TRAVEL FORMS

Prior Approval Information - Current Rates
Substitutes: Certified = $128/ Non-certified = $104
Travel: 62.5 cents/mile (.625) (effective January 1, 2022)

Meals (only if overnight stay) 
Breakfast: $8.60
Lunch: $11.30
Dinner: In-State = $19.50   Out-of-State = $22.20

Overnight stay — only if destination is at least 35 miles from duty station or home, whichever is less. 

Allowable lodging rates: In-State = $75.10   Out-of-State = $88.70

Travel Reimbursement (Microsoft Excel) - UPDATED August 2022

Local Travell (Microsoft Excel) - UPDATED August 2022

Mileage Chart (PDF) for frequently visited sites - UPDATED September 2019

Reimbursement for Fuel in Buses

TIMESHEETS

2022-2023 Bus Driver Timesheet

2022-2023 Tutor Timesheet

FORMS FOR ADMINISTRATORS

Consultant Contract (Microsoft Word) - UPDATED 9/15/22

• Healthcare Reform and Your Benefits
• Employee Status Under Retirement Reemployment Laws - ESRR (This form must be completed by retirees who are receiving a benefit and are re-employed.) - UPDATED 10/22/18

Donation Acknowledgement (PDF)

Drivers' Education Instructor Contract (Microsoft Word)

Fund Raising Project - Request to Conduct

• Summary of Internal Fundraising Activity
• Summary of External Fundraising Activity

Stipend Payment Form (Microsoft Excel)

Student Accident Reporting Form (Microsoft Word)

Student Suspension Checklist (PDF)

Transfer Voucher (PDF) Use to request a transfer of funds from one account to another.

Tutor or Extended Employment Contract (Microsoft Excel) - UPDATED 1/4/23

• Healthcare Reform and Your Benefits
• ESRR - Employee Status Under Retirement Reemployment Laws (This form must be completed by retirees who are receiving a benefit and are re-employed.) - UPDATED 12/15/09

Volunteer Agreement (Microsoft Word) for classified and non-staff - UPDATED 9/30/10

Request for Notification before Non-Exempt Pesticide Applications - English Spanish (PDF)

FORMS FOR EMPLOYEES

PAR Reporting Template Personal Activity Report - UPDATED 9/1/22

Direct Deposit Form

Tax Withholding Forms

• Federal W-4 (2020)
• State NC-4 (2018)

Health Insurance

• Health Insurance Change Form
• Prior Coverage Form
• Other Health Forms

Dental

• Dental Claim Form

Teacher Installment Payment Option - Summer Pay Form 2022-2023

Student Transfer Requests for Employees Only - Forms are located on the Student Services Department page on the LCS website.