Human Resources Forms

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Personnel - Benefits - Recruitment/HiringSafety/ADA/ComplianceVolunteer Information


Personnel Separation Form
2019-2020 Payroll Schedule
Federal W-4
Oregon W-4
Part-Time Faculty and Staff Tuition Waiver Form
2019-2020 Position Number Listing by Org w skill code
Employee Title Listing with skill code-all groups (currently unavailable-document updates in progress)
Tuition Waiver Form for Required Course

Direct Deposit Form

Address/Name Change Form

Appraisal Forms-Contracted Employee Appraisal Forms


Staff Calendars and Information (Contracted)

Employee ID
CWE/Learn and Earn Information Sheet
Disciplinary Action Form-Contracted Classified
Disciplinary Action Form-Contracted Faculty
HR Module Banner Access Form
Form I-9 and I-9 Instructions
Mail Code List

Payroll Authorizations


2019-2020 Contracted Mgmt./Exempt Salary Schedule (not yet available)
2019-2020 PTNC Mgmt./Exempt Salary Schedule

2019-2020 Contracted Confidential Salary Schedule

2019-2020 Full-Time Contracted Faculty Salary Schedule
2019-2020 Full-Time Contracted Faculty Overload Schedule
2019-2020 Full-Time Contracted Faculty Dept.-Prog. Chair Schedule

2019-2020 Part-Time Faculty Association or WCE Salary Schedule
2019-2020 Part-Time Community Ed. or Non Credit Faculty Salary Schedule

2019-2020 Contracted Classified Salary Schedule
2019-2020 Part-Time, Noncontracted Salary Schedule 
2018-2019 Contracted Management/Exempt Salary Schedule
2018-19 Contracted Confidential Salary Schedule
2018-19 PTNC Classified Salary Schedule
2018-19 PT Faculty Credit-Related Salary Schedule
2018-19 PT Faculty Non-Credit-Related Salary Schedule

A. Telecommute Checklist
B. Telecommuting Procedures
C. Telecommuting Agreement


Family Medical Leave Request Form
Opt-Out Form for LBCC Health Insurance
Tax Sheltered Annuity (TSA) Information
Pooled Reserve for Sick Leave 


Application Screening Worksheet
Contracted Position Hiring Procedures
Guest User Instructions
Guidelines for Providing Employment References
I-9 Form and Instructions 
Interviewing Guidelines
Managing Your Applicant Pool
Noncontracted Position Hiring Procedures
Reference Checking Guidelines
Search Committee Confidentiality Form
Supervisor’s New Employee Checklist
Telephone Reference Check Form
Temporary Agency Employee Determination Form
Temporary Agency Employee Job Order Form
Veterans Preference in Hiring Information
Staff Projection Form
Employee ID 


Accident Reporting
Nurse Plus 24/ 2017 Bloodborne Pathogens Exposure Control Plans
Prevention of Sexual Harassment Acknowledgment Form
Prevention of Sexual Harassment Brochure
Request for Accommodation

Volunteer Information

Dept. Checklist for Placing a Volunteer
Volunteer Placement Form (Form A)
Volunteer Information Form (Form B)
Volunteer Workers’ Compensation Reporting Form (Form C)