End of Year Employee Information Letter |
2023 W4 |
Change of Address/Phone |
Direct Deposit |
FRINGE BENEFIT PACKET |
MASTER Health/Dental Enrollment-Change Form |
HSA CONTRIBUTION ELECTION FORM 2023 |
Life Insurance Enrollment Form |
Beneficiary Tips Flyer
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Benefit Election Form |
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Act 48 LOG |
Expense Voucher |
Reimbursement Form |
Personal Day Form |
Bereavement Day Request |
UNCOMPENSATED LEAVE-FORM/POLICY
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Verification of Compensatory Trade Time |
Release Time Request-Professional Development |
Release Time Request-Staff and Student Travel |
Requisition Form |
Vehicle Use Approval Form |
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Graduate Credit Reimbursement Form |
Graduate Credit Pre-approval Form |
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Timesheet-Admin Absence Report |
Timesheet-District |
Timesheet-Homebound Instruction (2 pages) |
Class Coverage Form HS 2019 |
Class Coverage Form MS 2019 |
Class Coverage Form ES 2019 |
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Applicant Approval Form |
PA Standard Application |
District Support/Extra-Curricular Application |
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Application Attachment |
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Required Clearances Info |
PDE-Act 114 FBI Fingerprint Requirements |
PDE Act 114 Service Code |
PDE Act 151 PA Child Abuse History Requirements |
PDE Act 34 PA State Criminal History Requirements |
Act 126 Mandated Reporter Training Information |
Act 168 Disclosure Release Form |
Act 24 Arrest and Conviction Report |
Local Wage Tax Residency Certification |
IT New Employee Profile Form |
PAYROLL PACKET |
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2023 Universal Availability Notice |
OMNI 403B INFORMATION |
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AFLAC INFORMATION |
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ONE AMERICA EMPLOYEE ASSISTANCE PROGRAM (EAP) |
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Delta Dental-Enrollee Notices |
Delta Dental Highlight Sheet |
Delta Dental Benefit Booklet |
Delta Dental SBC |
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Uniform Glossary-Health Terms |
Highmark PPO Blue Benefit Book |
Consolidated Appropriations Act Transparency In Coverage |
Care Cost Estimator |
Summary of Benefit Coverage |
Highmark BCBS Preventative Maintainence Schedule |
Blues On Call Brochure |
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Swift MD Flyer |
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HSA Eligible Expense Listing |
HSA Account User Guide |
QHDHP and HSA FAQ's |
QHDHP Presentation |
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WC PANEL-EE Duties |
WC Injury Kit |
WC-Decline Treatment Kit |
WC-Claim Reporting Instruction-SUPERVISORS |
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FMLA Request & Healthcare Prov Certification-EMPLOYEE |
FMLA Request & Healthcare Prov Certification-FAMILY MEMBER |
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Age 26 Coverage Update |
HIPAA Privacy Notice |
HIPAA Special Enrollment Notice |
Newborn & Mother Health Protection Act |
Women's HCRA |
Credible Coverage |
Health Parity |
CHIP Notice |
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Safety Committee By-Laws |
Safety Concern Reporting Form |
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Acceptable Use of Technology |
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Student Activity-Cash Advance and Reconciliation Forms |
Student Activity- Deposit Settlement Sheet |
Student Activity-Sponsor Annual Report |
Student Activity-Fundraising Project Form |
Student Activity-Invoice Requisition Form |
Student Activity-Reimbursement Request |
Student Activity Account-Signature Card Form |
Student Activity Account-Manual and Forms |
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LST-exemption.pdf |
LST-refund form |