Forms


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A19 Invoice Voucher

Submit this form to claim payment for materials, merchandise or services.

Tags: Administrator, Business Office, Faculty, Reimbursement, Staff


Academic Dishonesty Report Form

Submit this form to report incidents of Academic Dishonesty.

Tags: Academics, Administrator, Faculty, Security, Student Services


Academic Standards Committee Petition

Submit this form to request changes to your official college transcript or enrollment record, substitution or waiver of graduation requirements, late withdraw, or other reason.

Tags: Academics, Student, Student Services


Accident or Injury Report

Submit this form to report an Accident or Injury

Tags: Administrator, Faculty, HR, Safety, Security, Staff, Student


Administrator Performance Appraisal (Procedure)

Read this document to learn about administrator performance appraisal.

Tags: Administrator, Exempt, Faculty, HR, Professional Development, Staff


Tags: Administrator, Exempt, Faculty, HR, Professional Development, Staff


Advisor Responsibilities (Advisor Agreement and Approval)

Submit this form to agree to the terms and conditions for advisors of student co-curricular, organization or clubs (COCC). >Must accompany COCC Application.

Tags: ASLCC, Faculty, Staff


Application for Course Retake for Grade Improvement

Submit this form to request an earlier grade to be disregarded for a class taken more than one time.

Tags: Academics, Registration, Student, Student Services


Background Check Authorization Form

Submit this form to authorize Lower Columbia College to perform a formal background check for consideration of employment.

Tags: Employment, HR


Behavior Contract

Submit this form for a student who displays disrespectful or inappropriate behavior in the classroom.

Tags: Academics, Faculty, Instruction, Student, Student Services


Behavioral Intervention Team Form (BIT)

Submit this form to report incidents of academic dishonesty, code of student conduct violations, concerning or threatening behavior, discrimination or sexual misconduct.

Tags: Administrator, Faculty, Safety, Security, Staff, Student


Bulk Mail Procedures Form

Fill out this form for bulk mail of 200 or more identical pieces. Provides information on how to properly bundle the mail into area categories.

Tags: Campus Services, Faculty, Print, Staff


Business Card Request

Submit this form to request employee business cards.

Tags: Business Office, Employment, Faculty, Staff


CCOC Application (Student Co-Curricular, Organization or Club - COCC)

Submit this form to charter or reauthorize a student co-curricular, organization, or club (COCC). Must accompany Advisors Responsibilities.

Tags: ASLCC, Faculty, Staff, Student


Change of Academic Program Request

Use this form to request a change to your academic program (major).

Tags: Faculty, Instruction, Student


Class Observation Feedback Form

Submit this form to document class observation in a traditional classroom.

Tags: Faculty, Instruction, Professional Development


Class Observation Feedback Form (eLearning)

Submit this form to document class observation in an eLearning (online) classroom

Tags: Faculty, Instruction, Professional Development


Classified Employee Performance Development Plan (Users Guide)

Read State of Washington Performance and Development Plan Guide for classified employees.

Tags: Administrator, Classified, HR, Professional Development, Staff


Classified Employee Performance Development Plan (Step 1: Instructions)

Read State of Washington Performance and Development Plan Instructions for classified employees

Tags: Administrator, Classified, HR, Professional Development, Staff


Classified Employee Performance Development Plan (Step 2: Expectations)

Submit this form to document Performance and Development Plan (PDP) Expectations for classified employees.

Tags: Administrator, Classified, HR, Professional Development, Staff


Classified Employee Performance Development Plan (Step 3: Evaluation)

Submit this form to document Performance and Development Plan (PDP) Evaluation for classified employees.

Tags: Administrator, Classified, HR, Professional Development, Staff


Classified Employee PPE Footwear Form

Submit this form to request reimbursement for required PPE footwear.

Tags: Administrator, Faculty, HR, Reimbursement, Staff


Classified Employee Training Request

Submit this form to request professional development training for classified employees.

