Human Resources
Forms for Employees
Documents are in PDF unless specified otherwise.
- 2012 W-4 Form
- American Fidelity Dependent Day Care Reimbursement Form
- American Fidelity HRA Reimbursement Form
- American Fidelity Section 125 Reimbursement Form
- Direct Deposit Form
- Elective TSA Form
- Employee Name and/or Address Change
- Expense Reimbursement Form 2012 (XLS)
- Expense Reimbursement Form 2013 (XLS)
- FMLA Application
- Incident Form
- OEBB Mid-Year Change Form
- Reference Authorization Form
- TSA Vendor List
- Worker's Compensation Claim Form 801 and Instructions
For more information contact:
Human Resources at 541-461-8202 or hr@lesd.k12.or.us


