Forms

FORM

PURPOSE OF FORM

Travel Reimbursement Request - 2025

Reimbursement request for travel or other expenses.

Form W-4

Employee to change their withholding allowances for Federal tax purpose

Local EIT Residency Form

All new employees and employees that move will need to fill out for local EIT tax purpose

List of PA PSD Codes

Help find residence PSD code that is located on Local EIT Residency Form

LST Exemption Cert

Certificate for employees exempt from Local Services Tax

General Fund Deposit Voucher

Use for General Fund Deposits

Student Activities Forms

Deposit and Payment Voucher

Salary Reduction Agreement

Voluntary deduction, 403B

INSTITUTION

WEB ADDRESS

CONTACT

INFO

Logue Financial Group- 403(b) Provider

www.shoretosummitwm.com

Send email - Sean Logue

717-633-5761

Lincoln Investment - 403(b) Provider

www.lincolninvestment.com

1-800-242-1421

Horace Mann - 403(b) Provider

apps.horacemann.com/annuity-enroll

Send email

Flyer

Edward Jones - 403(b) Provider

www.edwardjones.com

Send email - Brandon Smith (Hanover) 

Send email - Tom Paholsky (Littlestown)

Send email- Joey Wildasin

Flyer

Flyer II

Flyer III

Flyer IV

What is Aspire?

Riggle Wealth Group

Riggle Wealth Group

Send Email - Jake Lawrence

Vanguard - 403(b) Provider

vanguard.com

1-800-569-4903

Flyer

Equitable - 403(b) Provider

www.equitable.com

Jacob Hoffacker -email

717-451-4796

Flyer

PSERS

www.psers.state.pa.us

Send email 

York Adams Tax Bureau1

www.yatb.com

Links