• Back

• 2006-07 School Calendar
• Access to BlueSaverSM Health Account Information through ibxpress*
• Beacon Brochure
• Criminal Record Check
• Davis Vision Direct Reimbursement Claim Form *
• Delta Dental Insurance Description of Benefits
• Delta Dental Insurance Enrollment Form
• Delta Dental Insurance Reimbursement Form
• Direct Deposit Authorization Form
• Disability Insurance Information & Application *
• Employment Eligibility Verification Form (I-9)
• Flexible Spending Accounts
• Enrollment Form *
• Eligible Medical Expenses
• Savings Examples
• Tips
• Dependent Care Reimbursement Claim Form*
• Medical Reimbursement Claim Form*
• FMLA Request Form *
• Life Insurance Enrollment Application *
• Life Insurance Change Form *
• Long Term Care Carriers
• Mail Service Order Form *
• Medical Insurance Options
• Core Plan - Personal Choice 10-20-70
• Non-Core - Personal Choice 15
• Non-Core - Keystone POS
• Non-Core - Keystone Formulary (HMO)
• Non-Core - Keystone $2RX (HMO)
• Health Care Enrollment Form * (Must be included with application.)
• Enrollment Application *
• Waiver of Coverage Form *
• COBRA/ACTIVE Retiree Rates *
• New Employee Checklist - Professional Staff
• New Employee Checklist - Support Staff
• New Hire Reporting Form*
• Nomination of Beneficiaries
• Nomination of Beneficiaries for Unused Sick Days
• NTAP Reimbursement Form*
• PA Child Abuse History Clearance
• Paperwork Signoff Sheet
• Personal Choice Out of Network Claim Form
• Personal Information Form
• Re-employment 07-08*
  • Please click on Apply Now at the posted vacancy (we are no longer accepting paper forms).
• Salary Reduction Agreement for 403(b) Programs*
• School Personnel Health Record
• Special Consideration*
• Staff Access to Networked Information Resources (Acceptable Use Policy)
• Staff Network Account Request Form
• Summer School 2008 Application*
• Tax Sheltered Annuity Carriers for 403(b)
• Tax Sheltered Annuity Carriers for 457
• Transfer Request Form*
  • Please click on Apply Now at the posted vacancy (we are no longer accepting paper forms).
• Unpaid Leave for Illness*
• Voluntary Disability Insurance Program
• What to do in case of Work-Related Injury
• W-4 (2008)

(*) These forms can only be downloaded if you are an employee of the Lower Merion School District and have a network username and password.