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Listing of Forms by Section Following is a listing of the Human Resource-related forms organized by area of interest.  Click on the desired topic to go directly to that section.  To search an alphabetical listing, click here .                                     Section 1:   Benefit Forms                                     Section 2:   Employee Records                                     Section 3:   Operations/Forms Processing                                     Section 4:   Performance Appraisal                                     Section 5:   Tax Withholding                                     Section 6:  Visa Processing Section 1:  Benefit Forms Insurance Accidental Death and Dismemberment Brochure Dental Plan Basic Plan Highlights Enhanced Plan Highlights Dental Services Voluntary Benefits Enrollment/Change Form Disability Income Insurance Hartford Longterm Disability Enrollment Form Hartford Longterm Disability Plan Features Hartford Longterm Disability Evidence of Insurability/Disability Form Hartford Longterm Disability Claim Form Health Insurance GB-01 - Group Benefits Enrollment/Change Form Health Plan Comparison and Summary LSU First Life Beneficary Change Form Insurance Portability Law Form Health Plan Rates Life Insurance The Hartford (LSU System) Life Insurance Beneficiary Change Form Enrollment Form Evidence of Insurability Prudential Life Insurance Beneficiary and/or Name Change Form Beneficiary Designation Form Enrollment Form Evidence of Insurability Form Extension Benevolent Plan (Great West) Beneficiary Change Form Enrollment Form Long-term Care (UNUM) Long term Care and Life Insurance Change Form Long term Care Brochure Long term Care Enrollment Form Long term Care Evidence of Insurability (E of I) Form Long term Care Medicare Disclosure Long term Care Policy Information Long term Care Rates (3 year benefit) Long term Care Rates (6 year benefit) Long term Care Worksheet Tax Saver Flexible Benefits Plan Enrollment Form Direct Deposit Form Claim Form - Medical FSA Claim Form - Dependent Care FSA Plan Booklet Status Change Form   Vision Plan Vision Plan Information for members that are also enrolled in LSU First health insurance Vision Plan Information for members that are NOT enrolled in LSU First health insurance Voluntary Benefits Enrollment/Change Form Workers' Compensation Employer Report of Injury/Disease Incident/Accident Investigation Form Medical Authorization Release Notice of Compliance Poster Prescription Drug Benefits Leave Annual Leave Accrual Rate Election Form Coursework Request Form (Tuition Waiver) Family Medical Leave Act (FMLA) Notification Form Family Medical Leave Act (FMLA) Medical Certification Form GI-1 -Benefits Coverage While on Leave Without Pay Policy Statement 37 - Return to Work Following Illness or Injury Sabbatical/Educational Leave Request Form Sick Leave Certification Form - Academic Employees Other Holidays Schedule of Employee Benefits Retirement Federal Civil Service Retirement System (CSRS) Application for Retirement Beneficiary Designation/Change Refund of Accumulated Contributions Louisiana Deferred Compensation Plan HERE for Enrollment, Beneficiary Designation and Salary Deferral Agreement Information Sheet SSA-1945 (Employment Not Covered by Social Security) Louisiana State Employees' Retirement System Address Change Form   Beneficiary Designation Enrollment Form Name Change Form Refund of Accumulated Contributions LASERS SSA-1945  (Employment Not Covered by Social Security) Optional Retirement Plan Enrollment/Change Form ORP or TRSL - How Do I Choose? SSA-1945 (Employment Not Covered by Social Security) Retirement Election Form (Temp. or Part-time Employees) Teachers' Retirement System of Louisiana Address Change Form Beneficiary Designation Enrollment Application Name Change Form Refund of Accumulated Contributions TRSL or ORP - How Do I Choose? TRSL SSA-1945 (Employment Not Covered by Social Security) Supplemental Retirement Accounts Salary Reduction Authorization Form Thrift Savings Plan Election / Change / Form