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

     

New Employee Forms: All Staff Positions: Full Time/Part-Time

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:
Instructions for New Staff (Non-Teaching Positions)
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. Deferred Compensation Plan
   
9. Social Security Statement
   
10. Direct Deposit
    
11. Grievance Procedures
    

Forms and Information Concerning your Employee Benefits:

12. Summary of LPS Benefits Program
    
13. FY 09 Health Rates
    
14. HMO Network Blue (Health Plan Option Description)
    
15. HMO Blue Choice: Plan 2 Summary of Benefits (Health Plan Option Description)
    
16. Blue Cross/Blue Shield Enrollment Form
    
17. Harvard Schedule of Benefits (Health Plan Description)
    
18. Harvard Pilgrim Enrollment Form
    
19. Overview of Dental Plan
    
20. Delta Care Description
    
21. Delta Premier Care Description
    
22. Delta Dental Enrollment Form
    
23. Life Insurance:Group Life Rates
    
24. Health Care Reimbursement Plan Description
    
25. Dependent Care Reimbursement PlanDescription
    
26. Flexible Spending Enrollment Form (This includes the statement of Drug Coverage for the plan)
    
27. Life Insurance: Basic Enrollment Form
    
28. 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:

30. SCHOOL CALENDAR 2008-2009