Lancaster County Public Schools Downloadable Forms Page
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Virginia High School League Athletic Participation/
Parental Consent/ Physical Examination Form
(This form may be completed
online, printed, then taken to the physician for completion and signing)
Leave Request and Verification Form
Course Approval Tuition Reimbursement Form
Lancaster Technology Request Form
Internet Content Filter Change Request Form
Physician's Verification Form For Sick Leave Bank
Employee Expense Reimbursement Procedure & Forms
Contractor/Organization Certification
Application for the Use of Building
Employee Injury (1 of 4) Procedure
Employee Injury (2 of 4) Supervisor Report
Employee Injury (3 of 4) Physician Panel
Employee Injury (4 of 4) Initial Doctor's Visit
Substitute Custodian Time Sheet
Consent to Exchange Information
Payroll-H.S.A. (Health Savings Account) Withholding
Accounting-Vendor Check Request
Accounting-Subcontractor Standard Agreement
Accounting-Subcontractor IRS Form W-9
Payroll-Federal Withholding Form W4
Payroll-State Withholding Form VA
FMLA Form WH-380-E Certification of Health Care Provider for Employee's Serious Health Condition
FMLA Form 381 Notice of Eligibility and Rights & Responsibilities
FMLA Form 382 Designation Notice
FMLA Form 384 Certification of Qualifying Exigency for Military Family Leave
FMLA Form WHD 1420 Employee Rights and Responsibilities Under the Family and Medical Leave Act
Payroll-Employee Information re: 403b Investments (2012)
Student Accident Insurance
Overview (3 Types)
Student Accident Insurance Claim Form: Off-Season/Catastrophic
Homebound--Date and Time Verification
Homebound--Revised Homebound Form 2011
Homebound--Termination of Homebound Instruction
Homebound--Transition Plan Revised 2011
Internet Filter Change Request
Workers Compensation Agreement Form