Employee Arrest/Conviction Report Form

  • Under Act 24 of 2011 and Act 82 of 2012, all ETSD employees and volunteers are required to report to the District within 72 hours of any arrest or conviction of any criminal offense listed in Section 111(e) and Section 111(f.1) that occurs after September 28, 2011. This form should be used to make reports of any arrests or convictions to the Human Resources Director.

    Arrest/Conviction Form - PDE 6004