Below is a list of Certificate of Residency forms based on CLIU work locations.  

    •   Select your work location.
    •   Complete and print the form. Do not forget to sign it!
    •   For your home address, use your physical address, NOT a PO Box.
    •   All sections in grey will be completed by HR-Payroll Office.
    •   Forms can be sent via mail, emailed to halls@cliu.org, or faxed to 610-769-1171.

Allentown School District

Catasauqua Area School District

East Penn School District

Jim Thorpe Area School District

Northern Lehigh School District

Palmerton Area School District

Weatherly Area School District


Hospitals and Rehabilitation Networks