Careers – New Hire Paperwork

Clearances and new hire forms instructions

Congratulations on your new position with Penn State Health! We are excited that you have decided to join our family of amazing employees. Prior to New Employee Orientation, you are required to complete clearances new hire paperwork. We have provided the forms here so that you can complete them prior to your scheduled orientation. To assist you with completing these forms, please download instructions here

If at any point you have questions or concerns, please do not hesitate to contact your HR Recruiter or HR Recruitment Coordinator.

PLEASE NOTE:

You must have Adobe Reader to use these forms. Adobe Reader is free software that lets users view, fill, and print filled in Adobe PDF files on all major computer platforms. Some of the forms are provided as "fillable" PDF files for your convenience. You must have at least Adobe Acrobat Reader 4.0 installed on your computer to view, complete, and print fillable forms. Get Adobe Reader here.

Instructions for "Fillable" PDF files: Acrobat Reader does not allow you to save what you key into the form, nor can you email the completed form – you should plan on completing the form and immediately printing the completed form. It may be easier to print and complete all of the forms by hand. You may do what works best for you.

Form 1: New Hire Checklist

Details: This is an overview of all the forms that follow below, including important points to remember and what documents you are required to bring to New Employee Orientation. Please pay close attention to this form as it will serve as a guide to assist you with the completion of your paperwork. 

Form 2: FBI Fingerprint Background Check Instructions

Details: This form includes a link to the government website, instructions to register to be fingerprinted and locations where you can get printed. Please complete this process as soon as possible.  

Form 3: Child Abuse History Clearance Instructions

Details: This form includes a link to the government website and instructions to create an account and complete the online clearance application. Please complete this process as soon as possible.  

Form 4: Child Protective Service Law (CPSL) Disclosure Statement

Details: This form verifies that you have completed the Child Abuse Clearance Application and provides information on your provisional status.

Form 5: Consent and Authorization Form

Details: This is a consent for the required background checks.

Form 6: Form I-9

Instructions for Form I-9

Details: All U.S. Employers must complete and retain a Form I-9 for each individual they hire for employment in the United States – Original documents are required – no photocopies. This includes citizens and non-citizens. On the form, the employer must examine the employment eligibility and identity document(s) an employee presents to determine whether the document(s) reasonably appear to be genuine and relate to the individual. Employers must also record the document information on the Form I-9. The list of acceptable forms of documentation are attached along with the form itself.

Form 7: Local Earned Income Tax Residency Certification Form

Details: This form is used by employers and/or taxpayers to report essential information for the collection and distribution of Local Earned Income Taxes. Please complete all highlighted fields; however, please leave the Employer FEIN and PSD Fields blank (our Payroll Department will provide this information).

Forms 8, 9 and 10: Self-Identification Forms

Details: Penn State Health is an equal opportunity/affirmative action employer. As a federal contractor, we are required to keep records on the race, sex, ethnicity, disability and veteran status of our employees and to file periodic reports with the government. This information will be kept confidential. Please complete all three forms.

Form 11: Worker's Compensation Form

Details: If you are injured at work or suffer an occupational illness, you have certain legal rights and duties under Section 306 (f.1) (I)(i) of the Worker's Compensation Act regarding your medical treatment.  This document details those rights and duties.  You will need to certify that you have been informed and understand these rights and duties at the bottom of this form.

Form 12: Intellectual Property Agreement (IPA) Form

Details: This form provides detailed information about the terms of the agreement.  You will need to print, sign and date this form.  An HR professional will provide the Witness signature. 

Form 13: Employee Health Department - New Hire Requirements

Details: You will be scheduled for an Employee Health appointment within 10 days. Documentation of your vaccination record must be provided to Employee Health prior to your appointment. Details of what is required are outlined on this form.

Form 14: Campus Map

Details: We have included a copy of the Campus Map to assist you with finding your orientation location.

FORM 15: Parking Registration Form

Details: All employees who are driving on campus must provide complete vehicle information for any vehicle you will be driving on campus. You will receive a vehicle permit sticker for each vehicle you register when you arrive for orientation. To be compliant with Milton S. Hershey Medical Center Parking Policy, your Parking Registration card must be submitted the Wednesday prior to your New Employee Orientation date.

Parking Rules and RegulationsThis is an overview of Campus Driving, Parking Rules, Regulations and Information.