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About Us » Departments and Personnel » Business Services » Faculty & Staff Resources » Forms

Many of our documents are available as pdf files for you to download. Don't have adobe acrobat reader? Get it here, free.

Forms

Budget Transfer Form Catastrophic Appendix B Donation Form
Catastrophic Leave Appendix A Request Form Change Personal Information Request Form
Check Pick Up Authorization Form Check Request Form 
Datatel Access Request Form  Education Incentive Approval Form
Emergency Contact Information Form  Employee Leave Request Form 
FMLA Fact Sheet 28  FMLA Forms 
FMLA Serious Health Certification  Form I-9 
Form W-4 Form W-9 
Overtime Request Form  Part Time Timecard 
Payroll Direction Authorization  Personnel Action Request 
Personnel File Copy Request  Personnel File Receipt Of 
Pre-designation of Doctor  Purchase Requisition 
Request to Review Personnel File  SISC Delta Dental Pro 
SISC VSP Benefits Standard District Paid Life Insurance Enrollment 
Standard Medical History Statement  State Tax Withholding Form 
Statement of Personnel File Review  Transfer of Accumulated Sick Leave 
Trip Request Form  Verification of Experience 
Volunteer Application (Non-paid)   
   
   

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Lassen Community College
An Accredited Institution (ACCJC)
478-200 Hwy 139, Susanville, CA 96130
Phone: (530) 257-6181
Fax: (530) 257-8964

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