FORMS FOR CURRENT EMPLOYEES


The following forms are provided for your convenience.
If you have any questions, please contact the Human Resources office.
  1. CORI (Criminal Records Check)
  2. Direct Deposit
  3. Teacher Payroll Selection Option
  4. 403 - b Plan
  5. 457 Plan - Massachusetts Deferred Compensation SMART Plan
  6. Grievance Procedures
  7. Summary of State Conflict of Interest Law for all Municipal Employees
  8. Administrative Procedures and Forms for Graduate Course and Degree Approval)
  9. Request for Voucher
  10. Teen Summer/Community Service and Voluteer Information Sheet
  11. Summary of LPS Benefits Program
  12. FY 12 Health Rates
  13. Blue Choice Plan 2: Summary of Benefits (Massachusetts)
  14. Blue Choice Plan2: Summary of Benefits (New England)
  15. Network Blue: Summary of Benefits (Massachusetts)
  16. Network Blue: Summary of Benefits (New England)
  17. Blue Cross/Blue Shield Enrollment Form
  18. Harvard Schedule of Benefits (Health Plan Description)
  19. Harvard Schedule of Benefits (Prescription Drug Coverage)
  20. Harvard Pilgrim Enrollment Form
  21. Overview of Dental Plan
  22. Delta Care Description
  23. Delta Premier Care Description
  24. Delta Dental Enrollment Form
  25. FY12 Flexible Benefit Enrollment Kit
  26. FY12 Flexible Benefit Enrollment Form
  27. Life Insurance:Group Life Rates
  28. Life Insurance: Basic Enrollment Form
  29. Life Insurance: Supplemental Enrollment Form
    LIFE INSURANCE ENROLLMENT FORMS MUST BE SUBMITTED ON ORIGINAL FORMS (NOT ON DOWNLOADED COPIES). THE INSURANCE LINKS ABOVE ARE PROVIDED ONLY FOR YOUR INFORMATION. ORIGINAL FORMS ARE AVAILABLE FROM THE HUMAN RESOURCES OFFICE.

  30. 403 b - Deferred Compensation Plan
  31. Summary of Lexington Public Schools Policies for Personnel