text version

LSU AgCenter
TOPICS
SERVICES
twittertwitter
facebookfacebook
audioaudio
videovideo
labslabs
facilitiesfacilities
weatherweather
calendarcalendar
rssrss
blogsblogs
Go Local
4-H
Forever LSU
eExtension.org
   Forms
 Home>Administration>About Us>Human Resource Management>Forms>

Forms A to Z

Following is an alphabetical listing of the Human Resource-related forms. To help in locating a form, some of the same documents are listed with multiple names. Click on the appropriate letter to locate the document you desire.  

To search by area of interest, click here .


A B C D E F G H I J K L M N O P Q R S T U V W X Y Z


A
Academic Leave Certification Form for Sick Leave
Accidental Death and Dismemberment Brochure
Accrual Rate Election Form - Annual Leave
Address and/or Name Change Form - Employment Records
Address Change - La. State Employees' Retirement System
Address Change - Teachers' Retirement System of La.
Alien Tax Information Request Form
Annual Leave Accrual Rate Election Form


B (Return to Top)
Bene-Dent - Dental Change Form
Beneficiary and/or Name Change Form - Prudential Life Insurance
Beneficiary Change form - LSU First Life Insurance 
Beneficiary Designation and Change Form - CSRS
Beneficiary Designation and Change Form - Prudential Life Insurance
Beneficiary Designation Form - La. State Employees' Retirement System
Beneficiary Designation Form - Teachers' Retirement System of La.
Beneficiary Designation Form - Louisiana Deferred Compensation Plan
Benefits Coverage While on Leave Without Pay (GI-1) Election Form
Benefits Schedule Booklet
Bi-Weekly Timesheet - PDF or Word
Boon Chapman Medical FSA Claim Form
Boon Chapman Dependent FSA Claim Form

C ( Return to Top)
Calculator for Funded and Unfunded Service
Campus Federal Payroll Deduction Form
Car Insurance Agreement-LCES
Civil Service Employment Application
Civil Service Position Description (SF-3) - PDF or Word
Coursework Request Form
CPTP Registration Form - PDF or Word
Credit Union Payroll Deduction Form
Critical Care Information Brochure
Critical Care Claim Form
CSRS Application for Retirement
CSRS Beneficiary Designation and Change Form
CSRS Refund of Contributions Application


D (Return to Top)
Deferred Compensation Plan Beneficiary Form
Deferred Compensation Plan Enrollment Form
Deferred Compensation Plan Salary Deferral Agreement
Demotion Letter for Classified Employees
Dependent Verification Information Sheet
Dental Change Form - Denta-Care
Dental Change Form - La. Dental
Dental Change Form - Bene-Dent
Dental Change Form - Paid Dental
Dental - Dearborn National Provider Nomination Form
Direct Deposit Form (Payroll Check)
Direct Deposit Waiver (Payroll Check)
Direct Deposit Form (Tax Saver Flexible Benefits Plan)
Driver Record Verification and Vehicle Authorization Form
Drug Policy (Illegal Use Of) PS-18


E (Return to Top)
Educational/Sabbatical Leave Request Form 
Employment Eligibility Verification Form - I-9
Employment in a Job Not Covered by Social Security - Form 1945
Employment of a Minor Form
Employment Packet - Folder #1 Instructions
Employment Packet - Folder #2 Instructions - Classified
Employment Packet - Folder #2 Instructions - Academic, Regular
Employment Packet - Folder #2 Instructions - Academic, Temporary
Employment Packet - Folder #3 Instructions
Employment Packet - Folder #4 Instructions
Employment Packet - Folder #5 Instructions
Employment Packet - Folder #5 Example: Form 8233 and Attachment
Employment Packet - Folder #5 Example: Forms W-4 and L-4
Employment Packet Request -PDF 
Employment Print Packet 2years+
Employment Print Packet 181-2years
Employment Print Packet 121-180
Employment Print Packet 120 or less
Employment Print Packet LCES
Employment Print Packet International
Employment Screening Form - PDF or Word
Exchange Visitor (J1) Extending Visa - Unit Instructions -  PDF or Word
Exchange Visitor (J1) Obtaining Visa - Unit Instructions -  PDF or Word
Exit Checklist
Extension Benevolent Life Insurance - Beneficiary Designation
Extension Benevolent Life Insurance - Enrollment Form


