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    FORMS

    • Forms & Documents

      1. Accommodations - Doctor Form

      2. Arrest & Conviction Report - PDE 6004

      3. Benefits During Leave Form

      4. Certified Health Care Provider Form for Employee's Serious Health Condition Form

      5. Certified Health Care Provider for Family Member's Serious Health Condition Form

      6. Certification of Qualifying Exigency for Military Family Leave

      7. Disability Use During Leave Form

      8. FMLA Employee Extended Leave Application (PEA)  FAQS - PEA

      9. FMLA Employee Extended Leave Application (Non-PEA) FAQs - Non-PEA

      10. Kronos & ESS Attendance Information

      11. MADISON - Employee Claim Form

      12. MADISON - Doctor's Claim Form

      13. Personal Leave Payout

      14. Sabbatical Information 

      15. Vacation Payout to TSA Form 

      16. 2023-2024 Workers' Compensation Reporting Packet 

      17. Worker's Compensation Supervisor's Incident Report

    Pennridge School District

    1200 N. 5th Street / Perkasie, PA 18944

    P (215) 257-5011

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