Human Resources Forms

The following documents require the free downloadable Adobe PDF reader to open. You can click on the Adobe logo to download the reader. (Opens a separate window).

Direct Deposit Authorization
Education and Competency Assessment
Employee of the Month Nomination Form
Federal Tax W-4 Form
Horizon Award Nomination
Maryland Employee's Withholding Exemption Certificate
PTO Donation Form
Pennsylvania Wage Tax Deduction Authorization Form
West Virginia Employee's Withholding Exemption Certificate

Please print and complete the desired form and return to Human Resources.

Address Changes: Complete a new Federal Tax form and the appropriate state tax form. You can note any phone number change on the bottom of the form.

Name Changes: Complete a new Federal Tax form and the appropriate state tax form. You will also need to provide Human Resources with a copy of the marriage/divorce certification and your new social security card (when received).

Click here for Reach program forms

Click here for Health Benefits forms