Human Resources Forms

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Employment Forms

• Job Application Form - Administrative / Management and Support Staff - [PDF]
  (Please remember to sign and date your application form before returning it to Human Resources)

Appraisal Instruments

• Performance Appraisal forms for AFSCME, COACHES, OPEIU, PDA, PSSU, SCUPA, SPFPA found here
• Management Performance & Reward Program form - [PDF] [DOC]

Payroll

• Authorization for direct deposit - [PDF]
• Tax-Sheltered Annuity Program Salary Reduction Agreement - [PDF]
• Employee Information - [PDF]

Health Coverage

• Healthcare Enrollment or Change Form (Fac., Mgmt., SPFPA, Coaches, Nurses) - [PDF]
• Healthcare Enrollment or Change Form (AFSCME, SCUPA and PSSU) can be found here

Flexible Spending Account Forms

• Dependent Care Enrollment Form - [PDF]
• Medical Enrollment Form - [PDF]
• Premium Conversion Enrollment Form - [PDF]
• Dependent Care Reimbursement Form - [PDF]
• Medical Reimbursement Form - [PDF]
• ADA Accommodations Request Form - [PDF]
• ADA Accommodations Summary - [PDF]

Other HR Forms

• Add Compensation - [PDF]
• Add Compensation Instructions - [PDF]
• Change of Address - [PDF]
• Change of Name and Address - [PDF]
• Clearance Info for Faculty/Staff Assigned to Grace B. Luhrs Elementary School - [PDF]
• Dual Employment - [PDF]
• Employee Recognition Form - [PDF]
• Information Release - [PDF]
• Job Description Form - [PDF]
• Management Special performance Award Nomination Form - [PDF]
• Request to Donate Leave Form - [PDF]
• Request to Fill, Create, or Transfer Position - [PDF]
• Track Absences - [PDF]
• Update your Campus Directory Information - [PDF]
• PASSHE Forms Website