Fee Waiver Application
Flexible Spending Accounts
Enrollment Form for DEPENDENT Care
Reimbursement Form for DEPENDENT Care
Enrollment Form for MEDICAL Reimbursement Acccount
Reimbursement Form for MEDICAL Reimbursement Account
Status Change Form Medical & Dependent Care Reimbursement Accounts
Leave Donation
Request to DONATE Leave
Request to RECEIVE Leave
Life Insurance
State Paid Life Insurance Beneficiary Form
Voluntary Group Life Insurance Enrollment Medical History Form
Long-Term Disability
Long Term Disability CLAIM APPLICATION
Long Term Disability ENROLLMENT FORM
Long Term Disability EVIDENCE of INSURABILITY FORM
Pennsylvania Employees Benefit Trust Fund - PEBTF
Employee Enrollment/Change Form
Medco Prescription Mail Order
Student Certification Verification
Retirement & Savings
Retirement Election Form
Tax-Sheltered Annuity, Salary Reduction Agreement
Workers' Compensation
Employee's Incident Report
Modified Work Duty
Workers' Compensation Employee Notification
Work Related Injury LEAVE ELECTION FORM
Background Check Release & Authorization
Blank Job Description/Standards - AFSCME, NURSES, POLICE/SECURITY
Blank Job Desription - MANAGERS
Blank Job Description - SUA/GFPC
Candidate Reference Check
Confidentiality Statement
Hiring Process - 8 Steps
Internal Bid Sheet
Job Application - Electronic
Manager Position Questionaire
Orientation Checklist for New Employees
Request to Hire Staff
Staff Search & Hire Checklist
Volunteer Authorization Application
AFSCME Witness Statement
Performance Development Plan
Below are the necessary New Hire Forms. Please print and fill out and return to Human Resources with TWO forms of acceptable identification
Direct Deposit Form
Emergency Contact Information
How to Read Your Paycheck
I-9 Employment Eligibility Verification
W-4 Form Employee's Withholding Allowance
Workers Compensation Employee Notification
Address Change Form
Associated Employee Request Form
Biweekly Time Report
Decline Paper Pay Statement Authorization
Detailed Time Record
Detailed Time Record- Coaches
Distance Education Reimbursment FORM
Distance Education Reimbursment GUIDELINES
Dual Employment & Compensation POLICY & GUIDELINES
Dual Employment Request STATE FORM
Dual Compensation Request FORM
Higher Class Authorization Form
Personnel Action Sheet Summer Camps
Savings Bond Enrollment Form
Student Payroll Request FORM
Student Payroll Request GUIDELINES
Blank Job Description - COACHES
Blank Performance Evaluation - AFSCME, NURSES, POLICE/SECURITY
Blank Performance Evaluation - COACHES
Blank Standards/Planning/Performance Evaluation - MANAGERS
Blank Standards/Planning/Performance Evaluation - SUA/GFPC
Guidelines for above
A
B
Blank Job Description - MANAGERS
C
D
Detailed Time Record- COACHES
Distance Education Reimbursment Form
Dual Employment REQUEST STATE Form
Dual Compensation REQUEST Form
E
F
Flexible Spending Accounts- Enrollment Form for DEPENDENT Care
Flexible Spending Accounts- Reimbursement Form for DEPENDENT Care
Flexible Spending Accounts- Enrollment Form for MEDICAL Reimbursement
Flexible Spending Accounts- Reimbursement Form for MEDICAL Reimbursement Account
Flexible Spending Accounts- Status Change Form Medical & Dependent Care
G-H
Grill Permit - Charcoal and Propane
Higher Class Authorization
I-J
I-9 Employment Eligibility
L
Leave Donation- Request to DONATE Leave
Leave Donation - Request to RECEIVE Donated Leave
Long Term Disability - ENROLLMENT Form
Long Term Disability - CLAIMS APPLICATION
Long Term Disability - EVIDENCE of INSURABILITY
M
Manager Position Questionnaire
Modified Work Assignment - Workers' Compensation
O
P
PEBTF- Employee Enrollment/Change Form
PEBTF- Medco Prescription Mail Order
PEBTF- Student Certification Verification
R-S
Student Payroll Request
T
V-W
Work-Related Injury Leave Election
