Forms
These forms are available as Microsoft Word
and/or Adobe Acrobat format
. You can download Acrobat free from Adobe's website.
Employment Forms
| Job Application Form | ||
Please remember to sign and date your application form before returning it to Human Resources. |
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Job Application Form - Administrative/Management and Support Staff |
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Appraisal Instruments
| Performance Evaluation Forms |
| Performance Appraisal forms for AFSCME, COACHES, OPEIU, PDA, PSSU, SCUPA, and SPFPA can be found on http://www.passhe.edu/executive/HR/SystemHR/ |
| Management Performance & Reward Program forms can be found at http://www.passhe.edu/executive/HR/SystemHR |
Payroll
| Direct Deposit | ||
Authorization for Direct Deposit |
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Health Coverage
| Healthcare Enrollment or Change Form | ||
Flexible Spending Account Forms
Following are the Flexible Spending Account (FSA) Forms.
| Enrollment Forms | |||
Dependent Care |
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Medical |
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Premium Conversion |
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| Reimbursement Forms | |||
Dependent Care |
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Medical |
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| ADA Accommodations | |||
ADA Accommodations Request Form. |
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ADA Accommodations Summary. |
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Other Forms
Employee Recognition Form |
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Management Special Performance Award Nomination Form |
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Job Description Form |
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Request to Fill, Create, or Transfer Position |
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Dual Employment |
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Add Compensation |
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Add Compensation Instructions |
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Clearance Information for Faculty and Staff Assigned to Grace B. Luhrs Elementary School |
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Information Release |
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Request to Donate leave Form |
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| PASSHE Forms Website | |||
