Frequently Requested Forms
- Address Change Form (you must also complete a PA Earned Income Tax Form and send to Payroll)
- Attendance Record 2018 (track paid time off – vacation, personal, sick, etc.)
- Attendance Record 2017
- Coaching/Performance Review Form
- Gym/Library Application for Spouses
- Payroll Forms (tax & direct deposit)
- Public Transportation Vouchers - TransitChek/RideECO Election Form
- Timesheet - Bi-weekly
- Timesheet - Monthly
- Tuition Grant Application
- Tuition Remission Form
Medical, Vision & Health Savings Account (HSA)
- Flexible Benefit Plan Election Form 2017-18
- Blue Cross Medical Enrollment Form
- Flu Shot Claim Form
- Davis Vision Claim Form
- Health Savings Account (HSA) Election Form
- Health Savings Account (HSA) HealthEquity New Account Form
Dental
Flexible Spending Accounts (FSA)
*** PLEASE NOTE THAT WHILE A "PAPER" CLAIM FORM IS AVAILABLE, IT IS RECOMMENDED YOU SUBMIT CLAIMS DIRECTLY THROUGH THE PAYFLEX PORTAL ***
Life Insurance
- Liberty Mutual Life Insurance Beneficiary Form
- Liberty Mutual Life Insurance Medical Underwriting Application (for supplemental insurance over $50,000)
Disability & Other Leaves
Additional Benefits
- Flex-time Request Form
- Gym/Library Application for Spouses
- Public Transportation Vouchers - TransitChek/RideECO Election Form
- Tuition Grant Application
- Tuition Remission Form
Employment & Other
- I-9 Employment Eligibility Verification Form
- Address Change Form (you must also complete a PA Earned Income Tax Form and send to Payroll)
- Attendance Record (track paid time off – vacation, personal, sick, etc.)
- Coaching/Performance Review Form
- Emergency Contact Form
- Employee Information Sheet
- Job Posting Form
- Non-employee Information Sheet (volunteers, research associates, etc.)
- Position Request Form
- Timesheet - Bi-weekly
- Timesheet - Monthly