HR E-Forms for DCRT

HR E-Forms for CRT

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

Americans with Disabilities Act
Medical Inquiry Form	-
Request for Accommodation Form	-

Benefits
Websites for Benefits Providers		-
LASERS Forms
01-06 Designation of Beneficiary	-
01-01 Membership Registration *Upon completion by the employee, this form must be forwarded to the Human Resources Division for certification.	-
01-13 Benefit Forfeiture	-
LA Deferred Compensation
Deferred Compensation Benefits	-
Online Enrollment Procedures	-
Office of Group Benefits Forms
2022 Flexible Benefits Enrollment Form	-
Flexible Benefits Plan	webpage
Options for Health Insurance Coverage (Affordable Care Act) Notice	-
Affordable Care Act Acknowledgement Form	-
2022 OGB Medical Benefits Comparison for Active Employees and Non-Medicare Retirees	-
January 2022 Premium Rates	-
GB-01 Enrollment Change Form	-
HSA Payroll Election Form (GB-79)	-
Life Insurance Beneficiary Change Form	-
Life Insurance Enrollment Kit	-

CPTP
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 1/2016		-
Authorization Form for Drug Testing	-
Drug Testing Sites in Louisiana revised 6-13-2019	-
Notification of Random Testing Period - for EXISTING Employees Only - revised 1/2016		-

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

Orientation
Remote Hiring Manager Orientation Packet revised 9/2019		webpage

Performance Evaluation System - Evaluation Forms
PES Forms and Instructions	webpage

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

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

Position Description
SF3 revised 7/2021	-
Physical Requirements SF-3 Attachment		-
SF3a
SF3 Instructions
Classified WAE Position Description revised 10/2018		-

Pre-Employment
Full-Time New Hire Forms for Completion updated 4/26/2022	-
New WAE Hire Packet updated 4/28/2022	-
Personal Data Form	-
Compensation for Overtime Work	-
Driver History Form (DA 2054) revised 7/01/2012	-
I-9 Form revised 6/2020	-
Prior State Service
L-4 Tax Form (Louisiana)	-
SSA-1945	-
W-4 Tax Form (2022 Federal)	-
Education Request Form	-

Recruitment
Request to Fill Position Form new 10/8/2013
Application for Outside Employment new 4/30/2014
Student Employment Application	-

Retirement- Please contact Human Resources for retirement packets.
LASERS Forms
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 (2022)	-

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

LASERS Forms
2-01 Refund of Accumulated Contributions	-