Documents for Faculty & Staff

This is a multi-user, campus-wide, searchable database for forms, schedules, handbooks and any other documents of general interest for faculty and staff members. Search results will list each item by title, category, description, date and document type (PDF, Word, Excel, or Online).

To find professional development opportunities and resources please visit the SCC Professional Development Database.

If you need access to this database to post your documents, contact Jarom Burbano.


 

  • LRCCD District Docs

    • Academic Calendar
      03/2014
      Schedule
      Los Rios Community College District calendar.
    • Adjunct and Overload Assignments Due Dates
      07/2014
      Document
      Adjunct and Overload Assignments Due Dates.
    • APPLICATION FOR CREDIT FOR SALARY SCHEDULE ADVANCEMENT FOR LOWER DIVISION UNITS AND NON-ACADEMIC ACTIVITIES
      08/2014
      Form
      LRCCD APPLICATION FOR CREDIT FOR SALARY SCHEDULE ADVANCEMENT FOR LOWER DIVISION UNITS AND NON-ACADEMIC ACTIVITIES
    • Catastrophic Sick Leave - Extended Paid Leave Application
      Form
      LRCCD Application for the Extended Paid Catastrophic Sick Leave. Go to http://www.losrios.edu/legal/Regulations/R-9000/R-9239.htm for the LRCCD regulation describing this benefit. [Must print to use]
    • Class Schedules
      04/2014
      Schedule
      Los Rios Community College Class Schedules.
    • Delta Dental - Enrollment/Change
      Document
    • Delta Dental Enrollment - Non Voluntary
      05/2005
      Document
      Delta 6028
    • DMV Driver Release Form (Employees and Students)
      03/2014
      Document
      The DMV driver release form is required to be completed annually by employees, students, and volunteers that may be driving District vehicles. For new drivers they must complete the form to start the process to become an "authorized" driver in order to drive District vehicles. District vehicles include cars, Suburbans, vans, utility carts, forklifts, and other powered industrial trucks.
    • Email Access Request Form - Temporary Classified / Student Employees
      02/2014
      Form
      The Temporary Classified (TCL)/Student Employees Email Access Request Form must be completed for each college TCL/Student employee who requires a Los Rios Community College email account.
    • Employment Service Agreement (ESA) - Academic P-132-A - On or after July 1, 2016
      07/2016
      Document
      Los Rios Community College District form: Employment Service Agreement (ESA) P-132-A active July 1, 2016. Employment Service Agreements (ESAs) are used to compensate employees for certain types of academic (instructional) assignments that are not part of their regular load, adjunct, or overload work. ***6/17/2016 SPECIAL NOTE: Use ESA Form 132-91 for ESAs with start date prior to July 1, 2016. Use new ESA form P-132-A for ESAs with start date on or after July 1, 2016.
    • Employment Service Agreement (ESA) REVISION Form - Academic P-132-A(R)
      07/2016
      Document
      Los Rios Community College District form: Employment Service Agreement (ESA) REVISION Form - Academic P-132-A(R) active July 1, 2016. Complete this form when making revisions to an existing ESA. Attach a copy of the original ESA or the most recent ESA revision so that Human Resources can reference the specific changes being made. If correcting errors (i.e. position number, retirement question, etc.) please do not submit a revision; instead, correct the original ESA by crossing out the incorrect information and entering the new information. The initiating/approving administrator(s) must initial next to these changes. A copy of the revised ESA must be provided to the employee.
    • Employment Service Agreement - Required Forms List
      Document
      ESAs are used to compensate certificated (academic) employees for certain types of assignments that are not part of regular load or adjunct and overload service.
    • Equivalency Verification
      Form
      This application requires evaluation for equivalency before screening and interviewing. Please use this form (P-38) for the equivalency process. For the composition and the procedure for the formation of the Equivalency Committee, refer to Los Rios Community College Administrative Policy/Regulation (R-5123, Sections 8.0 and 9.0. Form P-38).
    • Exclusion from CalPers Membership Notice - Temporary Classified
      Form
      PERS FORM AESD-139 [Must download to fill in, then print]
    • Faculty Availability Preference Form P-203
      07/2014
      Form
      Faculty Availability/Preference Form
    • Family Medical Leave - Certification of Physician or Practitioner
      Document
    • Final Exam Schedules (SCC)
      03/2014
      Schedule
      Sacramento City College Final Exam Schedules.
    • General Instructions to Development Leave Recipients
      08/2015
      Document
      Each instructor returning from sabbatical or professional development leave is required to submit to the District Office a detailed report of the results of his/her program.
    • Hartford - Benefits Enrollment Form 10-month Employee
      01/2011
      Form
      LRCCD Generic Enrollment Form [Must download/save, then print]
    • Information Security Incident Report
      09/2011
      Form
      For more information go to LRCCD Information Security website: losrios.edu/lrc/infosecurity.php
    • LRCCD Authorized Signer List
      04/2014
      Document
      LRCCD Authorized Signer List
    • LRCCD Calendars
      03/2015
      Document
      LRCCD Calendars includes the current fiscal/academic: 174 Day "Certificated Employee Work Schedule" Form (Excel), Academic Calendar, Academic Work Year Schedule, Classified Employee Work Schedule, and the Management Work Schedule.
    • LRCCD College Fingerprint Scanning Authorization Form
      03/2014
      Document
      LRCCD College Fingerprint Scanning Authorization Form
    • LRCCD Employee Concerns and Issues
      03/2014
      Form
      Employee Concerns and Issues. In line with our interest based approach to problem solving, employees should use this form to raise issues, concerns, or other items for resolution in an informal manner. Do not use this form for matters that are a violation of state law (i.e. sexual harassment and/or discrimination, workplace violence, formal grievances, etc.).
