​​​​Attendance Forms:

     Request To Adjust Personal Day Bank
     
Personal Day Request Form
     
Cancer Screening Verification Form

     Reason For Absence (To Be Completed By Employee) Form


Annual Turn-in of Unused Sick Days Group C:

​     Long Beach School Employees’ Association– Group C Form

     Request for Payment in Exchange for Vacation Days

     Request for Payment for Unused Sick Days - Transportation Only
     
Request For Carryover Of Vacation Days Form
     Vacation Day Payment Form Choices –
            • 
ASPPG Only
            • 
Confidential Employees Only

     Vacation Day Payment – At Separation from LBCSD ONLY


Benefits Forms:
     
COBRA

     EMPIRE Young Adult Option - Medical
     Flexible Spending Accounts
     
Leave of Absence Direct Pay
     
Life/AD&D/EMM Enrollment/Change Form
     
Open Enrollment (Health)
     
Reasonable/Workplace Accommodations

     Summaries of Medical and Dental Benefits
     
Surviving Spouse/Dependent Election Form

Claim Forms:

     Dental Claim Form

     Empire Health Insurance Claim Form
     
Excess Major Medical Form  
     
Eyeglass Reimbursement Claim Form
     
Flex Voucher 
     
Worker's Compensation - POMCO


HR Forms:
     
Mandatory Annual Training and Staff Handbook
     
Maternity Leave of Absence Request Form
     
Overtime Request and Authorization


LBSEA:

     Scholarship Application Form 2017  NEW

     Conference Reimbursement Form


Misc. Forms:
     
Direct Deposit Form and Direct Deposit Q&A
     
ERS Beneficiary Form
     
TRS Change of Beneficiary Form

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