These forms are only to be completed by individuals already hired for employment. Print and complete all forms below. Then contact Sarah Andrews, Benefits Personnel Specialist, 610-799-1303 or andrewss@lcti.org for an appointment to submit and review all required paperwork.
New Employee Checklist
To Do Items:
- HEALTH / PHYSICAL FORM | Physical and TB test required at employee cost prior to hire.
- ACT 34 – PA CRIMINAL CLEARANCE | Apply Online | Print certificate and present to LCTI.
- ACT 151 – CHILD ABUSE CLEARANCE | Apply Online| Present original to LCTI upon receipt.
- ACT 114 – FBI CRIMINAL BACKGROUND CHECK | Link to start fingerprinting process
- Follow the link to IdentoGO to schedule a fingerprinting appointment. The Service Code for LCTI is 1KG6NX.
- Take required IdentoGO documentation, acceptable form of ID, and a valid credit card or money order to one of the listed Enrollment Centers for fingerprinting.
- Enter your zip code when registering for your appointment to find the Enrollment Center closest to you.
- Upon completion of fingerprinting, please submit the receipt from the Enrollment Center to LCTI Human Resources.
- Information on Federal Criminal History Background Checks
Forms To Complete:
- PDE 6004 Arrest/Conviction Report Form
- PA Sexual Misconduct-Abuse Disclosure Release Form DPTT
- Complete the Name/Address/Phone of current/former employer and Section 1 only
- By law as of 12/22/14, one form must be completed for each of the following:
- Current Employer
- Each former employer that was a school entity
- Each former employer where you were employed in a position that involved direct contact with children
- DIRECT DEPOSIT SIGN-UP FORM | Please provide a voided check or bank letter verifying ABA # and Bank Account$
- FORM W-4
- FORM I-9 | Instructions | Please provide, in person, original form(s) of identification as per page 3
- ACT 32 LOCAL TAX FORM
- LOCAL SERVICE TAX (LST) FORM | APPLICATION FOR EXEMPTION FROM LST TAX (Complete only if requesting exemption)
- ACT 29 – Prior PSERS Employment
- WORKER’S COMPENSATION – EMPLOYEE’S RIGHTS AND DUTIES
- WORKER’S COMPENSATION INFORMATION
- WORK RELATED INJURY PROCEDURES
- COMPLETE ONLINE ASSIGNED TRAINING VIDEOS – You will receive an email with instructions. Please complete ASAP.
- AUTODIALING CONFIRMATION AND PHONE NUMBER REQUEST FORM
- SIGN-OFF SHEET | LCTI POLICY #815 – INTERNET ACCEPTABLE USE POLICY
- SIGN-OFF SHEET THAT EACH OF THE FOLLOWING DOCUMENTS WERE READ
Select each of the following and read:- RIGHT-TO-KNOW BOOKLET
- PRIVACY PRACTICES NOTICE
- PSERS NEW EMPLOYEE INFORMATION 7-19
- OPTIONAL 403(b) PLAN INFORMATION
- AESOP SUBSTITUTE WEB GUIDE OR AESOP EMPLOYEE WEB GUIDE
- AESOP SUBSTITUTE PHONE GUIDE OR AESOP EMPLOYEE PHONE GUIDE
- HEALTH INSURANCE MARKETPLACE COVERAGE OPTIONS NOTICE
- NO SURPRISE BILLING ACT MODEL NOTICE
Additional forms may be required based on employee group
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