Thrift Savings Plan Catch-Up Contribution Form [ Return to Top ] Section 2: Employee Records Address and/or Name Change Form Alien Tax Information Request Form Campus Federal Payroll Deduction Form Car Insurance Agreement-LCES Direct Deposit Form (Payroll Records) Direct Deposit Waiver (Payroll Records) Drug Policy (PS-18: Illegal Use of Drugs or Alcohol) Ethics Training Flyer Form 8233 (Tax Treaty) - link goes to IRS website I-9 Employment Eligibility Verification - links goes to USCIS website Name and/or Address Change Form Name Tag Information Orientation Checklist for New Employees - PDF or Word Orientation Schedule and Registration for New Employees Outside Employment Disclosure Forms A and B (PM-11) Resignation Letter Selective Service Verification Instructions Civil Service Employment Application Supporting Documents Required for Appointments Supplemental Employment Form Vehicle Authorization and Driver Record Verification Form  - This link takes you directly to the form on the Office of Risk Management's website. [ Return to Top ] Section 3: Operations/Forms Processing Forms Processing PER 1B - Personnel Action Form (Can use to attach job description in HRS) - PDF or Word PER 17 - Turn Around Document Research Associate Supplemental Job Description Form - PDF or Word Payroll Bi-Weekly Timesheet - PDF or Word Student Timesheet - PDF or Word Supplemental Timesheet (Form AS420) Credit Union Payroll Deduction Form Direct Deposit Form (Payroll Check) Direct Deposit Waiver (Payroll Check) Stop Payment Request Other Demotion Letter for Classified Employees Employment Packet Request  Exit Checklist Faculty Job Description Form (PS-46) -  PDF or Word I-9 Employment Eligibility Verification  Intention to Employ a Minor Form Interview Form - Extension Agent Housing Agreement Orientation Checklist for New Employees - PDF or Word Orientation Schedule and Registration Form Position Advertisement and Selection Record - PDF or Word Promotion/Tenure Review Request form -  Word or PDF Request for Arrangements for International Visitor - PDF or Word  Research Associate Supplemental Job Description Form - PDF or Word SF-3 - Civil Service Position Description - PDF Student Employment Application Employment Screening Form - PDF or Word [ Return to Top ] Section 4: Performance Appraisal Academic/Faculty Associate/Postdoctoral Researcher Performance Evaluation - PDF or Word Classified CS Performance Appraisal Form - General - PDF or Word CS Performance Appraisal Form - Nutrition Educator - PDF or Word CS Performance Appraisal Form - Administrative (Clerical) Support - PDF or Word Non-Classified Non-Classified Performance Evaluation Form - PDF or Word [ Return to Top ] Section 5: Tax Withholding Alien Tax Information Request Form Federal Forms Form 8233 - Exemption from Withholding on Compensation for Indpendent (and Certain Dependent) Personal Services of a Nonresident Alien Individual Form W-4 - Employee Federal Withholding Allowance Certificate For additional and/or more current IRS forms, follow this link to the IRS forms and publications database . State Forms Form L-4 - Employee State Withholding Certificate Form L-4E - Exemption from Withholding Louisiana Income Tax For additional and/or more current Louisiana state tax forms, follow this link to the State of Louisiana Department of Revenue forms database . [ Return to Top ] Section 6: Visa Processing All Visa Types Request for Arrangements for International Visitor - PDF or Word H-Status Unit Instructions for New Petition to Obtain H1B Status - PDF or Word Unit Instructions to Extend H1B Status - PDF or Word J-Status Unit Instructions to Obtain J-1 Exchange Visitor Status - PDF or Word Unit Instructions to Extend J-1 Exchange Visitor Status - PDF or Word TN-Status Unit Instructions to Obtain TN Canadian Status and Employ Unit Instructions to Extend TN Status and Continue Employment

Related Files

Filename	Description	File Size
2008+PT+Form.doc		55.00 KB
2008+PT+Form.pdf		162.50 KB
Faculty+Job+Description.doc		103.50 KB
Faculty+Job+Description.pdf		116.69 KB

Last Updated: 5/22/2012 8:50:48 AM