Background Check Forms and Summary of Rights
Please select the link below to access forms and information related to your benefits.
Change of Address
- Active Employees – Change of Address
- Retirees – Change of Address
- Local Earned Income Tax – Residency Certification Form
Please refer to Capital BlueCross for information concerning your dental plan.
- FMLA Leave Record (PDF)
- FMLA Return to Work Record (PDF)
- FMLA Employee’s Serious Health Condition (PDF)
- FMLA Family Member’s Serious Health Condition (PDF)
- FMLA Serious Injury or Illness of a Veteran for Military Caregiver Leave (PDF)
- FMLA Qualifying Exigency For Military Family Leave (PDF)
- FMLA Serious Injury or Illness of a Current Servicemember
- FMLA Designation Notice (PDF)
- FMLA Notice of Eligibility and Rights & Responsibilities
Life Status Event Change
Vehicle registration is to be completed online at the Public Safety website.
- No events are scheduled.
12 Markle Hall
Easton, PA 18042
Fax: (610) 330-5720
Monday - Friday 8:45 a.m. to 5:00 p.m.