Pennsylvania Personnel Advisor—Forms
Note: Only forms noted as "Printable" may be downloaded
and printed. All other forms will be made available upon your paid subscription.
- AMERICANS
WITH DISABILITIES—Reasonable
accommodation forms (members only)
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APPLICATION FOR EMPLOYMENT—Prospective job applicants
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ATTENDANCE LOG—Track
employee attendance for an entire year. Record
vacation, sick days, family leave and other absences.
- BACKGROUND CHECK AUTHORIZATION FORM
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CERTIFICATION OF FITNESS FOR DUTY—Fitness
for duty certification by health care
provider regarding employee's ability to
return to work.
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CHECKLIST FOR BARRIERS FOR DISABLED WORKERS—Assess the workplace to accommodate persons with disabilities
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CHECKLIST FOR NEW EMPLOYEES—Orientation of new employees
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- COBRA MODEL FORMS—Model "General" Notice and "Election" Notice of COBRA Continuation Coverage Rights
(members only)
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DIRECT DEPOSIT AUTHORIZATION FORM—Optional
form for payroll direct deposit
authorization and bank information
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EMPLOYEE DEVELOPMENT PLAN—Develop plans to increase skills and knowledge for employers and employees
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EMPLOYEE HANDBOOK—Employers
can use the employee handbook template to create or revise a company
employee policy handbook.
(members only)
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EXIT INTERVIEW—Obtain information from an employee about the job, management and the organization
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- FAMILY MEDICAL LEAVE ACT—FMLA Forms
(members only) (Revised January 2009):
- Medical Certificate Forms (two
forms that may be used to obtain medical certificate from healthcare provider):
▪ For Employee's Serious Health
Condition (Form WH-380E)
▪ For Family Member's Serious Health Condition (Form WH-380F)
- Notice of Eligibility and Rights & Responsibilities
(WH-381) (may be used
to respond to employee's request for leave)
- Designation Notice (WH-382) (to approve or deny
employee’s request for leave)
- Military Leave Certification (two forms
that may be used to obtain certification for FMLA military leave):
▪ Certification of Qualifying Exigency for Military
Family Leave (WH-384)
▪ Certification of Serious Injury or Illness of Covered Service Member
(WH-385)
- Employee Request for FMLA Leave Form (sample
form employees may use when requesting family leave)
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IRS FORM W-4 (2010)—Employee IRS Withholding Allowance Certificate
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IRS FORM W-9—Request
for Taxpayer Identification
Number and Certification
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INTERNET AND COMPUTER USAGE POLICY—Company policy for employee's use of company automation, including all forms of Internet/Intranet access
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JOB OFFER LETTER
(Form S-6)—Sample
letter to send to an applicant to make a
job offer
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LEAVE OF ABSENCE REQUEST FORM—Sample
form employees may use when requesting leave
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NAME/ADDRESS
CHANGE FORM—Record
and document employee name or address
changes
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NEW HIRE PACKET- Complete
packet of forms and required notices for
new employees
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NEW
HIRE REPORTING FORM—New
Hire forms for Pennsylvania employers and
multi-state employers
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Pennsylvania employers
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Multi-state employers
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OSHA—Employer Records of Occupational Injuries and Illnesses—The following links provide the required occupational injury and illness forms and instructions under the Occupational Safety and Health Administration (OSHA)
Summaries and totals of workplace injuries and illnesses must be posted between February 1 and April 30 of each year.
Exempt employers
(those
not subject to OSHA record
keeping requirements)
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OUTLINE FOR JOB OFFER LETTER—Send to an applicant to make a job offer
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PENNSYLVANIA DEPT. OF REVENUE―PA-100
Employer Identification Number (EIN)
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TERMINATION CHECKLIST—Assist the employer when planning to terminate an employee
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TIME
SHEET—Weekly time
sheet record of employee work hours
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WH 380—"Certification of Health Care Provider" (Form WH 380) is an optional form for employers to obtain certification from a healthcare provider that a serious health condition exists and qualifies for leave under the
Family and Medical Leave Act (FMLA).
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