Absence/Leave Forms

Absentee Form

Floating Holiday Form

Personal Day Request Form

Uncompensated Leave Application

Vacation Day Request Form

 

Photo ID Request Form

Photo ID Badge Request Form

Photo ID Request Form (pdf)

 

Work Related Injuries

PICS Amerihealth WC Provider Panel

Work Related Injury Form

 

Payroll Forms

Direct Deposit Form

W4

For a name and/or address change, please complete the following forms and return to Aimee Pepper, Payroll Specialist in the Canton Office. If you have questions, please contact Aimee at apepper@iu17.org or 570-673-6001 ext 2003.

Earned Income Tax Form

Change of Name/Address

 

Timesheets

Support Staff Timesheet – 200 Day Calendar

Hourly_Timesheet_Nov_14

Support Staff Timesheet

Part-time Hourly Timesheet

 

Printer Toner/Ink

Replacement Cartridge Request Form

 

Mileage /Travel / Supply Reimbursement Vouchers

Travel-Voucher-2018-protected (effective January 1)

Travel-Voucher-2-page-protected (effective January 1)

Supply Voucher

 

Purchasing Forms

McKesson – formerly PSS 2018-19

Dice 2018-19

XPEDX

Requisition Form 2018-19

 

Continuing Education Forms

Tuition Request Form

Request to Attend Conference Form

Inservice Attendance Form

 

Mandated Reporter Information

Reporting Process Guidelines

CY-47

 

Student Services

Student Learning Objective (SLO) template

Field Trip Request Form

Visual Release Form

Notice of Recommended Educational Placement

Procedural Safeguards

Re-evaluation Permission Form

Release of Student Information

School Age IEP

BrainSTEPS Referral Form