Avon Grove School District

Personnel - Forms

We know that you will need a number of forms during your employment in our district. Hopefully you will find the ones that you need below!

General Forms
W-4
Direct Deposit
Salary Election Form

AGHS Local Earned Income Tax Residency Certification Form
AGIS Local Earned Income Tax Residency Certification Form
DO Local Earned Income Tax Residency Certification Form
FSE Local Earned Income Tax Residency Certification Form
PLE Local Earned Income Tax Residency Certification Form
Municipal Statistics Dec 15 Surrounding Counties
2012 Local Services Tax Exemption Form (Keystone)

Travel Expense 2011

Health Benefit Forms
Flexible Spending Account Form
Health Plan Enrollment
Health Plan Opt Out Form
Mail Order Prescription
Out-of-Network Claim Form
Prescription Reimbursement
Student Verification Form

Vision Claim Form

For additional info on health benefits go to www.ibx.com

For a list of network doctors go to www.ibx.com

Life Insurance
Beneficiary Designation

Retirement
403(b) Providers
Beneficiary Designation

Tuition Reimbursement
Request for Pre-approval

News and Events

News Archive