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Hazleton Area School District

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403(b) - Tax Sheltered Annuity Companies

403BContactList.pdf 66.83 KB (Last Modified on November 10, 2020)

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Athletics Payment Form

Athletics_Payment_Form_2020.pdf 90.29 KB (Last Modified on October 15, 2020)

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Disposition of Unused Personal Days

unused_personal_days_2020.pdf 61.05 KB (Last Modified on October 15, 2020)

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Employee Information Change Form

You must fill out both forms in this packet.

employee_info_change_2.pdf 368.46 KB (Last Modified on November 24, 2020)

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HSA Payroll Deduction Form 2020

HSA Form 2020.pdf 91.91 KB (Last Modified on January 15, 2020)

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IRS W-4 Form

https://www.irs.gov/pub/irs-pdf/fw4.pdf

f4w_redirect.html 225 B (Last Modified on October 15, 2020)

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Local Earned Income Tax Act 32 PSD Codes

lei_codes.pdf 1,000.11 KB (Last Modified on January 19, 2015)

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Local Services Tax - Exemption Certificate

lst_exemption.pdf 29.11 KB (Last Modified on January 19, 2015)

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Pay Schedule Aides Cafeteria Teachers 2021-2022

PayScheduleAidesCafeteriaTeachers2021-2022.pdf 31.71 KB (Last Modified on August 23, 2021)

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Pay Schedule Maintenance 2021-2022

PayScheduleMaintenance 2021-2022.pdf 28.52 KB (Last Modified on August 23, 2021)

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Payroll Direct Deposit Authorization

direct_deposit_auth_2020.pdf 145.22 KB (Last Modified on October 15, 2020)

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Payroll Notification Form

payroll_notification2020b.pdf 346.14 KB (Last Modified on September 10, 2020)

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