F (Return to Top)
Faculty Job Description Form (PS-46) -  PDF or Word
Family Medical Leave Act Notification Form
Federal Tax Form - W-4 - Employee Withholding Allowance Certificate
Federal Tax Form - W-5
Flexible Benefits Plan Medical FSA Claim Form - BoonChapman
Flexible Benefits Plan Enrollment Form
Flexible Benefits Plan Status Change Form
FMLA Notification Form
Form 1945 - Social Security Admin. (Employment in a job not covered by SS)
Form 8233 - Exemp. from Withholding on Comp. for Independent (and Certain
Dependent) Personal Services of a Nonresident Alien Individual


G (Return to Top)
GB-01 - Group Benefits Enrollment/Change Form
GI-1 - Benefits Coverage While on Leave Without Pay Election Form
Group Benefits Enrollment/Change Form (GB-01)
Group Benefits Dependent Verification Info Sheet

H ( Return to Top)
H1B Extension - Unit Instructions - PDF or Word
H1B New Petition - Unit Instructions - PDF or Word
Hartford Longterm Disability Enrollment Form
Hartford Longterm Disability Evidence of Insurability/Disability Form
Hartford Longterm Disability Claim Form
Health Insurance Portability Law Form
Health Insurance Pre-Existing Condition Form 
Housing Agreement


I (Return to Top)
I -9 Form - Employment Eligibility Verification Form  
Illegal Use of Drugs or Alcohol - Policy Statement 18 
Insurance Portability Law Form - Health Insurance
Intention to Employ a Minor
International Visitor - Request for Arrangements - PDF or Word
Interview and Selection Process
Interview Form - Extension Agent 
Interview Selection Requirements for Agents

J (Return to Top)
J1 Exchange Visitor Extension - Unit Instructions - PDF or Word
J1 Exchange Visitor Obtaining Visa - Unit Instructions - PDF or Word


K (Return to Top)


L (Return to Top)
L-4 - Louisiana State Tax Form - Employee Withholding Certificate
L-4E - Louisiana State Tax Form - Exemption From Withholding
La. State Employees' Retirement System Address Change
La. State Employees' Retirement System Beneficiary Designation
La. State Employees' Retirement System Enrollment Form
La. State Employees' Retirement System Name Change Form
La. State Employees' Retirement System Refund Contributions Form
La. State Employees' Retirement System Refund Rollover Form
LASERS SSA-1945 (Employment in a job not covered by Social Security)
Leave Accrual Selection Form
Leave Without Pay - Benefits Coverage Election (GI-1)
Life Insurance - Extension Benevolent Beneficiary Form
Life Insurance - Extension Benevolent Enrollment Form
Life Insurance (LSU First) Beneficiary Change Form
Life Insurance (Prudential) Beneficiary and/or Name Change Form
Life Insurance (Prudential) Beneficiary Designation & Change Form
Life Insurance (Prudential) Claim Form
Life Insurance (Prudential) Enrollment Form
Life Insurance (Prudential) Evidence of Insurability 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
Long term Disability (Hartford) Enrollment Form
Long term Disability (Hartford) Plan Features
Long term Disability (Hartford) Evidence of Insurability/Disability Form
Long term Disability (Hartford) Claim Form
Louisiana Deferred Compensation Plan Beneficiary Form
Louisiana Deferred Compensation Plan Enrollment Form
Louisiana Deferred Compensation Plan Salary Deferral Agreement
Louisiana Deferred Compensation Plan Information Sheet
Louisiana State Tax Form - L-4
Louisiana State Tax Form - Exemption From Withholding - L-4E Form
LSU First Critical Illness Cash Benefit Claim Form
LSU First Life Insurance Beneficiary Designation Form
LSU First Promotional Flyer
LSU System Voluntary Benefits Enrollment/Change Form  

