This information applies only to FULL-TIME EMPLOYEES:

Please reference the Benefit Overview document to assist in completing the benefit forms or contact Human Resources with any questions. Please return all completed forms to Human Resources.

• Orientation Checklist
• Employee Information Sheet
• 2024 Federal W-4 Form
• 2021 Nebraska W-4
• I-9 Form Please click on the fillable or paper version.

(Original forms of identification are required. See page 4 of I-9 for acceptable documents. Provide one document from Column A or one from B and one from C. Please bring original IDs to Human Resources upon your arrival on campus.)

• Direct Deposit (Required) Include a voided check; full-time employees are paid monthly, on the last business day.
• Flex 125 Plan (Plan Year is September 1 – August 31. Optional enrollment)
  • FSA Enrollment Form
• Madison National Life Form  (Life, Optional Life and Long Term Disability Insurance)
  • Frequently Asked Questions for AD&D and Life Insurance
• Blue Cross Blue Shield Enrollment Form (Coverage begins on the first of the month if you start work on the first. If not, coverage will begin on the first of the following month. If you begin working on the first of the month, a double deduction will occur in the first payroll as we are required to pay BCBS premiums one month in advance.)
• TIAA-CREF Retirement Enrollment  - Mandatory for employees age 30 and above.
  • Universal Availability Notice
• Salary Reduction Agreement for Retirement
• VSP Enrollment Form - Vision Insurance
• Drug Free & Reasonable Cause Acknowledgement
  • Board Policy 5006
  • Board Policy 5009
• Employee Computer Account Request Form
• Key Request Form
• Background Check Form
• Health Insurance Marketplace Coverage

This information applies only to PART-TIME EMPLOYEES; specifically:

•   Adjunct Instructors
•   Graduate Assistants

All forms are to be completed and returned to Human Resources (Sparks Hall, Room 122) 
prior to employment beginning.  Contact HR at hr@lixubing.com or 308-432-6224 with questions.

• Employee Information Sheet
• 2024 Federal W-4 Form
• 2021 Nebraska W-4
• I-9 (Please click on the fillable or paper version)

(Original forms of identification are required. See page 4 of I-9 for acceptable documents. Provide one document from Column A or one from B and one from C. Please bring original IDs to Human Resources upon your arrival on campus.)

• Direct Deposit (required) include a voided check 
• Health Insurance Marketplace Coverage
• Drug Free & Reasonable Cause Acknowledgement
  • Board Policies 5006 & 5009 - informational
• CSC Employment Application
• Employee Computer Account Request Form
• Key Request Form- on-campus employees as needed
• Background Check Form ~ (employment is conditional upon satisfactory background check)

Adjuncts will also need to request official transcripts be sent to CSC Human Resources at HR@lixubing.com.

2023 Staff Non-Exempt Work/Leave Reports

• October
• November
• December

2024 Staff Non-Exempt Work/Leave Reports

• January
• February
• March
• April
• May
• June
• July
• August
• September
• October
• November
• December