Jump to: | Blank Forms | Contract/Benefit Information | Leep Forms| MISC Forms| Athletic |
– Blank Forms – |
- Building level program voucher – CLICK HERE TO DOWNLOAD
- Expense Reimbursement Voucher – CLICK HERE TO DOWNLOAD
- Flex Medical/Dependent Care Reimb Claim form – CLICK HERE TO DOWNLOAD
- Intention To Change Classification – Schedule “F” – CLICK HERE TO DOWNLOAD
- Iowa W-4 – CLICK HERE TO DOWNLOAD
- Mileage Report Form – PDF – Word
- Name Change Request Form – CLICK HERE TO DOWNLOAD
- Principal Life Insurance Beneficiary Change form – CLICK HERE TO DOWNLOAD
- RIC Enrollment form – CLICK HERE TO DOWNLOAD
– Contract/Benefit Information – |
- Master Contract 2021-2022 – CLICK HERE TO DOWNLOAD
- INS PREMIUM Information 2021-2022 – CLICK HERE TO DOWNLOAD
- 2021-2022 Alliance Select Policy – CLICK HERE TO DOWNLOAD
- 2021-2022 Blue Advantage Policy – CLICK HERE TO DOWNLOAD
- 2021-2022 LCSD Alliance Select RX – CLICK HERE TO DOWNLOAD
- 2021-2022 LCSD Blue Advantage RX – CLICK HERE TO DOWNLOAD
- 2021-2022 LCSD Alliance Select Summary of Benefits and Coverage – CLICK HERE TO DOWNLOAD
- 2021-2022 LCSD Blue Advantage Summary of Benefits and Coverage – CLICK HERE TO DOWNLOAD
- 2021-2022 LCSD HRA Alliance Select Plan 1,000 deductible – CLICK HERE TO DOWNLOAD
- 2021-2022 LCSD HRA Alliance Select Plan 1,500 deductible – CLICK HERE TO DOWNLOAD
- 2021-2022 LCSD HRA Alliance Select Plan 2,000 deductible – CLICK HERE TO DOWNLOAD
- 2021-20221-LCSD HRA Blue Advantage Plan 1,000 deductible – CLICK HERE TO DOWNLOAD
- 2021-2022-LCSD HRA Blue Advantage Plan 1,500 deductible – CLICK HERE TO DOWNLOAD
- 2021-2022-LCSD HRA Blue Advantage Plan 2,000 deductible – CLICK HERE TO DOWNLOAD
- 2021-2022 Flex Benefit Plan – CLICK HERE TO DOWNLOAD
- LCSD Principal Dental Booklet – CLICK HERE TO DOWNLOAD
- LCSD Principal Vision Booklet – CLICK HERE TO DOWNLOAD
- LCSD Principal LTD Booklet – CLICK HERE TO DOWNLOAD
- LCSD Life Insurance Booklet – CLICK HERE TO DOWNLOAD
- RIC-403B Summary – CLICK HERE TO DOWNLOAD
- Support Staff Rules and Regulations 2021-2022 – CLICK HERE TO DOWNLOAD
- Principal Benefit Changes 2021-2022 – CLICK HERE TO DOWNLOAD
– Leep Forms – |
- LEEP Request for Funds – CLICK HERE TO DOWNLOAD
- LEEP By-Laws – CLICK HERE TO DOWNLOAD
– MISC Forms – |
- Referral Form – CLICK HERE TO DOWNLOAD
- Homecoming Parade Sign Up 2017 – CLICK HERE TO DOWNLOAD
- Employee of the month Form – PDF – Word
– Athletic – |
- High School Athletic Physical Exam Form – CLICK HERE TO DOWNLOAD
- High School Insurance Waiver – CLICK HERE TO DOWNLOAD
- High School Concussion Form – CLICK HERE TO DOWNLOAD
- Middle School Athletic Physical Exam Form – CLICK HERE TO DOWNLOAD
- Booster Membership Form – CLICK HERE TO DOWNLOAD