Attendance/Leave/Time Reporting
Please direct questions regarding attendance/leave/time reporting to Megan Mutzabaugh in HR.

• FMLA Doctor's Certification Form - Employees
• FMLA Doctor's Certification Form - Family Member
• PASSHE Request to Donate Leave Form
• Time Sheet - Hourly Employees
• Time Sheet - Intern
• Time Sheet - Permanent Employees
• Video: How to Complete an Hourly Employee Time Sheet
• Video: How to Complete an Intern Time Sheet

Benefits
Please direct questions regarding benefits to Megan Mutzabaugh in HR.

• Management Benefits Enrollment Form
• Name Change Request Form
• AFSCME - PEBTF Coordination of Benefits Form
• PEBTF Enrollment / Change Form

Additional benefits information and forms can be found on the PASSHE System Human Resources page.

Hiring/Recruitment
Please direct questions regarding hiring/recruitment to Megan Mutzabaugh in HR.

• I-9 Form
• Prior Commonwealth Service Form
• Position Authorization Form

Insurance
Please direct questions regarding insurance to Megan Mutzabaugh in HR.

Miscellaneous

• Address Change Request Form
• Employee Emergency Contact Data Form

Payroll
Please direct questions regarding payroll to Megan Mutzabaugh in HR.

• 2011 W4 Form
• Direct Deposit Authorization Form
• Local Tax (EIT) Form
• Local Service Tax Form

Position Management
Please direct questions regarding classification to Heather Roth in HR and questions regarding recruitment to Megan Mutzabaugh in HR.

• Position Description Template
• Position Authorization Form

Retirement
Please direct questions regarding retirement to Megan Mutzabaugh in HR.

• Alternative Retirement Plan (ARP) Allocation Change Form
• Retirement Program Election Form

Additional retirement information and forms can be found on the PASSHE System Human Resources page.

Safety
Please direct questions regarding safety to Megan Mutzabaugh in HR.

• Work Related Injury or Accident Form

Training/Tuition
Please direct questions regarding training to Megan Mutzabaugh in HR.

• Out-Service Training (credit bearing classes only)
• AFSCME Application for Tuition Waiver Benefit
• Management Application for Tuition Waiver