Welcome to the Lexington Public Schools!



We are pleased that you are joining us and hope that you will enjoy your time of service here. Below you will find all of the necessary paperwork and forms (downloadable in pdf format) for your employment. It is important that all forms be completed as soon as possible to insure that you will be paid on time. Some of the links below are for your information and some are forms which we require you to return. All paperwork once completed should be mailed to:

Lexington Public Schools
Attn: Human Resources Dept.
146 Maple Street
Lexington, MA 02420.

If you have any questions relating to any of these materials, please call us at (781) 861-2580.

Getting Started:
Check List

Forms Required to Complete Hiring Process:
  1. Federal State Withholding W4 Form
  2. New Member Retirement Enrollment Forms(18+ Hours)
  3. New Member Enrollment Beneficiary Form
  4. OBRA(17 Hours or less)
  5. I-9 Employment Eligibility Verification
  6. CORI (Criminal Records Check)
  7. Employment Certification Form
  8. 403 b Plan
  9. 457 Plan - Massachusetts Deferred Compensation SMART Plan
  10. Social Security Statement
  11. Direct Deposit
  12. Grievance Procedures
Forms and Information Concerning your Employee Benefits:
  1. Summary of LPS Benefits Program
  2. FY 10 Health Rates
  3. HMO Network Blue (Health Plan Option Description)
  4. HMO Blue Choice: Plan 2 Summary of Benefits (Health Plan Option Description)
  5. Blue Cross/Blue Shield Enrollment Form
  6. Harvard Schedule of Benefits (Health Plan Description)
  7. Harvard Pilgrim Enrollment Form
  8. Overview of Dental Plan
  9. Delta Care Description
  10. Delta Premier Care Description
  11. Delta Dental Enrollment Form
  12. Life Insurance:Group Life Rates
  13. Health Care Reimbursement and Dependent Care Assistance Accounts Description
  14. Flexible Spending Benefits Plan (This includes the statement of Drug Coverage for the plan)
  15. Flexible Spending Enrollment Application
  16. Life Insurance: Basic Enrollment Form
  17. 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.
General Information:
  1. SCHOOL CALENDAR 2008-2009

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