Human Resources

• Human Resources
• Employment / Careers
• Employee Benefits
• Employee Forms
• Labor Relations
• Policies & Procedures
• Organizational Development
• Employee Wellness
• Contact HR Staff

LCC > Human Resources

Employee Forms

Many of the forms used by the college are now available for viewing or printing.  Click on the links below to access internal and external forms used by the college or to access to other sites that may be of interest.

 

Employee Information

• Employment Eligibility Verification (I-9)
  • USCIS Update on Employment Eligibility Verification Form
• Personal Information Update
• FMLA Leave of Absence Request
  • FMLA Health Care Certification
  • FMLA Health Care Certification - Family
  • Notice of Eligibility
  • Designation Notice
  • Military Family Leave Certification
  • Military Family Leave Certification - Serious Injury
• Parking Opt Out
• Accommodation Procedure
  • Accommodation Request
  • Reasonable Accommodation Request Medical Certification
• Sabbatical:  Professional Development Leave Request
• Sick Leave Bank Donation
• Sick Leave Bank Request
• Workers’ Comp Claim – FERPA Waiver
• Administrative Professional Development Leave
• Discrimination Complaint Form

Payroll and Tax Information

• Optional Pay Card
• Federal Tax Withholding (W-4)
• State Tax Withholding (MI-W4)
• City Tax Withholding (LW-4)

Supervisor Forms

• Degree Recognition Request
• Additional Responsibility Dollars
• Staff Development Plan
  • Staff Development Plan Form
  • Staff Development Action Plan
• Sample Letter of Employee Recommendation
• Student FERPA Release
• HR Action Form
  • Prior to First Day
  • Employee First Day of Employment
  • 90 Day Check In
• Request for Proxy Approver
• Time Entry Q & A
• HR Termination Form
• Reclassification Request
• Position Request Form - New and Replacement

Employee Benefit Forms

• Dental Claim Form
• Vision Claim Form
• Life Insurance Beneficiary Form
• Flexible Compensation Plan
• Flexible Spending
  • Request for Reimbursement Form-BCG
  • Authorization Agreement for Auto Deposit-BCG
• Domestic Partner Dependent
• Domestic Partnership Affidavit

Retirement Forms

• MPSERS Beneficiary Nomination
• MPSERS Sabbatical Leave Credit Form
• MPSERS Refund Form
• Tuition Waiver Form for Retirees
• Voluntary Salary Deferral Agreement (457b)
• Salary Reduction Agreement (403b)

Miscellaneous Information

• Faculty Credential Verification
• Faculty Starting Rate Assignment (Part-time)
  • Must include Official Transcripts (if position requires a degree)

 

 

• CARES: Employee Assistance Program