Human Resources » Forms

Forms

Payroll Forms
Visit the Payroll Department page at https://www.bensalemsd.org/apps/pages/index.jsp?uREC_ID=1237220&type=d&pREC_ID=1449825  for the following payroll forms and more: 
  • Change of Address (must also complete residency form)
  • EIT Residency Form 
  • Direct Deposit Form
  • W4
  • Pay schedule
No Pay Day Form: This request form must be completed if the employee is seeking to take time off but does not have available leave days such as sick, personal, etc. 
ADA Accommodation Request Forms: If you are seeking an accommodation from your job duties due to a disability, the forms below must be completed. The purpose of these forms is for an employee to request an accommodation and for the School District to determine whether, or to what extent, a reasonable accommodation is required for an employee with a disability to perform one or more essential functions of their job safely and effectively. Reasonable accommodations will be provided to qualified employees with disabilities, unless doing so would pose an undue hardship. A qualified employee is one who can perform the essential functions of the job with or without a reasonable accommodation.
Family Medical Leave Act Forms:  These forms must be completed to request an extended leave of absence for an employee's or family member's serious medical condition.