Tags: Administrator, Classified, HR, Professional Development, Staff


Club Fund Application

Submit this form to request goods, services, and equipment for a co-curricular, organization or club (COCC).

Tags: ASLCC, Faculty, Staff, Student


Co-Curricular and Organization Budget Application

Submit this form to submit a budget for a student co-curricular, organization or club (COCC).

Tags: ASLCC, Faculty, Staff


Continuity of Operations (COOP) Template

Submit this form to identify the order of succession, critical functions and key personnel as identified in the Emergency Operations Plan.

Tags: Administrator, Employment, Exempt, HR, Staff


Credit Card Purchase Request / Prior Approval / Receipt Routing Form

Submit this form to get pre-approval to check out a college credit card and make purchases.

Tags: Administrator, Business Office, Faculty, Purchase, Staff


Discrimination/Harassment Complaint Form

Submit this form to report incidents of Discrimination or Harassment

Tags: Administrator, Faculty, Safety, Security, Staff, Student


Employee Verification for Public Record Exemption

Exempting the disclosure of certain information of agency employees or their dependents who are survivors of domestic violence, sexual assault, harassment, or stalking.

Tags: Administrator, Business Office, Employment, Faculty, HR, Staff


Excess Annual Leave Deferral Form

Complete this form to have excess leave hours approved.

Tags: Faculty, HR, Staff


Exempt Performance Appraisal (Procedure)

Read this document to learn about exempt employee performance appraisal.

Tags: Administrator, Exempt, Faculty, HR, Professional Development, Staff


Exempt Performance Appraisal (Individual Development Plan - IDP)

Submit this form to evaluate the performance of an exempt employee.

Tags: Administrator, Exempt, Faculty, HR, Professional Development, Staff


Exempt Professional Development Training Request 

Submit this form to request professional development training for an exempt employee.

Tags: Administrator, Exempt, HR, Professional Development


Expense Transfer (Revenue/Expenditure Correction Form)

Submit this form to correct any revenue or expenditure.

Tags: Administrator, Business Office, Faculty, Purchase, Staff


Exit Checklist (Employee Separation Checklist)

Submit this form upon separation from employment with Lower Columbia College.

Tags: Administrator, Employment, Faculty, HR, Payroll, Staff


Faculty Development Application

Submit this form to obtain approval for faculty development activities

Tags: Faculty, Professional Development


Faculty Telework Agreement

Use this Google form to schedule your telework hours.

Tags: Employment, Faculty, HR


Fax Cover Letter (PDF)

Use this PDF form to accompany faxed information

Tags: Administrator, Faculty, Staff


Fax Cover Letter (Word)

Use this Word form to accompany faxed information

Tags: Administrator, Faculty, Staff


Foundation Fundraising Guidelines

Complete this form to request fundraising activity approval.

Tags: Administrator, Faculty, Foundation, Fundraising, Staff


Foundation Non-Cash Gift-in-Kind

Complete this form to give a non-cash gift to the LCC Foundation.

Tags: All Employees, Foundation, Fundraising


Grade Forgiveness

Submit this form to request grades to be removed from your transcript.

Tags: Academics, Registration, Student, Student Services


Hosting (Vending) Funds Request

Submit this form to request funds for payment to vendor.

Tags: Administrator, Business Office, Faculty, Foundation, Purchase, Staff


Hall of Honors Nomination Form (Word)

Submit this Word form to nominate current LCC freshman and sophomores for the ASLCC Hall of Honors.

Tags: Administrator, ASLCC, Faculty, Staff, Student


Hall of Honors Nomination form (PDF)

Submit this PDF form to nominate current LCC freshman and sophomores for the ASLCC Hall of Honors.

Tags: Administrator, ASLCC, Faculty, Staff, Student


High Risk Employee Accommodation Request Form

High Risk Employee Accommodation Request Form

Tags: HR


How to Set up Direct Deposit

Instructions on how to automatically transfer (direct deposit) your salary into your account in a designated financial institution.

