Important Forms

 403B Tax Sheltered Account Program.pdf 

Accident Incident or Injury Report.pdf  

Activities and Room Usage Form.pdf  

Additional Work Duty Form.pdf  

 Access to UPMC Notice.pdf 

Athletic Contest Workers Form.pdf  

 Blank Check Request.pdf 

 Copy of Blank Requistion Sheet.xls 

BUDGET CODE LIST 13-14.xls  

 Buyout Form AFSCME.pdf 

 Buyout Form Teachers.pdf 

 Chip Notice.pdf 

  Daily Conference Request Form 2019.docx 

Dependent Coverage to Age 26 Notice 4.pdf  

Direct Deposit Form.pdf  Direct Deposit.pdf  

Educational Trip Pre-Approval Form - Field Trip.pdf 

 Final Accounting Expense Sheet 2019.doc 

 FMLA Employee Form.pdf 

 FMLA Family Member Form.pdf 

Guidelines for Public Comment 1.pdf 

 Health Care Selection Letter.pdf 

 Health Care Enrollment Form.pdf 

 Health Insurance Market Place Notice.pdf 

 HIPAA Notice.pdf 

 HIPAA Special Enrollment Rights.pdf  

Highmark Website Navigation.pdf

Home Language Survey.pdf 

 Homebound Instruction.pdf  

Homebound Teaching Report.pdf 

 Human Resources Tracking Form.pdf 

 Mentor Report Form.pdf  



KM_Salary Reduction Agreement for 403revised.pdf  

 Mileage Reimbursement Form 2019.xlsx 

 NVA - Yough Benefit Summary.pdf 

NVA Claim Form.pdf 

 Newborn and Mothers Protection.pdf 

 Overnight Conference Request Form 2019.doc 

 Patient Protection Disclosure.pdf 

Physicians Certificate for Medication.pdf 

 Reg Employee Time Sheet.pdf  

Sabbatical Leave Form.pdf  


Sub Time Sheet.pdf  

Summary of Benefits Plan A.pdf 

Summary of Benefits Plan E.pdf  

Summary of Benefits Plan G.pdf 

 Tuition Reimbursement Packet.docx 

United Concordia Dental Coverage Information.pdf  

Voya Financial.pdf  WHCRA Notice 1.docx  

Womens Health and Cancer Rights.pdf 

WS707 Use of Fac.pdf  

WSUse of Facility2014.pdf   

Identogo Instructions.pdf