M (Return to Top)
Medical Certification


N (Return to Top)
Name and/or Address Change Form - Employment Records
Name and/or Beneficiary Change Form - Prudential Life Insurance
Name Change - La. State Employees' Retirement System
Name Change - Teachers' Retirement System of LA
Name Tag Information
New Employee Orientation Checklist
New Employee Orientation Schedule and Registration



O (Return to Top)
Offer Letter - Agent
Offer Letter - Associate
Offer Letter - Postdoctoral Researcher
Offer Letter - Unclassified
Optional Insurance Election Form
Optional Retirement Plan Enrollment/Change Form
Orientation Checklist for New Employees
Orientation Schedule & Registration Form
Outside Employment Disclosure Form - PM-11 Forms A & B


P (Return to Top)
Payroll Deduction Form - Campus Federal Credit Union 
Payroll Schedule 2010-2011 - Student 
Payroll Schedule 2010-2011 - Wage  Payroll Voucher (Manual - MUST BE TYPED)
PER 1A - Personnel Action Form (Print on Yellow Paper) - PDF
PER 1B - Personnel Action Form (Print on Yellow Paper) - PDF or Word
PER 2 - Personnel Action Form (Print on Yellow Paper) - PDF or Word
PER 17 - Turn Around Document
Performance Appraisal Form - CS General - PDF or Word
Performance Appraisal Form - CS Nutrition Educator - PDF or Word
Performance Appraisal Form - CS Administrative (Clerical) Support - PDF or Word
Performance Evaluation Form - Associate/Postdoc Researcher - PDF or Word
Performance Evaluation Form - Faculty - PDF or Word
Performance Evaluation Form - Non-Classified - PDF or Word
Personnel Action Form - PER 1A (Print on Yellow Paper) - PDF
Personnel Action Form - PER 1B (Print on Yellow Paper) - PDF or Word
Personnel Action Form - PER 2 (Print on Yellow Paper) - PDF or Word
PM-11 Outside Employment Disclosure Forms A & B
Policy Statement 18 - Illegal Use of Drugs or Alcohol
Policy Statement 37 - Return to Work Following Illness or Injury
PPO Helpful Information Booklet
Portability Law - Health Insurance
Position Advertisement and Selection Record -  PDF or Word
Position Description - Civil Service - SF-3 - PDF
Postdoc Researcher/Associate Performance Evaluation Form - PDF or Word
Post Retirement Life Insurance Change Form
Pre-existing Condition Form - Health Insurance 
Promotion/Tenure Review Request Form -  Word or  PDF
Provident Universal Life Insurance Change Form
Prudential Life Beneficiary and/or Name Change Form
Prudential Life Beneficiary Designation and Change Form
Prudential Life Claim Form
Prudential Life Evidence of Insurability Form
Prudential Life Insurance Enrollment Form
Prudential Life Insurance Rates - Active and Retired Under Age 65
Prudential Life Insurance Rates - Active and Retired Age 65-69
Prudential Life Insurance Rates - Active Age 70 and up
Prudential Life Insurance Rates - Retired Age 70 and up
PS-18 - Illegal use of Drugs or Alcohol
PS-37 - Return to Work Policy Following Illness or Injury)


Q (Return to Top)


R (Return to Top)
Request for Arrangements for International Visitor - PDF or Word
Request for Employment Packet - PDF
Research Associate Supplemental Job Description Form - PDF or Word
Resignation Letter
Retirement Application Form -CSRS
Retirement Election Form - Temporary or Part-time Employee
Retirement Eligibility Chart - All Systems
Retirement Enrollment Application - Deferred Compensation 
Retirement Enrollment Application - LASERS
Retirement Enrollment Application - Teachers' Retirement System of La.
Retirement Refund of Contribuitons - Federal Civil Service Retirement System
Retirement Refund of Contributions - LASERS
Retirement Refund of Contributions - LASERS - Rollover Authorization
Retirement Refund of Contributions - Teachers' Retirement System of La.
Retirement - TRSL or ORP ... How Do I Choose?
Return to Work Policy (After Illness or Injury) - (PS-37)