Tags: Administrator, Business Office, Employment, Faculty, HR, Payroll, Staff


Incident Reporting Form

Submit this form to report incidents of academic dishonesty, code of student conduct violations, concerning or threatening behavior, discrimination or sexual misconduct.

Tags: Administrator, Faculty, Safety, Security, Staff, Student


Incomplete Grade Submission Form

Complete this form at grading time for any student being assigned a grade of "incomplete".

Tags: Faculty


Instructional Unit Request

Full-time probationary and tenure faculty complete this form to select a second instructional unit. 

Tags: Full-time Faculty


IT Support Center/Help Desk

Login to submit a ticket or access the knowledge base.

Tags: Administrator, Faculty, IT, Staff


Jury Duty Request (for students)

Submit this form to excuse a student from class for jury duty.

Tags: Faculty, Student Services


Key Request Form

Submit this form to request a key to your room or building. Supervisor approval required.

Tags: Administrator, Campus Services, Faculty, Key, Staff


Library Materials Request

Submit this form to recommend items for purchase by the LCC Library

Tags: Faculty, Instruction, Library


Library Classroom Chromebooks Request Form

Fill out this form to request Library Chromebooks for classroom use.

Tags: Classroom, Faculty, Library


Library Course Reserves Request

Submit this form to request an item be placed on reserve in the Library for your course.

Tags: Faculty, Instruction, Library


Make a Report

Submit this form to report incidents of academic dishonesty, code of student conduct violations, concerning or threatening behavior, discrimination or sexual misconduct.

Tags: Administrator, Faculty, Safety, Security, Staff, Student


Meals Refreshments with Meetings

Submit this form to request approval to provide coffee, light refreshments, or meals with meetings.

Tags: Administrator, Business Office, Meeting, Purchase, Staff


Medical Withdrawal Form

Students must submit this form to withdraw from some or all of their classes–by the published deadline–for medical reasons.

Tags: Academics, Student, Student Services


Monthly Lobbying Form

Complete this form to report lobbying.

Tags: Human Resources


Move Request

Submit this form to request help moving office items such as furniture and phones. May also accompany Surplus Equipment Removal Form.

Tags: Administrator, Campus Services, Faculty, Move, Staff, Surplus


Move Request (Instructions)

Read this document to learn how to complete a Move Request.

Tags: Administrator, Campus Services, Faculty, Move, Staff, Surplus


Name Tag Request Form

Use this form to request an employee name tag via your Vice President’s Executive Assistant.

Tags: Administrator, Exempt, Faculty, Staff


Non-permanent Part-time appointment notice 

This form us for a notice to employee non-permanent part-time appointments

Tags: Human Resources


Part-Time Employee Performance Evaluation Form

Submit this form for your Part-time Employee Performance Evaluation.

Tags: HR, Professional Development, Staff


Payroll Deduction Form (2017 version - Employee Commitment Form for Foundation donation)

Submit this form to start or change an automatic payroll deduction to the Foundation.

Tags: Administrator, Faculty, Foundation, Payroll, Staff


Payroll Schedule

Current year payroll schedule for all employees.

Tags: Administrator, Faculty, HR, Payroll, Staff


Performance Agreement (Contract) for Reserving Entertainment

Submit this form before booking or confirming any speaker, entertainment or guest.

Tags: Administrator, ASLCC, Business Office, Faculty, Staff, Student, Student Services


Petition for Academic Reinstatement

Submit this format least six weeks prior to the start of the quarter you wish to re-enroll.

Tags: Academics, Student, Student Services


Photo & Story Release Form

Use this form to obtain permission to use a story and/or photograph in any LCC or LCC Foundation publications, web site content or social media posts.

Tags: College Relations, Foundation, Marketing, Public, Student


Position Description Template

Use this form to create a proper description for a position.

Tags: Administrator, HR, Job


Privately Owned Vehicle (POV) Travel Authorization

Submit this form to agree to the terms for using a privately owned vehicle (POV) for service and activities fee sponsored activities.

Tags: ASLCC, Faculty, Staff


Professional Development Units (PDU) Application

Submit this form when your activity has been completed. Include all documentation as defined in the Faculty Association Agreement.

Tags: Faculty, Instruction, Professional Development


25Live Room Reservation and Web Calendar Publish

Access the 25Live system to view and request rooms (or space) in academic classrooms or multi-purpose spaces and to submit events to be published on the web calendar.

Tags: 25Live, Administrator, Faculty, Staff


Security Camera (Authorized User and Operator Code of Conduct)

Submit this form to agree to security camera user code of conduct and other rules and regulations .

Tags: Administrator, Campus Services, Faculty, Safety, Security, Staff


Security Camera (Installation Request)

Submit this form to request installation of a security camera.

Tags: Administrator, Campus Services, Faculty, Safety, Security, Staff


Sexual Misconduct Report Form

Submit this form to report incidents of Sexual Misconduct

Tags: Administrator, Classified, Exempt, Faculty, HR, Security, Staff, Student, Student Services


Shared Leave (Donation)

Submit this form to donate your leave hours to another employee.

Tags: Administrator, Faculty, HR, Payroll, Staff


Shared Leave (Request Form)

Submit this form to receive shared leave through the shared leave program.

Tags: Administrator, Faculty, HR, Payroll, Staff


Student Academic Grievance Petition

Submit this form to initiate the informal academic resolution procedure.

Tags: Academics, Faculty, Student, Student Services


Student Conduct Incident Report

Complete this form to file a formal student conduct complaint.

Tags: Academics, Student, Student Services


Student Help Action Form

Submit this form to hire, terminate, or make changes to a student help position.

Tags: Employment, HR, Job, Payroll, Student


Student Hiring Instructions

Please follow these steps to hire a student employee.

Tags: Employment, HR, Job, Payroll, Student


Student Personal Vehicle Operation Acknowledgment Form

Submit this form to acknowledge compliance with the rules and requirements for authorized drivers when operating privately owned vehicles on official LCC business (including: employees, students and volunteers).

Tags: Campus Services, Faculty, Safety, Staff, Student, Travel


Summer Schedule Request Form

Submit this form to request that your normal work schedule be changed to your specified summer schedule.

Tags: Administrator, Employment, HR, Payroll, Staff


Surplus Equipment Removal

Submit this form to request removal of surplus equipment by Campus Services. May also accompany Move Request Form.

Tags: Administrator, Campus Services, Faculty, Move, Staff, Surplus


Tech Fee Fund Request Form

Complete this form to request equipment and/or technology to be purchased using Student Technology Fee funds.

Tags: ASLCC, Purchase, Student, Student Services, Technology


Telework Agreement

Use this Google form to schedule your telework hours.

Tags: Employment, HR


Temporary Appointment Notice

Submit this form to hire a part-time temporary employee.

Tags: Classified, Employment, HR, Job, Staff


Temporary Cash Request

Submit this form to request temporary cash from the Business Office.

Tags: Administrator, Faculty, Staff


Test Proctoring Center Request

Submit this form to provide the Test Proctoring Center with instructions for testing your students.

Tags: Academics, Faculty, Instruction


Threatening Behavior Report Form

Submit this form to report Threatening Behavior

Tags: Administrator, Classified, Exempt, Faculty, HR, Security, Staff, Student, Student Services


Time & Effort Reporting

Submit this form for contract and grant certification.

Tags: Business Office, Faculty, Staff


Transfer of Advisor Role

Submit this form to transfer advisor responsibilities for a student co-curricular, organization or club (COCC)..

Tags: ASLCC, Faculty, Staff


Travel Authorization (A-40)

Submit this form to authorize travel expenditures.

Tags: Administrator, Business Office, Faculty, Reimbursement, Staff, Travel


Travel Expense Voucher (Current)

Submit this form to document your travel expenditures after they are completed. Must be accompanied by Prior Approval for Travel.

Tags: Administrator, Business Office, Faculty, Reimbursement, Staff, Travel


Travel Expense Voucher (Example)

View this example of a completed travel expense voucher.

Tags: Administrator, Business Office, Faculty, Reimbursement, Staff, Travel


Travel Expense Voucher (Instructions)

Read these instructions on how to properly filling out a travel expense voucher.

Tags: Administrator, Business Office, Faculty, Reimbursement, Staff, Travel


Travel (Prior Approval For Travel)

Submit this form to get prior authorization for travel expenditures. You must submit this form before incurring any travel expenses.

Tags: Administrator, Business Office, Faculty, Reimbursement, Staff, Travel


Travel (Per Diem Rates by County - Washington State)

Information on the per diem reimbursement rate for all counties in Washington State.

Tags: Administrator, Business Office, Faculty, Reimbursement, Staff, Travel


Travel (Per Diem Rates - Out of State Travel)

Information on the per diem reimbursement rate for all cities and states outside of Washington State. Search by city, state or zip code.

Tags: Administrator, Business Office, Faculty, Reimbursement, Staff, Travel


Travel Mileage Reimbursement (Examples)

View these examples to determine when mileage is reimbursed.

Tags: Administrator, Business Office, Faculty, Mileage, Reimbursement, Staff, Travel


Tuition Waiver Form (LCC)

Submit this form to waive tuition costs for LCC classes as a state employee.

Tags: Administrator, Faculty, HR, Staff, Tuition


Tuition Waiver Form (WSU)

Complete this form to waive tuition costs for WSU classes as a state employee.

Tags: Administrator, Faculty, HR, Staff, Tuition


Tuition Waiver Information (Northcentral University)

Read this information to learn about LCC's agreement with Northcentral University

Tags: Administrator, Faculty, HR, Staff, Tuition


Tuition Waiver Information (University of Phoenix)

Read this information to learn about LCC's educational partnership with University of Phoenix

Tags: Administrator, Faculty, HR, Staff, Tuition


Vocational Excess Credit Tuition Waiver Request

Per RCW 28B.15.100(3), community and technical colleges may waive all or a portion of the additional operating fee charged for each credit hour in excess of eighteen for students registered exclusively for required courses in vocational preparatory programs.

Tags: Faculty


Volunteer Agreement (Procedure for Non-Employee Volunteer Services)

Read this information and submit this form to enter into a non-employee volunteer agreement.

Tags: Administrator, ASLCC, Employment, Faculty, HR, Staff


W4 Form

Submit this form to to withhold the correct federal income tax from your payroll.

Tags: Administrator, Employment, Faculty, HR, Payroll, Staff


W4 Form Oregon

Submit this form to to withhold the correct federal income tax from your payroll.

Tags: Administrator, Employment, Faculty, HR, Payroll, Staff


W4 Oregon Withholding Instructions

Form OR-W-4 is designed to estimate the amount of tax you’ll need to have withheld for Oregon.  

Tags: Administrator, Employment, Faculty, HR, Payroll, Staff


W9 Form

Submit this form for request of taxpayer ID number and certification.

Tags: Administrator, Employment, Faculty, HR, Payroll, Staff


Washington Whistleblower Complaint Form

Fill out this form to submit a complaint to the Washington State Auditor.

Tags: Employment, Faculty, HR, Staff


Tags: Employment, HR, Work Study


Work Order Request

Login to submit a request to have work done on a building or outdoor location by Campus Services. Department budget number required.

Tags: Administrator, Campus Services, Faculty, Staff, Work Order


Work Order Request (Information)

Read this information to learn how to make a correct Work Order Request.

Tags: Administrator, Campus Services, Faculty, Help, Staff, Work Order


Work Study Referral Form

Submit this form to hire a work study student.

Tags: Faculty, HR, Staff