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Employee change form. Use this form to notify the Company of changes in address, phone number, emergency contact and other personal information. Submit to Human Resources or Payroll.     

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Request for vacation. Use this form to request vacation time off with pay.  Submit to your supervisor.
 
 

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Authorization Agreement for Direct Deposit.  Use this form to notify Payroll of a change in account number or financial institution.
 
 

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Request for Leave of Absence Form.  Use this form to request Family Medical Leave, Military Leave or Personal Leave.  Submit to Human Resources.

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First HSA Change of Address Form.  Health Savings Account holders use this form to notify First HSA of an address change.
 

HSA Address Change
First HSA Contribution Coupons. Health Savings Account holders use this form to submit a post-tax deposit to your account.  Submit to Payroll.
 

HSA Contribution Change
Request Form for Unpaid Time Off.  Use this form to request time off without pay.  Submit to your  supervisor.
 

Savings Form - Profit Sharing Plan.  Use this form to change the amount of your weekly contribution to the 401k plan.  Submit to Payroll or Human Resources.
 

Savings Form

Store Hours: Monday-Friday: 8am - 8pm; Saturday: 8am-5pm; Sunday: Closed
Address: 555 Furnace Hills Pike, P.O. Box 345, Lititz, PA 17543 ~ Phone: (717)626-3333 ~ Fax: (717)626-3335 ~
Bomberger's is a hardware store in Lancaster, PA. Our store sells hardwood flooring, carpet, kitchen countertops, paint, plumbing supplies and everything else needed for kitchen and bathroom remodeling. We offer equipment rental services including specialty tools necessary for any job. Bomberger's also provides the widest selection of John Deere replacement parts for your John Deere lawn mower or John Deere tractor.
© 2012, Bomberger's Store. All Rights Reserved.