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Temporary Employee Agreement ePAR Request Form
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*Copy form as neededSubmit AT LEAST 4 WEEKS before services begin. Fill in the green cells.
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ePAR #
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Requesting Department: FINE ARTS
Request Date:
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Contact Name:
Contact Phone:
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Contact Email:
Alternate Phone:
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Request Type:
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IndividualXGroup
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EPAR Type: * use group attachment worksheet
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EHA Certified
EHA Classified
TEAXOT
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*For Temporary Employees new to the district, please give 4 week turnaround to fully approve contract.
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Employee Name:
LCPS ID:
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 * use group attachment worksheet
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Employee contact info. if TEA:
Address:Phone:
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Email:
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Estimated Start Date:
Estimated End Date:
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Hours work to be performed:
From:To: *please specify am or pm
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For Individual:
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Hourly Rate:
*Rate of pay is contingent on terms of collective bargaining agreements and work to be performed.
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Total Hours:
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$0.00
<----- Do not exceed your allocated funding total.
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Fringe:$0.0029.69%
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Total Contract:$0.00
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Detailed Description of services enter the (5Ws) Below
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PLEASE BE AWARE THAT THE EMPLOYEE CAN NOT BEGIN WORKING UNTIL EHA HAS BEEN FULLY APPROVED!
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Requester's SignatureType your name here
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Office Use Only:
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Date Received:
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Request Status:Approved:Declined:
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Funding Source:
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Account Code:
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Control Agent Signature:
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rev 9/16/2022
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