Human Resources / LPS Forms

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Human Resources Office
Lexington Public Schools
146 Maple Street
Lexington, MA 02420
USA
Tel: (781) 861-2580
HResources@sch.ci.lexington.ma.us

FORMS FOR CURRENT EMPLOYEES

1. CORI (Criminal Records Check)
   
2. Direct Deposit
   
3. Teacher Payroll Selection Option
   
4. Grievance Procedures
5. Credits Beyond Masters Degree
   
6. Request for Voucher
   
7. Teen Summer/Community Service and Voluteer Information Sheet
   
8. Summary of LPS Benefits Program
   
9. FY 09 Health Rates
   
10. HMO Network Blue (Health Plan Option Description)
    
11. HMO Blue Choice: Plan 2 Summary of Benefits (Health Plan Option Description)
    
12. Blue Cross/Blue Shield Enrollment Form
    
13. Harvard Schedule of Benefits (Health Plan Description)
    
14. Harvard Pilgrim Enrollment Form
    
15. Overview of Dental Plan
    
16. Delta Care Description
    
17. Delta Premier Care Description
    
18. Delta Dental Enrollment Form
    
19. Life Insurance:Group Life Rates
    
20. Health Care Reimbursement Plan Description
    
21. Dependent Care Reimbursement PlanDescription
    
22. Flexible Spending Enrollment Form (This includes the statement of Drug Coverage for the plan)
    
23. Life Insurance: Basic Enrollment Form
    
24. 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.
    
    

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