    • LRCCD Sabbatical Professional Development Leave Application
      08/2015
      Form
      SACRAMENTO CITY COLLEGE
    • LRCCD Student Grievance Form
      07/2014
      Form
      This form is to be used in the Student Grievance Process.
    • Name / Address Change - Employee
      06/2015
      Form
      P-113
    • Non-Employee Access (NEA) Request Form
      08/2010
      Form
      This form was created to simplify the collection of information required for establishing a new NEA.
    • Oversize Class Form SCC
      07/2014
      Document
      Oversize Class Authorization Form
    • PeopleSoft Financials
      03/2014
      Document
      PeopleSoft Financials
    • Performance Review - Classroom Faculty
      04/2008
      Form
      [Must download/save then print to use; Triplicate = WHITE-Human Resources, YELLOW-Administrator, PINK-Employee, GOLD-Reviewing Administrator]
    • Performance Review - Coordinator
      04/2005
      Form
      [Must download/save then print to use; Triplicate = WHITE-Human Resources, YELLOW-Administrator, PINK-Employee, GOLD-Reviewing Administrator]
    • Professional Development Application Instructions
      08/2014
      Document
      A few instructions to help you complete your application for sabbatical/professional development leave.
    • Professional Development Leave Application Supplemental Information Form
      01/2014
      Form
      Sabbatical/Professional Development Leave Application Supplemental Information Form.
    • Professional Expert Agreement (PEX) P-132-P
      07/2016
      Document
      Los Rios Community College District form: Professional Expert Agreement (PEX) P-132-P active July 1, 2016. Professional Expert Agreements (PEXs) are used for non-academic services wherein professional expertise and/or specialized knowledge are required. Professional Experts are to be hired on a short-term, temporary basis for a specific project (Education Code 88003). Professional Experts are not part of the classified service; therefore, the services rendered on a PEX cannot be found within an existing LRCCD job description. For revisions use PEX Revision Form P-132-P(R).
    • Professional Expert Agreement (PEX) REVISION Form P-132-P(R)
      07/2016
      Document
      Los Rios Community College District form: Professional Expert Agreement (PEX) REVISION P-132-P(R) active July 1, 2016. Complete this form when making revisions to an existing PEX. Attach a copy of the original PEX or the most recent PEX revision so that Human Resources can reference the specific changes being made. If correcting errors (i.e. position number, retirement question, etc.) please do not submit a revision; instead, please correct the original PEX by crossing out the incorrect information and entering the new information. The initiating/approving administrator(s) must initial next to these changes. A copy of the revised PEX must be provided to the employee.
    • Remuneration Information
      02/2014
      Document
      Remuneration Information of the Sabbatical Professional Development Leave Application.
    • Salary Reduction Agreement - SRA (Entire Packet) (403(b) TSA, 457(b) DCP Envoy Service Plan
      Form
    • SCC Authorized Signer List
      04/2014
      Document
      SCC Authorized Signer List
    • Service Animal Registration
      03/2014
      Form
      Service Animal Registration
    • Standard Mileage Rate
      02/2014
      Document
      District Mileage Rate.
    • Steps to Success
      03/2014
      Document
      Los Rios Community College Steps to Success.
    • Student/ Non-Employee DMV Driver Record Release
      03/2014
      Form
      Students or volunteers (non-employee) that may be driving District vehicles, utility carts and/or power industrial trucks shall complete this authorization for release of driver record information.
    • Taxpayer Identification Number and Certification (W-9) Request Form
      08/2013
      Form
      Purpose of Form: A person who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) to report, for example, income paid to you, payments made to you in settlement of payment card and third party network transactions, real estate transactions, mortgage interest you paid, acquisition or abandonment of secured property, cancellation of debt, or contributions you made to an IRA. Form W-9
    • Temporary Classified Hiring Forms List
      Document
      Listed on this webpage are links to all forms which must accompany each "Intent to Employ" for NEW Temporary Classified Employee's.
    • Temporary Employee Compliance Checklist Temporary Classified, Student Help, Federal Work Study or ESA (Employee Service Agreement)
      Form
    • Transaction Request Form - Envoy Plan Services
      07/2009
      Form
      • All transaction requests must be submitted to Envoy Plan Services for review and certification on behalf of your Employer. • A Transaction Request Form must be completed and accompany all transaction requests submitted to Envoy Plan Services. • The Transaction Request Form is located on the Envoy Plan Services website at www.envoyplanservices.com. • Transaction requests include: Loans Distributions - Separation from service - Age 59 ½ ? - Required minimum distribution (RMD) Rollovers 403(b) Hardship Withdrawals 457(b) Unforeseen Emergency Contract Exchanges Transfers Qualified Domestic Relations Order (QDRO)
    • Type C Leave Application
      01/2014
      Form
      P145: Application for Type C Professional Development Leave (faculty only). For Type C Leave criteria and conditions, refer to LRCFT contract Article 11, Section 11.7 (located on the second page) Deadlines: For Fall semester leaves, application should be submitted by April 1. For Spring semester leaves, application should be submitted by November 1.
    • Vehicle Use Pre/Post-Trip Inspection Forms
      03/2014
      Form
      Vehicle Use Pre/Post-Trip Inspection Form
    • Volunteer Release Form
      03/2014
      Form
      Volunteer Release Form
    • Waiver/Assumption of Risk and Agreement to Participate - Employee
      07/2013
      Form
      GS 14: This is a release of liability and assumption of risk agreement while participating in an LRCCD activity that can involve risk or injury,