Below is a list of medical, reimbursement, benefit forms, and many other form(s) and document(s) related to Human Resources.
- Accident Reporting Procedures
- Address Change Form
- Name Change Form
- Conflict of Interest Summary/Training (English)
- Conflict of Interest Summary/Training (Spanish)
- Employment Verification Form
- ADA Request Form
- ADA Health Care Provider Questionnaire
- HIPAA Notice of Privacy Practices
- Title IX Formal Complaint Form
Advance / Master Educator
Benefits Information
Collective Bargaining Agreements
- Administrators Contract
- Administrative Support Staff Agreement
- Cafe Agreement
- Custodian Contract
- Licensed Practical Nurses Agreement
- Non-Union Employee Benefit
- Paraprofessionals Agreement
- School Safety Officer Collective Bargaining Agreement
- SEIU Agreement
- Teachers Union Agreement
Colonial Life Voluntary Benefits
- Colonial Life - City of Lawrence Combination of Brochures
- Colonial Life - How to file a claim - Job Aide
- Colonial Life - Interest Form 2025
- Colonial Life - Policy Holder Portal
- Colonial Life - Request for Service Form
- Colonial Life - Universal Claim Form
Depression and Suicide Information
Employee Assistance Program Information
- Aware Flyer
- Aware Mindfulness Channel
- cCBT Flyer-Revised
- Counseling Flyer
- Deer Oaks - iConnectYou and Website Access Flyer
- Deer Oaks Brochure
- Deer Oaks EAP Back-to-School Flyer
- Deer Oaks EAP Benefits
- Deer Oaks EAP Mental Health Poster
- Deer Oaks EAP Poster Family Mental Health
- Deer Oaks EAP Poster Its Okay
- Deer Oaks Life Coaching
- EAP Poster General Info 1
- EAP Poster General Info 2
- EAP Poster General Info 3
- EAP Poster Financial
- EAP Poster Confidentiality
- EAP Flyer Confidentiality
- EAP Brochure
- iConnectYou Flyer - Lawrence Public Schools
- Online Will Flyer
- Take the High Road Flyer
- Wallet Card
- Wellbeing Videos
- Working Caregiver Flyer
Family or Medical Leave
- Leave Procedure
- FMLA Leave Letter Template
- FMLA Request Form
- FMLA FORM 380-E
- FMLA FORM 380-F
- FMLA WH-381
- FMLA Employee Rights
- FMLA Employee Guide
Flexible Spending Accounts (FSA’s)
- FSA Cafeteria Advisors Inc Flyer
- FSA Contact Information
- FSA Dependent Care 101
- FSA Dependent Care Claim - New Address
- FSA Expense List
- FSA New Hire Change Flyer
- FSA New Hire Change of Status Form
- FSA WEX Health Payment Card
Health & Dental Forms
- GIC 2024 Rates if Hired Before July 1,2003
- GIC 2024 Rates if Hired After July 1, 2003
- Municipal Employees Retirees and Survivors Benefit Guide 2024-2025
- GIC Required Documents
- GIC 2024-2025 Municipal Enrollment / Change Form (FORM-1MUN)
- GIC Dependent Age 19-26 Enrollment / Change Form - Federal Health Care Reform (ACA)
- GIC 2023 Disabled Dependent Application
- Altus Dental Benefit Rates School Year 2024-2025
- Atlus Dental Enrollment Form 2024
- Altus Dental Benefit Highlights Plus Plan
- Altus Dental Mobile Access
- Atlus Dental Web Access
Life Insurance Forms
- Basic Enrollment Card and Declination Form
- Group Benefits Enrollment Form
- Evidence of Insurability Form For Group Insurance Form
LPS Benefit Enrollment Documents Fiscal Year 2026
- 2025-2026 Altus Dental Biweekly Rates
- 2025-2026 LPS Benefits Overview English
- 2025-2026 LPS Benefits Overview Spanish
- 2025-2026 Municipal Employees, Retirees & Survivors Benefits Guide
- Altus Enrollment Form 2025 Dental Insurance Coverage
