- School District of the City of York
- Standard Forms from Human Resources/Benefit Options
Standard Forms
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Click here to view the standard forms from Human Resources
Course Reimbursement Request Forms
Insurance Enrollment and Change Form
Leave Without Pay Request Form
Medicare Part D Cover Letter and Attestation Letter 2022
Mutual of Omaha Proof of Death Claim Form
PDE Form 6004 Arrest, Conviction Report and Certification Form
Highmark Benefit Booklets
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ESP
York-City-PPO-Benefit-Booklet-Support-Other-7-1-18.pdf 636.86 KB (Last Modified on October 29, 2021) -
Retirees
York-City-PPO-Benefit-Booklet-Optional-Retiree-under-65-7-1-18.pdf 642.93 KB (Last Modified on October 29, 2021)