S (Return to Top)
Sabbatical/Educational Leave Request Form
Sample Letter to Applicant Not Selected for Postion
Schedule of Employee Benefits Booklet
Selective Service Verification Instructions 
SF-3 - Civil Service Position Description - PDF or Word
Sick Leave Certification Form - Academic Employees
SSA.-1945 (Employment in a job not covered by SS)
SSA-1945-LASERS
SSA-1945-TRSL
Staff Benefits Coverage While on LWOP
Stop Payment Request
Student Employment Application
Student Employment - Intent to Employ a Minor
Student Timesheet - PDF or Word 
Supplemental Employment Form
Supplemental Job Description Form - Research Associate - PDF or Word 
Supplemental Retirement Account Election/Salary Reduction Authorization Form
Supplemental Retirement Account - 457 and 403b Overview Info.
Supplemental Timesheet (Form AS420)
Supporting Documents Required for Appointments


T (Return to Top)
Tax Saver Flexible Benefits Plan Enrollment Form 
Tax Saver Flexible Benefits Plan Status Change Form 
Tax Treaty (Form 8233)
Tax Withholding - Federal W-4
Tax Withholding - Federal W-5 (Exemption From Withholding)
Tax Withholding - State L-4
Tax Withholding - State L-4E (Exemption From Withholding)
Teachers' Retirement System of La. Address Change Form
Teachers' Retirement System of La. Beneficiary Designation
Teachers' Retirement System of La. Enrollment Form
Teachers' Retirement System of La. Name Change Form
Teachers' Retirement System of La. Refund of Contributions
The Hartford Life Insurance (LSU System) Beneficiary Change Form
The Hartford Life Insurance (LSU System) Enrollment Form
The Hartford Life Insurance (LSU System) Evidence of Insurability Form
Thrift Savings Plan Election/Change Form
Thrift Savings Plan Catch-Up Contribution Form
Timesheet - Bi-Weekly - PDF or Word
Timesheet - Student - PDF
Timesheet - Supplemental (Form AS420)
TN Canadian Status - Obtain TN Status and Employ
TN Canadian Status - Extend TN Status and Continue Employment
TRSL SSA-1945 (Employment in a job not covered by Social Security)
Turn Around Document (PER 17)


U (Return to Top)
UNUM Long term Care Change Form
UNUM Long term Care Brochure
UNUM Long term Care Enrollment Form
UNUM Long term Care Evidence of Insurability (E of I) Form
UNUM Long term Care Medicare Disclosure
UNUM Long term Care Policy Information
UNUM Long term Care Rates (3 year benefit)
UNUM Long term Care Rates (6 year benefit)
UNUM Long term Care Worksheet


V (Return to Top)
Vehicle Authorization and Driver Record Verification Form
Visa - H1B Extension - Unit Instructions - PDF or Word
Visa - H1B New Petition - Unit Instructions - PDF or Word
Visa - Extending J1 Exchange Visitor Status - Unit Instructions - PDF or Word
Visa - Obtaining J1 Exchange Visitor Status - Unit Instructions - PDF or Word
Visa - Extending TN Canadian Status - Unit Instructions
Visa - Obtaining TN Canadian Status - Unit Instructions


W ( Return to Top)
W-4 Federal Tax Form (Employee Withholding Certificate)
W-5 Federal Tax Form (Exemption From Withholding)
Worker's Compensation Notice of Compliance Poster
Worker's Compensation Incident/Accident Investigation Form
Worker's Compensation Employer Report of Injury/Disease
Worker's Compensation Medical Authorization Release  - PDF or Word
Worker's Compensation Prescription Drug Benefits


X (Return to Top)


Y (Return to Top)


