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Contact Us

Human Resources

15187 Kutztown Road
Kutztown, PA 19530

humanresources@kutztown.edu

Forms / Employee Resources

BENEFITS

ADA Employee Reasonable Accommodations Procedures & Request Form

Deferred Compensation Enrollments & Changes

Family Medical Leave Act (FMLA) Form - Faculty & Coaches

Family Medical Leave Act (FMLA) Form - Staff

Leave Donation Program Guidelines

Leave Donations Form

Separation Guidelines for Employees

Tuition Waiver for Dependent (Attending KU)

Tuition Waiver for Dependent (Attending Other PASSHE Universities - APSCUF, COACHES, MGMNT and SCUPA)

Tuition Waiver for Employees (AFSCME and SPFPA)

Tuition Waiver for Employees (APSCUF)

Tuition Waiver for Employees (COACHES)

Tuition Waiver for Employees (SCUPA)

Tuition Waiver for Employees (MGMNT and OPEIU)

Worker's Compensation Employee Notification

Worker's Compensation Online Injury Report

Worker's Compensation Panel Listing
EMPLOYEE/LABOR RELATIONS

Classification Review Request (Use this form to begin - Note: For permanent reclasses, make sure the OLD (current) and NEW (updated) position description file is ready for upload before starting the form. If supevisor is the director, please enter the info and approve twice for the workflow.)

Job Description/Essential Functions Template

Employee Relations Intake Form

Objective and Development Plan - Management

Performance Evaluation and Development - Management
EMPLOYMENT

Advertisement Template

Background Check Forms for Current Employees

Child Abuse Clearance Online Instructions

Emergency Contact Information

I-9 Employment Eligibility Verification

I-9 Instructions

Labor Law - Federal and Pennsylvania Know Your Rights in the Workplace

Payroll Memo

Search Committee Confidentiality Agreement

Service with Other State Agencies

72-Hour Self-Reporting of Reportable Offenses

Telephone Reference Check

Worker's Compensation Employee Notification
PAYROLL – FACULTY & STAFF

Address Change

Direct Deposit Authorization (submit the form in person with ID to the Human Resources Center)

Dual Compensation

Local Services Tax Exemption

Residency Certification Form for Local Earned Income Tax Withholding (Act 32) (use for address change)

Time Sheet - SCUPA

Time Sheet - Staff

W4 Employee's Withholding Allowance Certificate
PAYROLL – STUDENT
PROFESSIONAL DEVELOPMENT
OTHER

Below are quick links to Human Resources frequently used apps/forms/information:

AskHR

Employee Self-Serve (ESS) Login

Fingerprinting Appointment

NEOED Login

Faculty Benefits Orientation

Benefits Information

Holiday & Pay Calendar

Healthy U

Optum Financial (FSA Account)

Retirement@Work

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