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Employee Forms


Admin Building

Contact Us

Human Resources Office

Phone: (270) 384-8203

Fax: (270) 384-7373


Mailing Address

Human Resources Office

210 Lindsey Wilson Street

Columbia, Kentucky 42728

Anthem Health Insurance Application

Anthem Health Inurance Termination Form

Health Insurance Election Form

Guardian Dental Application

Guardian Dental Benefit Summary

Avesis Vision Application

Avesis Vision Summary

Anthem Option 1  Core Plan Summary

Anthem Option 2 Buy Up Plan Summary   

LWC Core Plan Medical Benefit Summary

LWC Buy-up Plan Medical Benefit Summary

LWC Employee Benefit Summary

Ameriflex Enrollment Application

Mutual of Omaha Beneficiary Designation Form

Short Term Disability Claim Form


Direct Deposit Form

Absence Request Form

2014-2015 Bi-Weekly Pay Schedule

2014-2015 Monthly Pay Schedule

2014-2015 Federal Work Study Pay Schedule

Banner Web Time Entry for User's

Banner Web Time Entry for Approver's 

Timesheet Quick Sheet

Understanding Your Paycheck


New Hire

I-9 Form

W-4 Form

K-4 Form

Background Check Form

Drug Policy

Workers Compensation

First Report of Injury - Workers Compensation


TIAA - Defined Contribution Instructions

TIAA - Supplemental Instuctions

Nationwide Retirement Application

Nationwide Beneficiary Change Form

Retirement Authorization to Deduct Form

Return completed forms to the Human Resources Office.

Admin Building



Contact Us:

Human Resources Office

210 Lindsey Wilson Street

Columbia, KY, 42728

Phone: (270) 384-8203

Fax: (270) 384-7407




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Every Student, Every Day
2008 Lindsey Wilson College
210 Lindsey Wilson St. Columbia, Ky 42728
Local: (270) 384-2126
Fax: (270) 384-8200
Toll Free: (800) 264-0138