PDE 6004: Arrest/Conviction Report and Certification Form

Under Act 24 of 2011 and Act 82 of 2012, all SYCSD employees 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 Missy Brady, HR Coordinator.

PDE 6004 Arrest or Conviction form 03-2016.pdf, 120.83 KB; (Last Modified on February 19, 2018)