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LCSD Human Resources Documents and Forms



General Information and Forms

2017-2018 Employee Benefits Information
Excellus BCBS Online Information
Health / Dental Waiver Form - Review Union Contract for additional required documentation.
Breast and Prostate Screening Form
2016-2017 Personnel Emergency Data Card
Supervisor Notification Form for Extended Employee Absence 
403b Universal Availability

Benefit Rates for LASO Members

2017-2018 LASO Family Health-Dental Rates
2017-2018 LASO Individual Health-Dental Rates

Benefit Rates for LFA Members

2017-2018 LFA Individual Health-Dental Rates July only
2017-2018 LFA Individual Health-Dental Rates Aug - June
2017-2018 LFA Family Health-Dental Rates for July only
2017-2018 LFA Family Health-Dental Rates for Aug - June
LFA Sick Bank Donation Form - LFA Members Only

Benefit Rates for LSSA Members

2017-2018 LSSA Individual Health-Dental Rates (12-Month)
2017-2018 LSSA Family Health-Dental Rates (12-Month)
2017-2018 LSSA Individual Health-Dental Rates (10-Month)
2017-2018 LSSA Family Health-Dental Rates (10-Month)
LSSA Time Away Request Form - LSSA Members Only

Workers Compensation Forms

Employee Accident Instructions
Worker's Comp Incident/Accident Report Form 

Links

https://wincapweb.com/  - Please electronically acknowledge your salary notice(s). 
http://omni403b.com
Employees' Retirement System
Teachers' Retirement System

 

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