Z (Return to Top)
Related Files
FilenameDescriptionFile Size
ADD.pdf 2,943.34 KB
lvcrtfrm.pdf 173.43 KB
alien.pdf 597.94 KB
dental.pdf 3,538.15 KB
Prudential+Benef+and-or+Name+Chg.pdf 31.14 KB
trbene.pdf 339.21 KB
defcomp.pdf 145.17 KB
LSUCriticalCareInfo.pdf 79.54 KB
prudentialbeneficiarydesignationchange.pdf 96.35 KB
ddwaiver.pdf 145.43 KB
FSADirectDepositForm.pdf 101.41 KB
SABBCML.PDF 709.32 KB
Intention+to+Employ+Minors.pdf 90.80 KB
studentapp.pdf 425.00 KB
PS46facjobdesc.pdf 20.03 KB
PS46facjobdesc.doc 106.50 KB
MedNot.pdf 31.57 KB
fw5.pdf 79.31 KB
SSA-1945.pdf 481.13 KB
8233.pdf 223.96 KB
GB-01.pdf 1,698.54 KB
LongTermDisability.pdf 3,468.34 KB
LTD_EOIform.pdf 171.52 KB
insurportability.pdf 19.03 KB
ackpreexisting.pdf 16.76 KB
Humana+PCP+Election+Form.pdf 556.54 KB
raiv.pdf 581.29 KB
raiv.doc 51.50 KB
LCES+Faculty+Interview+05-04+(Fillinable).pdf 168.40 KB
L-4.pdf 26.80 KB
L-4E.pdf 49.64 KB
Lasers+Change+of+Name.pdf 34.02 KB
LASERS_SSA1945.pdf 2,535.56 KB
Prudential+Life+Ins+enrollment_kit.pdf 3,766.88 KB
Prudential+Life+ins+evidence_of_insurability_(eoi).pdf 288.39 KB
medcert.pdf 256.41 KB
nametag.pdf 60.21 KB
orientation+checklist.pdf 17.68 KB
orientation+checklist.doc 43.00 KB
PER2.doc 33.00 KB
Per17.pdf 680.28 KB
posann.pdf 10.09 KB
posann.doc 22.50 KB
PM-11.pdf 12,812.31 KB
ResAsocJD.pdf 1,954.42 KB
ResAsocJD.doc 35.50 KB
resign.pdf 349.00 KB
Refund+form.pdf 20.35 KB
as32.pdf 28.38 KB
teachret.pdf 1,029.62 KB
Tsclaim.pdf 324.92 KB
tsclaim.doc 80.50 KB
TRSL_SSA1945.pdf 89.44 KB
wcnotice.pdf 285.49 KB
InjuryReportFormWC1007.pdf 161.80 KB
ORM+Prescriptions.pdf 362.30 KB
FAQstaxsaver.pdf 2,563.11 KB
ldcpinfo.pdf 126.21 KB
TRSLAddressChangeForm.pdf 22.29 KB
Dental-Vision+Plan+Continuation-COBRA.pdf 29.89 KB
Housing-Agreement.pdf 13.25 KB
Leave-Accrual-Selection-Form.pdf 65.87 KB
Address-Change-LASERS.pdf 318.85 KB
Coursework-Request-Form.pdf 195.83 KB
TRSL-vs-ORP.pdf 600.61 KB
Address-Change-Form.pdf 46.97 KB
J1-Instructions-to-Obtain-Visitor-Visa.doc 35.50 KB
J1-Instructions-to-Obtain-Visitor-Visa.pdf 17.37 KB
J1-Instructions-To-Extend-Visitor-Visa.pdf 188.77 KB
J1-Instructions-To-Extend-Visitor-Visa.doc 25.50 KB
CPTP-Registration-Form.pdf 178.16 KB
CPTP-Registration-Form.doc 75.00 KB
Perf-Evaluation-NonClassified.pdf 119.34 KB
Perf-Evaluation-NonClassified.doc 98.00 KB
PPR--Clerical-Support-0206.doc 193.50 KB
PPR-General-0206.doc 192.50 KB
