Document Submissions

Use these links to submit required documents directly after your enrollment in benefits. All documents must be submitted within 30 days of your enrollment date.

Use your Allentown School District Microsoft Account for any login requirements.

Dependent Documentation: https://forms.office.com/r/vsG3gLKEwj

Domestic Partnership Attestation: https://forms.office.com/r/vsG3gLKEwj 

Spousal Surcharge Waiver Documentation: https://forms.office.com/r/vsG3gLKEwj (there is a $200 per month surcharge if the waiver is not completed)

Plan Features

Everything You’ll Need to Know

Plan Documents

Domestic Partner Affidavit

Required for adding a Domestic Partner

Websites

No information currently available.

Contacts

No information currently available.