Forms
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Employment Forms:
- Employee Information Change and Residency Certification Form -- Note: Please Complete Residency Certificatiom Form with a name and/or addess change.
- University Job Description Form
- Non-Instructional Authorization to Fill a Vacancy
- Position Reclassification Request Form
- Bid Form (AFSCME, OPEIU, PSSU, and SPFPA)
Pre-Employment/Volunteer Background and Clearance Forms:
Faculty Forms:
- Distance Education Compensation Form
- Dual Employment Form
- Faculty Approval Process (Part-time Teaching in Other Departments) Form
- Faculty Load Change Form
- Windshield Time Request - Incentive Pay Form
Health Care Forms:
PASSHE Healthcare Related Forms:
Flexible Spending Account Forms:
- Reimbursement Form for Dependent Care Reimbursement Account
- Reimbursement Form for Medical Reimbursement Account
Retirement Plan Allocation Change Form (for ARP Participants):
Tuition Waiver Forms:
- Edinboro University of Pennsylvania Tuition Waiver
- Faculty (or dependent) attending other State System Schools
- Management dependent children (only) attending other State System Schools
- Flex Schedule
(Application of Flex Schedules & Alternate Work Schedules)
RN to BSN Program



