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 HR Forms and Information for Employees

 

Payroll    HR    Benefits     HR Homepage

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Benefits                       

Forms/Packets

Information

(Guidelines, Aids, etc.)
Health (BCBS)
BCBS Plan A Info Sheet BCBS Plan D HRA FAQs
BCBS Plan A Presentation BCBS Plan D Info Sheet
BCBS Plan C Claim Form BCBS Plan DEP Info Sheet 
BCBS Plan C Info Sheet BCBS Plan WellCare Info Sheet
BCBS Plan D HRA Reimbursement Form Finding Dr or Hospital w/ BCBC online
BCBS Medical Claim Form Medication Guide
Health Insurance Change Application Quest Diagnostics Appt Scheduling
Prescription Drug Claim Form Prescription Main Ordering Tips (PrimeMail)
Prescription Mail Order Form  
Dental (MetLife)
Dental (MetLife) Claim Form Dental Plan 
Vision (Safeguard)
Vision (Safeguard) Insurance Application Vision Plan
Vision Claim Form Guide to Eye Exams
General Benefits Forms and Information
Accident-Incident Form 403B handbook
Cafeteria Plan Enrollment Form Bencor/Alternative FICA Information Packet
Custom Benefits Reimbursement Bencor/Alternative FICA Plan FAQ's
Flexible Benefit Plan Reimbursement Claim Form Cafeteria Plan List of Accepted OTC Items
FMLA Request Form Employee Assistance Program Info, Links, Newsletters
Employee free stuff and discounts
Sick Leave Pool Request Form My Blue Service Online Tools
Tuition Waiver Form for Employee & Dependent-LSCC Other Benefit Information & Newsletters
Tuition Waiver Form for Employee-St Leo  
Workers Comp First Report of Injury or Illness form  
Workers Comp. Referral form  

Human Resources

Forms/Packets

Information

(Guidelines, Aids, etc.)

360 Degree & Upward Feedback Program Request Form

Annual Plan & Report to the Community

Adjunct Contract of Employment

Classification & Salary Schedule 2010-2011

Additional Degrees Compensation Form

(Per Procedure 5-12)

EAR Tracking & Status Report

Cell Phone Request/renewal form

 Employee General Standards of Performance

Employee Action Request (EAR)

EAR Instructions

EAR Form

(If needed, click "Open" and "Run")

If you have problems with the EAR forms, please call HR, x3557.

Aids: Index list - Acct list

 Employee List
Employee Photo Gallery

Employee Information Update Form

(For address, name, phone number changes, etc)

 For Supervisors:
Employee Warning Notice 360 Degree & Upward Feedback Program Info

Employment Packets:

(Only to be completed once hired)

Handling Resignations & Terminations

Adjunct Employment Packet

Independent Contractor Approved List

Student Assistant Packet

Independent Contractor vs Temp Employee Hiring

Student Service Scholarship Employee Packet

Performance Review Process Handbook

Temporary Employee Packet

 Job Descriptions:

Volunteer Packet

JD's By Department
Equity Appointment Request Form

JD's By Position Number
Evaluation Forms (Performance Reviews):

Creating/Rewriting Job Descriptions-Job Factors

Administrator eval w links

Administrator eval Free form

PDF file of all Job Descriptions

Adjunct evaluation form

Template for Job Descriptions

Faculty evaluation form

 LSCC Code of Ethics and Values

Librarian evaluation form

 Open Positions Rpt (fka Position Staffing & Status Report)

Managerial & Technical evaluation form

 Organizational Chart for LSCC

Professional Administrative evaluation form

 Positions Classification Model

Crafts/Trades evaluation form

 Retirement Gift Guidelines

Stipend evaluation form

 Rules, Procedures and Internal Management Memorandum
Exit Checklist & Survey Selection Committee Materials:
FR&P Forms

Pre-approved Criteria
Independent Contractor Test

Pre-approved Interview Questions
Key Results Worksheet Recommendation to Hiring Supervisor
New Hire Account Activation Form

Search Committee Handbook
Notification of Outside LSCC Employment Social Security Number Notification

Retirement Reception Checklist

 Strategic Plan 2008-2013

Training Roster for non-SPD trainings

  

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Payroll

Forms/Packets

Information

(Guidelines, Aids, etc.)

Direct Deposit

(Regular Employees Only)

Directions to access LOIS
Leave Forms: Pay Schedule for Part-time Employees 2010-2011

Departmental Leave Request

(Stays in Dept)

  

Leave Summary

(Leave Summary sent to Payroll)

  

Sabbatical Leave Form

  

Tax Form (W4)

  

Timesheets for Full-Time Employees:

  

Comp Time Record

  

Electronic Comp Time Record

  

FT Timesheet

  

Timesheets for Part-Time employees:

(Student Assistants, Temps, Work Study)

Please be sure to submit a separate timesheet for each job/position.

  
Aug 16 - Sept 12  
July 19 - Aug 15  

Vacation Pay Out Request

  
© 2007-2010 Lake-Sumter Community College
Leesburg Campus
9501 U.S. Highway 441
Leesburg,FL 34788
(352) 787-3747
Sumter Campus
1405 County Road 526A
Sumterville,FL 33585
(352) 568-0001
South Lake Campus
1250 N. Hancock Road
Clermont,FL 34711
(352) 243-5722