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Home » Community » Teachers and Staff » Employee Benefit and Tax Forms
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Employee Benefit and Tax Forms

Employee Updates, Benefits and Tax Information 

  • January 2013 Update
  • August 2012 Update
  • Local Services Tax (LST) Exemption Certificate
  • W-4 Employee's Withholding Allowance Certificate
  • Teacher Extra Duty Time Sheet 12-13
  • Employee Leave Request Form - complete online
  • Employee Leave Request Form - print & complete

Direct Deposit

  • Direct Deposit Application

Employee Flex (125) Plan

  • Summary Plan Description
  • Submitting a Claim
  • Orthodontist Reimbursement Form
  • Flex Plan Eligible/Ineligible Expense List

403(b) Plan

  • PenServ
  • Enrollment Form
  • Enrollment Guide

FMLA - Family Medical Leave Act

  • Certification of Health Care Provider Form

Workers Compensation

  • Notice to Employees - Injury Reporting - Physician Panel - 5-13-13

Fairview School District
7460 Mccray Road
Fairview, PA 16415

Central Administration
Phone: (814) 474-2600

Send questions or comments to webmaster@fairview.iu5.org

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Fairview School District
7460 Mccray Road
Fairview, PA 16415

Central Administration
Phone: (814) 474-2600