The diagram below shows where to locate this information. Send completed form to the following address or fax it to 1-570-340-4328.If faxing, please keep original for your records. Paperless Paycheck Stub Request. HEALTH. Forms ; Direct Deposit Form, PDF ; Disability, Website ; HIPAA Authorization Form, PDF ; HIPAA Cancellation Form, PDF. Direct Deposit Authorization. Enroll in direct deposit; Claim sick leave.