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Pennsylvania Personnel Advisor—Forms

Note: All forms may be viewed, but only the Application for Employment, I-9, and W-4 Forms may be printed.  All other forms will be fully printable upon your paid subscription.

  • AMERICANS WITH DISABILITIES—Reasonable accommodation forms (members only)

  • COBRA MODEL FORMS—Model "General" Notice and "Election" Notice of COBRA Continuation Coverage Rights (members only) 
  • EMPLOYEE DEVELOPMENT PLAN—Develop plans to increase skills and knowledge for employers and employees
     
  • EMPLOYEE HANDBOOKEmployers can use the employee handbook template to create or revise a company employee policy handbook. (members only)
  • EXIT INTERVIEW—Obtain information from an employee about the job, management and the organization
  • FAMILY MEDICAL LEAVE ACTFMLA Forms (optional):

Medical Certificate Form (may be used to obtain medical certificate from healthcare provider)

Prototype Notice Form (may be used to respond to employee's request for leave)

Employee Request for FMLA Leave Form (members only) (sample form employees may use when requesting family leave)

  • IRS FORM W-4 (2007)—Employee IRS Withholding Allowance Certificate
     
  • IRS FORM W-9—Request for Taxpayer Identification Number and Certification
  • JOB OFFER LETTER (Form S-6)—Sample letter to send to an applicant to make a job offer

 

  • NEW HIRE REPORTING FORMNew Hire forms for Pennsylvania employers and multi-state employers

    ―  Pennsylvania employers

    ―  Multi-state employers
  • OSHAEmployer 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)

  • PENNSYLVANIA DEPT. OF REVENUE―PA-100 Employer Identification Number (EIN)
  • 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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Last modified: 07/11/2008
by
Cybertronics
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