Webmail Phone List
6/20/2025
LEO OnBase OnBase Mobile Google
HR E-Forms for CRT
➤ Attendance / Leave ➤ ADA ➤ Benefits
➤ CPTP ➤ Drug Testing ➤ New Hire
➤ Orientation ➤ CPM (old PES system) ➤ Personal Data
➤ Personnel Action ➤ Position Description ➤ Pre-Employment
➤ Recruitment ➤ Retirement/Lasers ➤ Safety

Attendance/Leave
Work Schedule Form revised 2/2019 - Work Schedule Form
Unscheduled Absenteeism Violation Form revised 3/2014 Unscheduled Absenteeism Violation Form -
PTMW Quick Reference Guide revised 2/2021 - PTMW Quick Reference Guide
Prior Period Adjustment Online Form instructions
Prior Pay Period Adjustment Form
Library staff
web form

Americans with Disabilities Act
Medical Inquiry Form - pdf_icon.png
Request for Accommodation Form - Request for Accommodation Form pdf
Voluntary Self-Identification of Disability form - Request for Accommodation Form pdf

Benefits
Websites for Benefits Providers word_icon.png -
LASERS Forms
01-06 Designation of Beneficiary - Designation of Beneficiary
01-01 Membership Registration
*Upon completion by the employee, this form must be forwarded
to the Human Resources Division for certification.
- Membership Registration
01-13 Benefit Forfeiture - 01-13 Benefit Forfeiture
LA Deferred Compensation
Deferred Compensation Benefits - Deferred Compensation Benefits
Online Enrollment Procedures - Deferred Comp Online Enrollment Procedure PDF
Office of Group Benefits Forms
2024 Flexible Benefits Enrollment Form - 2024 Flexible Benefits Enrollment and Stop Form
Flexible Benefits Plan webpage
Options for Health Insurance Coverage
(Affordable Care Act) Notice
- Options for Health Insurance Coverage (Affordable Care Act) Notice
Affordable Care Act Acknowledgement Form - Affordable Care Act Acknowledgement Form
2024 OGB Medical Benefits Comparison for Active Employees
and Non-Medicare Retirees
- benefit comparison
  • How to read OGB Medical Benefit Comparison
- How To Read Your Benefit
2024 Health Premium Chart - 2024 Health Premium Chart
GB-01 Enrollment Change Form (revised 11/2023) - 2024 GB-01 Enrollment Change Form
HSA Payroll Election Form (GB-79) - GB-79 Health Savings Account Enrollment and Payroll Deduction Election - Changeform pdf
Life Insurance Beneficiary Change Form - Prudential Life Insurance Beneficiary Change Form
Life Insurance Enrollment Kit - Life Insurance Enrollment Kit

CPTP
Mandatory Training Class (by Supervisory Group) - Mandatory Training Class (by Supervisory Group)
Mandatory Training Position Title List web page

Drug Testing
Notification of Drug Testing Period Form - for New Employees - revised 5/2023 - Notification of Drug Testing Period Form PDF
Notification of Random Testing Period - for EXISTING Employees Only - revised 1/2016 - form

New Hire
Authorization for Criminal Background Check form - background check form
Employment in Understanding a Non-Permanent Appointment (Job Appointment / WAE) – Statement of Agreement and Understanding - pdf_icon.png
SF-13 Appointment Affidavits revision 2/2019 - SF-13 Appointment Affidavits PDF
Civil Service Rule 6.5g Hiring Rate Request Form - Civil Service Rule 6.5g Hiring Rate Request Form
Work Permit for Minors - Work Permit for Minors

Orientation
Remote Hiring Manager Orientation Packet revised 9/2019 webpage

Continuous Performance Management (CPM) - Evaluation Forms (Old PES System)
CPM Instructions (accessed through Success Factors in LEO) instructions

Personal Data
Change of Address Change of Address Change of Address
Direct Deposit Primary Account - Direct Deposit Primary Account
Direct Deposit Secondary Account - Direct Deposit Secondary Account

Personnel Action
Personnel Authorization Form (301) revised 1/31/2019 Personnel Authorization Form 301 - OnBase Workflow -
Permanent Status Consideration Form - ermanent Status Consideration Form
Career Progression Group Consideration Form Career Progression Group Consideration Form -
SF-14 - Resignation and Exit - SF-14 - Resignation and Exit PDF

Position Description
SF3 - Classified Position Description revised 5/2025 Classified Position Description -
Physical Requirements SF-3 Attachment SF3 -
SF3a SF3a SF3
SF3 Instructions SF3 Instructions SF3a
Classified WAE Position Description revised 5/2025 Classified WAE Position Description -

Pre-Employment
Full-Time New Hire Forms for Completion updated 06/23/2025 - Full-Time New Hire Forms for Completion PDF
New WAE Hire Packet updated 04/15/2025 - New WAE Hire Packet PDF
Personal Data Form - Personal Data Form PDF
Compensation for Overtime Work - Compensation for Overtime Work PDF
Driver History Form (DA 2054) revised 7/01/2012 - Driver History Form (DA 2054)
I-9 Form revised 10/25/2023 - I-9 Form
Prior State Service Prior State Service Prior State Service
L-4 Tax Form (Louisiana) - L-4 Tax Form (Louisiana)
SSA-1945 - SSA-1945
W-4 Tax Form (2025 Federal) - 2025 W-4
Education Request Form - 2021 W-4

Recruitment
Request to Fill Position Form rev. 6/20/2022
State Parks field offices must contact Kristin Nowlin to complete Request to Fill Position
Request to Fill Position Form OnBase Workflow Document Instructions
Application for Outside Employment new 4/30/2014 Application for Outside Employment OnBase Workflow Document Instructions
Student Employment Application - Student Employment Application
WAE Employment Application - WAE Employment Application PDF

LASERS/Retirement Forms: Please contact Human Resources for retirement packets.
Jonathan Johnson
HR Manager
jjohnson@crt.la.gov
(225) 342-1675

4-05 Authorization for Direct Deposit
4-4 Spousal Consent
6-01 Application For Retirement
*Upon completion by the employee, this form must be forwarded to the Human Resources Division for certification prior to submitting it to LASERS. Additional forms required.
6-01A Application For Retirement with IBO
*Upon completion by the employee, this form must be forwarded to the Human Resources Division for certification prior to submitting it to LASERS. Additional forms required.
6-2 Insurance Premium Deduction Authorization
*Upon completion by the employee, this form must be forwarded to the Human Resources Division for certification prior to submitting it to LASERS.
9-01 Application for Deferred Retirement Option Plan (DROP)
*Upon completion by the employee, this form must be forwarded to the Human Resources Division for certification prior to submitting it to LASERS. Additional forms required.
9-02 Certification at End of Employment
*Upon completion by the employee, this form must be forwarded to the Human Resources Division for certification prior to submitting it to LASERS. Additional forms required.
9-02A Certification of Continued Employment After DROP
*Upon completion by the employee, this form must be forwarded to the Human Resources Division for certification prior to submitting it to LASERS.
Federal Forms
W4-P (2025)

Safety
General Safety Program - General Safety Program
Assignment of Safety Responsibility - Assignment of Safety Responsibility
General Safety Rules - Medical Release Form
Medical Release Form Medical Release Form Medical Release Form
Workers Compensation Medical Authorization Form Workers Compensation Medical Authorization Form Workers Compensation Medical Authorization Form
Vehicle Non-State Employee Rider (passenger) Indemnification Agreement - Vehicle Non-State Employee Rider or Passenger Indemnification Agreement