Webmail Phone List
12/30/2025
LEO OnBase Salesforce Google Fight Fraud, Waste, and Abuse - Report to Louisiana Legislative Auditor
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
Performance Evaluation Guide For Supervisors Eval Process Supervisors Manual
Supervisor Eval Employee Quick Guide Supervisor Eval Employee Quick Guide
Evaluation Process: 2nd Level Evaluator Role 2nd Level Eval quick guide
Employee: Signing the Planning Form Employee signing planning form
Supervisor: How to Document the Planning Discussion Super planning discussion
CPM Behavior based goals toolkit CPM Behavior based goals toolkit

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 10/07/2025 - Full-Time New Hire Forms for Completion PDF
New WAE Hire Packet updated 10/07/2025 - 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