OLG and DCRT
Strategic Plan
2014-15 through 2018-19

         

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Attendance/Leave
"Act of God" Leave Request FormAct of God Leave Request Form EXCELAct of God Leave Request Form PDF
Work Schedule Form revised 10/2012Work Schedule Form-
Unscheduled Absenteeism Violation Form revised 3/2014Unscheduled Absenteeism Violation Form-

 

Benefits
Websites for Benefits Providersweb pageword_icon.png
    LASERS Forms
Designation of Beneficiary-Designation of Beneficiary
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
    Office of Group Benefits Forms
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
2014 OGB Medical Benefits Comparison for Active Employees and Non-Medicare Retirees-2014 OGB Medical Benefits Comparison for Active Employees and Non-Medicare Retirees
July 2014 Official Schedule of Premium Benefits-2014 Official Schedule of Premium Rates
2014 Premium Conversion Enrollment/Stop Form-2014 Premium Conversion Enrollment/Stop Form
2014 Request for Change to Flexible Benefits Plan Elections-2014 Request for Change to Flexible Benefits Plan Elections
2014 GB-01 Enrollment Change Form-2014 GB-01 Enrollment Change Form
HSA Payroll Election Form-HSA Payroll Election Form
Insurance Portability Law Application-Insurance Portability Law Application
Life Insurance Beneficiary Change Form-Life Insurance Beneficiary Change Form
Life Insurance Enrollment Kit-Life Insurance Enrollment Kit

 

CPTP
Mandatory Training Class (by Supervisory Group) revised 11/8/2011-Mandatory Training Class (by Supervisory Group)
Mandatory Training Position Title Listweb page

 

Drug Testing
Drug Test Notice of Results LetterDrug Test Notice of Results Letter WORDDrug Test Notice of Results Letter PDF
Notification of Drug Testing Period Form revised 5/2012Notification of Drug Testing Period Form WORDNotification of Drug Testing Period Form PDF
Drug Testing Sites in Louisiana revised 3/4/2013-Drug Testing Sites in Louisiana

 

New Hire
Conditional Offer of Employment Form revised 9/2013Conditional Offer of Employment Form-
Employment in a Non-Permanent Position - Statement of Agreement and Understanding-pdf_icon.png
New Hire Orientation Checklist revised 02/2014New Hire Orientation Checklist-
SF-13 Appointment Affidavits revision 5/2003SF-13 Appointment Affidavits-
Supervisors Orientation Checklist revision 9/4/2013Supervisors Orientation Checklist-

 

Performance Evaluation System - Evaluation Forms
PES Forms and Instructionswebpage

 

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

 

Personnel Action
Optional Pay Adjustment QuestionnaireOptional Pay Adjustment Questionnaire-
Personnel Authorization Form (301) revised 9/2013Personnel Authorization Form (301)-
Permanent Status Consideration FormPermanent Status Consideration Form-
Career Progression Group Consideration FormCareer Progression Group Consideration Form-
Performance Adjustment Consideration FormPerformance Adjustment Consideration Form-

 

Position Description
SF3 revised 7/1/2013SF3-
SF3aSF3aSF3
SF3 InstructionsSF3 InstructionsSF3a
Classified WAE Position DescriptionClassified WAE Position Description-

 

Pre-Employment
Confidentiality of Home Address & Phone NumberConfidentiality of Home Address & Phone NumberConfidentiality of Home Address & Phone Number
Compensation for Overtime WorkCompensation for Overtime Work-
Direct Deposit Primary Account-Direct Deposit Primary Account
Direct Deposit Secondary Account-Direct Deposit Secondary Account
Driver History Form (DA 2054) revised 7/01/2012-Driver History Form (DA 2054)
I-9 Form revised 3/08/2013-I-9 Form
Prior State ServicePrior State ServicePrior State Service
L-4 Tax Form (Louisiana)-L-4 Tax Form (Louisiana)
SSA-1945-SSA-1945
W-4 Tax Form (2014 Federal)-W-4 Tax Form (2014 Federal)

 

Recruitment
Request to Fill Position Form new 10/8/2013Request to Fill Position FormOnBase Workflow Document Instructions
Application for Outside Employment new 4/30/2014Application for Outside EmploymentOnBase Workflow Document Instructions
Student Employment ApplicationStudent Employment Application-

 

Retirement
    LASERS Forms
4-05 Authorization for Direct Deposit-4-05 Authorization for Direct Deposit
4-4 Spousal Consent-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.
-6-01 Application For Retirement
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.
-6-01A Application For Retirement with IBO
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.
-6-2 Insurance Premium Deduction Authorization
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.
-9-01 Application for Deferred Retirement Option Plan (DROP)
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.
-9-02 Certification at End of Employment
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.
-9-02A Certification of Continued Employment After DROP
    Federal Forms
W4-P (2014)-W4-P

 

Safety
Medical Release FormMedical Release FormMedical Release Form
Workers Compensation Medical Authorization FormWorkers Compensation Medical Authorization FormWorkers Compensation Medical Authorization Form
Vehicle Non-State Employee Rider (passenger) Indemnification AgreementVehicle Non-State Employee Rider (passenger) Indemnification AgreementVehicle Non-State Employee Rider (passenger) Indemnification Agreement

 

Separation
Employee Exit Interview revised 9/2010Employee Exit InterviewEmployee Exit Interview
    LASERS Forms
2-01 Refund of Accumulated Contributions-2-01 Refund of Accumulated Contributions