Work Related Injuries
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 firstname.lastname@example.org or 570-673-6001 ext 2003.
Mileage /Travel / Supply ReimbursementÂ Vouchers
Requisition Form 2015-2016Â (Excel)
Continuing Education Forms
Mandated Reporter Information
BLaST Service Request ContractÂ (Excel)
Act 34Â â€“ State Police Background Check – This clearance may be obtained by completing the above form and mailing per the instructions on the form or by completing the online process atÂ https://epatch.state.pa.us/Home.jsp.
Act 114 â€“ FBI (Fingerprinting) Check – This clearance may only be obtained by registering with Cogent atÂ http://www.pa.cogentid.com/index.htm. Select Pa Dept of Education and follow the onscreen instructions.
Act 151Â â€“ Child Abuse Clearance – This cleanance may only be obtained by completing the above form and mailing per the instructions on the form or may alsoÂ be completed atÂ Child Abuse History Clearance Online:Â Â https://www.compass.state.pa.us/CWIS
PDE-6004Â -Â This form must be completed by all new hires and is also used for current employees to report an arrest or conviction of offenses enumerated under 24 P.S. Â§ 1-111 (e) and 24 P.S. Â§ 1-111 (f.1) within 72 hours of the arrest or conviction.
More information on the above background checks can be found at:Â http://www.portal.state.pa.us/portal/server.pt/community/background_checks_%28act_114%29/7493
125 Flexible Spending Account (FSA)