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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
Plan C Claim Form Plan D HRA FAQs
Plan D HRA Reimbursement Form Vision Fast Facts
Health Insurance Application Finding Dr or Hospital w/ BCBC online
Medical Claim Form  
Medication Guide  
Prescription Drug Claim Form  

Prescription Mail Order Form   Ordering Tips

  
Quest Diagnostics Appt Scheduling  
Dental
Dental Claim Form  
Dental-Life Application  
   
Vision
Vision Claim Form-Plan C Only  
   
General Benefits Forms and Information
Accident-Incident Form  
Workers Comp First Report of Injury or Illness form  

Workers Comp. Referral form

 Bencor/Alternative FICA Information Packet
Cafeteria Plan Enrollment Form Bencor/Alternative FICA Plan FAQ's
Custom Benefits Reimbursement Cafeteria Plan List of Accepted OTC Items
Flexible Benefit Plan Reimbursement Claim Form Employee Assistance Program Info, Links, Newsletters
FMLA Request Form Employee free stuff and discounts
Sick Leave Pool Request Form 403B handbook
Tuition Waiver Form for Employee & Dependent-LSCC Other Benefit Information & Newsletters
Tuition Waiver Form for Employee-St Leo  

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 2009-2010

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 Forms

(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)

  
Employee Warning Notice For Supervisors:
  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

Selection Committee Handbook
New Hire Account Activation Form Social Security Number Notification
Notification of Outside LSCC Employment Strategic Plan 2008-2013

Retirement Reception Checklist

  

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 2009-2010

Departmental Leave Request

(Stays in Dept)

  

Leave Summary

(Leave Summary sent to Payroll)

  

Sabbatical Leave Form

  

Tax Form (W4)

  
Tax Sheltered Annuity Salary Reduction Agreement  

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.

  
March 15-April 23 (Work Study Students only)
  
 
 

Vacation Pay Out Request

  
© 2007-2009 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