Click on the form name below to download the form you need.

• Highmark Benefit Grid-17108-02/03
• Highmark Benefit Grid-17108-00/70
• End of Year Employee Information Letter
• 2024 W4
• Change of Information Form
• Direct Deposit
• FRINGE BENEFIT PACKET
• AFLAC Flyer
• MASTER Health/Dental Enrollment-Change Form
• HSA CONTRIBUTION ELECTION FORM 2024
• Life Insurance Enrollment Form
• Beneficiary Tips Flyer
• Benefit Election Form
• Act 48 LOG
• Expense Voucher
• Reimbursement Form
• Personal Day Form
• Bereavement Day Request
• UNCOMPENSATED LEAVE-FORM/POLICY
• Verification of Compensatory Trade Time
• Release Time Request-Professional Development
• Release Time Request-Staff and Student Travel
• Requisition Form
• Vehicle Use Approval Form
• Graduate Credit Reimbursement Form
• Graduate Credit Pre-approval Form
• 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
• Applicant Approval Form
• PA Standard Application
• District Support/Extra-Curricular Application
• Application Attachment
• 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
• 2024 Universal Availability Notice
• OMNI 403B INFORMATION
• ONE AMERICA EMPLOYEE ASSISTANCE PROGRAM (EAP)
• Delta Dental-Enrollee Notices
• Delta Dental Highlight Sheet
• Delta Dental Benefit Booklet
• Delta Dental SBC
• 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
• Swift MD Flyer
• HSA Eligible Expense Listing
• HSA Account User Guide
• QHDHP and HSA FAQ's
• QHDHP Presentation
• WC Panel and EE Right-Duties
• WC Injury Kit
• WC-Claim Reporting Instruction-SUPERVISORS
• WC-Decline Treatment Kit
• FMLA Request
• FMLA Healthcare Prov Certification-EMPLOYEE
• FMLA Healthcare Prov Certification-FAMILY MEMBER
• Age 26 Coverage Update
• HIPAA Privacy Notice
• HIPAA Special Enrollment Notice
• Newborn & Mother Health Protection Act
• Credible Coverage
• Health Parity
• CHIP Notice
• Safety Committee By-Laws
• SAFETY CONCERN REPORT FORM
• Acceptable Use of Technology
• 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
• LST-exemption.pdf
• LST-refund form
• Enrollment of Children of FASD Professional Employees