Forms

The purpose of this form is to ensure compliance with LCSC and Idaho State Board of Education (SBOE) professional consulting and conflict of interest /ethical conduct policies. By signing the statement annually, you acknowledge you are responsible and accountable for the information set forth in LCSC Professional Consulting and Additional Workload Policy, #3.132, LCSC Code of Ethical Conduct Policy, #3.101, and SBOE Conflict of Interest and Ethical Conduct Policy, Section II, Subsection Q.

Professional Consulting / Conflict of Interest Statement

Please visit the new Hiring Process page!

The Family and Medical Leave Act (FMLA) is a federal law which entitles eligible employees to unpaid, job protected leave, under qualifying circumstances, as follows: (1) for a qualifying health condition of the employee or a family member; (2) for the birth or adoption of a child; and (3) for specific purposes to family members of qualifying military service members. Employees may, at their discretion, elect to use accrued vacation leave, sick leave, and/or compensatory balances concurrently while on FMLA leave (as appropriate).

To qualify for FMLA leave, the employee must meet eligibility criteria, must submit a written request, and upon return to work must provide a medical release (as appropriate).

In the event an employee does not request FMLA leave for time off work for a qualifying health condition, LCSC will designate the employee’s absence as FMLA leave (as appropriate).

Department of Human Resources FMLA Policy

FMLA Leave Request (completed by employee)

Notice of Eligibility & Right and Responsibilities (completed by employer)

Designation Notice (completed by employer)

Certification of Health Care Provider for Employee

Certification of Health Care Provider for Family Member's Serious Health Condition

For institutional funds, in lieu of completing the MOA on every payment-in-addition, a document that includes the following information may be accepted:

  1. Date of agreement
  2. Employee name
  3. Title for job to be performed
  4. Department
  5. Payment amount
  6. Dates of work to be performed
  7. Date to be paid
  8. Description of service/work performed
  9. Employee Signature and date
  10. Supervisor Signature and date

Please visit the Human Resources Performance Management website. 

For assistance on completing the Personnel Action Form, please visit the LC State Training Website.

This form is used for student and irregular help employees (new hire, hourly rate change, separation, etc).

Information on Irregular Help working hours:

This is used to make changes to Classified Staff classifications due to change in job responsibilities, etc.

Therapy animal handlers must complete the Therapy Animal Agreement form. This form must be signed by the department head or supervisor and returned to the Human Resource Services office at least one week prior to the animal’s arrival on campus.

For more information on the Educational Privilege, refer to Policy 3.130

Refer to the Academic Affairs Important Dates for due dates.

Submit this form along with your itemized receipt to VSP for out-of-network vision reimbursement or visit the Benefits & Claim section on VSP's website to submit a claim.

  • If you prefer to submit your claim via mail, please contact Member Services at 800-877-7195 to obtain a VSP Member Reimbursement Form.

Anytime an industrial-related injury occurs, the employee and supervisor must follow this flowchart and return all documents to Human Resource Services within 10 days of injury: