Forms
Payroll
- Direct Deposit Change
- Lost or Stolen Check Replacement Request
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Request for Duplicate Form W-2
W-2s from 2014 and beyond are available in Workday. - Update W-4 Tax Withholding Elections
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Metro/MultCo OPT Tax Form
Metro Supportive Housing Services Tax (SHS)
Multnomah County Preschool for All Tax (PFA) - Payroll Address Change
Personnel Action Form (PAF)
Accommodations
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Reasonable Accommodation Request
Assist the College in making reasonable accommodations. -
Disability Verification
Determine your eligibility for accommodations.
Sick Leave Sharing Program
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Sick Leave Sharing Program Request Form
You may apply to receive additional sick leave pay after exhausting your own accrued sick leave and vacation hours due to your own serious illness.
Employee Tuition Programs
On the Job Injury
Leave of Absence
- Packet of Information - FMLA
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Leave of Absence request for Family or Medical Leave
To take your FMLA/OFLA protected leave, please submit your request. -
Certification from Health Care Provider for Employee’s Serious Health Condition
Have your healthcare provider complete if you are taking time off for your own medical condition. -
Certification from Health Care Provider for Family Member’s Serious Health Condition
Give this form to your family member’s healthcare provider to document the need to provide care. -
Certification from Health Care Provider for Serious Injury or Illness of Covered Servicemember
Give this form to your covered servicemember’s health care provider to document the need to provide care.
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Fitness for Duty Form
If applicable, have your healthcare provider complete this form at the end of your own serious health condition leave to ensure you are physically ready to return to work.
Position Changes and Additions
- Position Description Questionnaire (PDQ) - For union/non-exempt positions (LCCSSA/Teamster) ONLY. Required to make changes to a current position or to create a new position.
- Position Success Profile Worksheet
- PDQ Worksheet for Tasks
- Skill and Competency Scoring Matrix
- Interview Rubric Sample
- Interview Questions Template with Sample Questions
- Equity and Empowerment Lens Logic Model
Performance Evaluations
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Exempt Staff Evaluation
- Support Staff Evaluation
- Performance Planning and Review Discussion Form
- Code of Ethics
- Performance Evaluation Tip Sheet
- Making Performance Evaluations Relevant Presentation
- Competency Evaluation Template
- Evaluation Process Example
- Self Evaluation Template
- Administrative Evaluation Report Template
Leaving the College
Human Resources is located in Lower McAfee on the Undergraduate Campus.
MSC: 72
email hr@lclark.edu
voice 503-768-6235
fax 503-768-6233
Associate Vice President & Chief Human Resources Officer Helen Howell
Human Resources
Lewis & Clark
615 S. Palatine Hill Road MSC 72
Portland OR 97219