- Altus Enrollment Form 2025 Retiree Dental Insurance Coverage
- Altus Web Flyer 2025
- COBRA General Election Notice
- GIC 2025 RATES AFTER
- GIC 2025 RATES BEFORE
- GIC MUNICIPAL ENROLLMENT & CHANGE FORM 1MUN 2025
- GIC Dependent Ages 19 to 26 Enrollment Change Form 2025
- GIC Disabled Dependent Application 2025
- Harvard Access America 2026 - Summary of Benefits and Coverage
- Harvard Pilgrim Explorer GIC-2026 - Commercial Member Guide
- Harvard Pilgrim Explorer GIC-2026 - Summary of Benefits and Coverage
- Harvard Pilgrim Medicare Enhanced GIC-2026 - Med Enhance Member Guide
- Harvard Pilgrim Quality GIC-2026 - Summary of Benefits and Coverage
- Harvard Pilgrim GIC-2026 - Access America Member Guide
- Mass General Brigham - Health Plan Fact Sheet GIC Benefit Coordinator 2025
- Mass General Brigham - GIC 070125 Schedule of Benefits
- Mass General Brigham - GIC 070125 Summary of Benefits Coverage
- Municipal Retiree & Survivor Health Insurance Enrollment Change 2025 ADA (FORM RS)
- School Year 25-26 Altus Dental Active Benefit Summary
- School Year 25-26 Altus Dental Retiree Benefit Summary Spanish
- School Year 25-26 Altus Dental Retiree Plan Rates Final
- School Year 25-26 Altus Enrollment Form Dental Insurance Coverage
- Wellpoint Plan Benefits Summary - MedExt SY25-26
- Wellpoint Plan Benefits Summary - About PLUS SY25-26
- Wellpoint Plan Benefits Summary - Cmty-Choice SY25-26
- Wellpoint Plan Benefits Summary - TotalChoice SY25-26
- Wellpoint Plan Benefits Summary - TotalChoice SY2025
- Wellpoint Plan Participation Guide
- Wellpoint SBC About PLUS SY25-26
- Wellpoint SBC Community Choice SY25-26
- Wellpoint SBC TotalChoice SY25-26
- Wellpoint CVS Caremark Advanced Control Specialty Formulary Effective April 2025
- Wellpoint CVS Caremark Formulary for Non-Specialty Drugs Effective April 2025
- Wellpoint Massachusetts Hospitals Acute SY25-26
US OMNI & TSACG 403(b) & 457(b) Plans
- US OMNI & TSACG Plan Summary
- US OMNI & TSACG Benefit Guide
- US OMNI & TSACG Current List of Provider
- 403(b) Roth Salary Reduction Agreement
- 403(b) Salary Reduction Agreement
- 457(b) Salary Reduction Agreement
- 403(b) Plan Update 2025 MAC Limits
Human Resource Policies
- Acceptable Use Policy
- Domestic Violence Leave Policy
- Drug Free Workplace Policy
- Drug Free Workplace Regulation
- Physical Restraint Policy
- ACA Title IX Sexual Harassment Policy English
- ACA Title IX Sexual Harassment Policy Spanish
- ACA-R Title IX Grievance Procedure English
- ACA-R Title IX Grievance Procedure Spanish
- Staying home to prevent the spread of respiratory viruses | Mass.gov
Tuition Reimbursement
TO REQUEST PRE-APPROVAL you must submit the following to
- Completed pre-approval form signed by your principal
- A separate one-page course description.
- Once reviewed, you will receive an email verifying pre-approval.
UPON COURSE COMPLETION you must submit the following to
- Proof of payment that shows the course name and cost of the individual course. (Bursar’s office will have this information)
- Unofficial transcripts that show your name and the school’s name (only transcripts will be accepted)
* PRPIL PROGRAM – See form for instructions (Pre-approval Required)
Reimbursement Forms
- Teacher Tuition Reimbursement
- LPN Tuition Reimbursement
- Administrative Support (Clerks) Reimbursement
- Paraprofessional Tuition Reimbursement
- PRPIL Program Tuition Reimbursement
Path to Licensure