Absence/Leave Forms

Absentee Form

Floating Holiday Form

Personal Day Request Form

Uncompensated Leave Application

Vacation Day Request Form


Work Related Injuries

PICS Amerihealth WC Provider Panel

Work Related Injury Form


Payroll Forms

Direct Deposit Form


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



Support Staff Timesheet – 200 Day Calendar


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 2017-18

Dice – Personal Care Supplies


Requisition Form 2017-2018


Continuing Education Forms

Tuition Request Form

Conference Request Form

Inservice Attendance Form


Mandated Reporter Information

Reporting Process Guidelines



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