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Employee Injury

  • Workers compensation letter
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Flexible Spending Accounts

  • PayFlex Reimbursement Account Claim Form
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Health Savings Account

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Medical Coverage Opt-Out

  • Attestation of Outside Medical Coverage

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  • Affidavit of domestic partnership

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Visit the Controller's Office for additional forms.

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Founded 1833

370 Lancaster Avenue, Haverford, PA 19041
(610) 896-1000

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