Employee Information & Forms


Background Clearances for All Newly Hired Employees – Mandatory

Background Clearances for All Newly Hired Non-Credit Employees – Mandatory

Background Clearance Disclosure Statement – Prospective New Hires

Changes in Payroll Withholdings/Payroll Dates

Direct Deposit(s) Authorization

Emergency Contact Information

Employee Data Record

Employment Eligibility Verification I-9 Form - Instructions

Employment Eligibility Verification I-9 Form

Holiday Schedule 2023-2024

Holiday Schedule 2024-2025

Holiday Schedule - Discretionary Summer Holidays 2024

Local Earned Income Tax Residency Certification Form - Butler

Local Earned Income Tax Residency Certification Form - Brockway

Local Earned Income Tax Residency Certification Form - Cranberry

Local Earned Income Tax Residency Certification Form - Lawrence Crossing

Local Earned Income Tax Residency Certification Form - LindenPointe

Local Services Tax - Exemption Certificate

Retirement Questionnaire – PSERS

TIAA Group Supplemental Retirement Annuities (GSRA) Online Enrollment System

W4 - 2024

Workers Compensation Information

Workers Compensation Program

Work Partners Workers' Compensation Information and Acknowledgement Form

UPMC Work Partners Panel Physicians

Equal Employment for Individuals with Disabilities

Applicant Process

Equal Employment for Individuals with Disabilities – Applicant Process

ADA Applicant Accommodation Request Form

Applicant Authorization for the Release of Medical Information

Request for Medical Information for Reasonable Accommodation for Applicant

Employee Process

Equal Employment for Individuals with Disabilities – Employee Process

ADA Employee Accommodation Request Form

Employee Authorization for the Release of Medical Information