2016
Sunset Report

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

         

Did you know?
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-
PTMW Quick Reference Guide revised 2/2016-PTMW Quick Reference Guide
Prior Pay Period Adjustment form-Prior Pay Period Adjustment 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
    LA Deferred Compensation
Deferred Compensation Benefits-01-13 Benefit Forfeiture
2016 SDA and Enrollment Form-01-13 Benefit Forfeiture
    Office of Group Benefits Forms
2016 Flexible Benefits Enrollment Form-2016 Flexible Benefits Enrollment Form
Flexible Benefits Plan-Flexible Benefits Plan
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
2016 OGB Medical Benefits Comparison for Active Employees and Non-Medicare Retirees-benefit comparison 
January 2016 Premium Rates-July 2015 Premium Rates
GB-01 Enrollment Change Form-2014 GB-01 Enrollment Change Form
HSA Payroll Election Form-HSA Payroll Election Form
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
Notification of Drug Testing Period Form - for New Employees - revised 1/2016Notification of Drug Testing Period Form WORD-
Drug Testing Sites in Louisiana revised 12/29/2015
-Drug Testing Sites in Louisiana
Notification of Random Testing Period - for EXISTING Employees Only - revised 1/2016form-

 

New Hire
Conditional Offer of Employment Form revised 1/2016Conditional Offer of Employment Form-
Authorization for Criminal Background Check form-background check form
Employment in a Non-Permanent Job Appointment - Statement of Agreement and Understanding-pdf_icon.png
Employment in a Non-Permanent WAE Appointment - Statement of Agreement and Understanding-Employment in a Non-Permanent WAE Position Form
New Hire Orientation Checklist revised 10/2015New Hire Orientation Checklist-
SF-13 Appointment Affidavits revision 5/2003SF-13 Appointment Affidavits-
Supervisors Orientation Checklist revision 9/4/2013Supervisors Orientation Checklist-
Civil Service Rule 6.5g Hiring Rate Request FormCivil Service Rule 6.5g Hiring Rate Request Form-

 

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 5/15Personnel Authorization Form (301)-
Permanent Status Consideration FormPermanent Status Consideration Form-
Career Progression Group Consideration FormCareer Progression Group Consideration Form-

 

Position Description
SF3 revised 8/2015SF3-
SF3aSF3aSF3
SF3 InstructionsSF3 InstructionsSF3a
Classified WAE Position DescriptionClassified WAE Position Description-

 

Pre-Employment
State Employment Advantage and Responsibilities-State Employment Advantage and Responsibilities
Some of the Benefits of Working in Louisiana State Government-Some of the Benefits of Working in Louisiana State Government
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 (2016 Federal)-2016 W-4

 

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 (2016)-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

 

LASERS Forms
2-01 Refund of Accumulated Contributions-2-01 Refund of Accumulated Contributions