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. Credits Beyond Masters Degree
  9. Request for Voucher
  10. Teen Summer/Community Service and Voluteer Information Sheet
  11. Summary of LPS Benefits Program
  12. FY 11 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 Pilgrim Enrollment Form
  20. Overview of Dental Plan
  21. Delta Care Description
  22. Delta Premier Care Description
  23. Delta Dental Enrollment Form
  24. Life Insurance:Group Life Rates
  25. Health Care Reimbursement and Dependent Care Assistance Accounts Description
  26. Flexible Spending Benefits Plan
  27. Flexible Spending Enrollment Application
  28. Flexible Spending Guidelines - Eligible OTC
  29. Flexible Spending - Benefit Strategies - Health Reform Affects
  30. Life Insurance: Basic Enrollment Form
  31. 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.

  32. 403 b - Deferred Compensation Plan
  33. Summary of Lexington Public Schools Policies for Personnel