Staff Forms

• AEDY
• Expense Report
• Extra Pay Request Form
• 403(b) Tax Sheltered Account Program
• Salary Reduction Agreement for 403(b) Plans
• Affordable Health Care
• Medicare Part D
• Vacation Request Form
• Conference/Workshop Request
• Support Staff Personal Leave
• Professional Personal Leave
• Employee Absence Form
• Course Approval Forms
• Tuition Reimbursement Payment Request Form
• Records Retention Schedule

Course Approval / Tuition Reimbursement Procedure

1. Submit Course Approval Form to the Superintendent for approval. (Receipt of payment for course may also be submitted at this time)
2. After completion of course:
   1. Request official transcript be sent to Heather Stage, PO Box 85, Factoryville, PA 18419  or stageh@ltsd.org
   2. If desiring tuition reimbursement, complete and submit Tuition Reimbursement Form and receipt of payment for course to Heather Stage.