Public Forms

• Westmoreland County Employment Application

Employee Forms

Changes of employee information that is required to be returned to Human Resources.  If this paperwork is not sent to HR, changes will not be entered in the system.

Change of address  

• Change of employee information form 
• Proof of the address change (copy of utility bill, copy of driver’s license showing new address, etc.) 
• Local Earned Income Tax form. To find your your local PSD code, view Westmoreland County Act 32 PSD codes.  

Change of name 

• Change of employee information form 
• Copy of the new social security card showing the new name.

Change of phone number  

• Change of employee information form.  

Change in dependent/spouse status  

• Change of employee information form 
• Copy of original verification such as birth certificate, marriage license, adoption papers, social security card, death certificate, divorce decree or other official record.  

Other

• Update Employee Emergency Contacts