Human Resources Forms for Employees

Forms for Employees

Forms on Frontline Central

The following forms can now be found on Frontline Central, a web application Lane ESD Human Resources uses to manage and process its employee forms.

Direct Deposit Form
HSA (Health Savings Account) Payroll Deduction Authorization
Name and/or Address Change for Employees
Tax Sheltered Annuity (TSA) Enrollment Form
W-4 Form - Federal
W-4 Form - Oregon

Once you've logged into Frontline Central (using the same credentials you use for Frontline's Absence Management and Professional Growth applications), go to My Forms in the left menu, and the tab for Forms I Can Start. For more details, view the Welcome to Frontline Central instructions.

Additional Forms

Timesheets – Use Adobe Reader for best results with fillable PDFs.
Expense Reimbursement
- Expense Reimbursement - 2021 Calendar Year
FMLA/OFLA
- FMLA/OFLA Application
FSA/HRA
- 2021-22 Chard-Snyder FSA (Healthcare and Dependent Day Care) Enrollment Form
- Chard-Snyder HRA Claim Reimbursement Form
Special Education only: Incident Report online form
Non-SPED employees: Incident Report Form
OEBB
- Member Forms (Enrollment, Mid-Year Change, Beneficiary Designation, etc.)
Reference Authorization Form
TSA
- Carruth Compliance Consulting (CCC) is the third party administrator and primary point of contact for Lane ESD's 403(b) and 457(b) TSA plans. Go to CCC's website for current Lane ESD TSA information.
- 2021 TSA Eligibility and Limits Announcement/Guide
Worker's Compensation Claim Form 801 and Instructions