PPR-Nutrition-Educ-0206.doc 189.50 KB
PPR-Nutrition-Educ-0206.pdf 8,389.03 KB
Selective-Service-Registration.pdf 174.14 KB
PER1B.doc 31.00 KB
PER1B.pdf 9.94 KB
Life-LongTerm-Care-Change+Form.pdf 15.40 KB
Vision-Services+Change-Form.pdf 7.30 KB
Ext-Benv-Beneficiary-Form.pdf 50.79 KB
Ext-Ben-Enrollment-Form.pdf 285.12 KB
Staff_Benefits-On-LWOP-GI-1.pdf 38.31 KB
SRA-Salary-Reduction-Form.pdf 50.30 KB
CSRS-Beneficiary-Form.pdf 178.74 KB
CSRS-Refund-Application.pdf 131.46 KB
Retirement-Election-Form.pdf 25.41 KB
LTD-Claim-Form.pdf 104.46 KB
sf3.pdf 156.60 KB
FacEmplAppli02-07.doc 136.50 KB
PPRAdministrativeClericalSupport0206.pdf 7,953.52 KB
FSA-Status-Change-Form.pdf 97.63 KB
ORPElectChangeForm.pdf 39.89 KB
Employment-Screening-Form.doc 121.50 KB
Employment-Screening-Form.pdf 132.83 KB
W4.PDF 224.70 KB
2006PTForm.pdf 91.26 KB
LASERS-Membership-Registration.pdf 330.85 KB
Lasers-Refund-of-Accum-Contributions.pdf 821.73 KB
Lasers-Refund-Author-for-Direct-Rollover.pdf 266.35 KB
AIG-CI-Claim-Form.pdf 150.20 KB
UNUM-LTC-Brochure.pdf 170.75 KB
UNUM-LTC-EOI-Form.pdf 57.83 KB
UNUM-LTC-Medicare-Disclosure.pdf 17.33 KB
UNUM-LTC-Policy-Information.pdf 1,056.63 KB
UNUM-LTC-Rates-3-year-benefit.pdf 156.94 KB
UNUM-LTC-Rates-6-year-benefit.pdf 156.46 KB
UNUM-LTC-Worksheet.pdf 22.38 KB
Prudential-Life-Rates-Active-Age-70-and-up.pdf 69.33 KB
Prudential-Life-Rates-Active-and-Retired-Age65-69.pdf 71.49 KB
Prudential-Life-Rates-Retired-Age-70-and-up.pdf 69.98 KB
Prudential-Life-Rates-Act-and-Ret-Under-Age-65.pdf 71.05 KB
2007PTForm.pdf 187.50 KB
Timesheet-Student.doc 113.00 KB
Timesheet-Student.pdf 17.48 KB
Timesheet-Wage.doc 78.50 KB
Timesheet-Wage.pdf 124.41 KB
TN-Canadian-Instructions-To-Extend-Status.doc 70.50 KB
TN-Canadian-Instructions-To-Extend-Status.pdf 38.38 KB
TN-Canadian-Instructions-To-Obtain-Status.pdf 123.23 KB
Optional-Insurance-Election-Form.pdf 94.04 KB
PER1A.pdf 165.78 KB
Interview-Selection+Process+08-06.doc 131.00 KB
Letter+-+applicants+not+selected+03-05.doc 23.50 KB
Letter+of+offer+to+associates+-+postdoc+03-05.doc 23.00 KB
Letter+of+offer+academic.doc 25.50 KB
Letter+of+offer+to+unclassified.doc 22.00 KB
CSRS-Retirement-Application.pdf 1,277.98 KB
Orientation-Schedule-Registration-Form.pdf 118.65 KB
LDCPParticipantAgreement.pdf 1,306.29 KB
PPO-Helpful-Info-Booklet.pdf 7,176.26 KB
PER2.pdf 495.24 KB
W.C.+Medical+Treatment+Authorization.pdf 11.80 KB
W.C.+Medical+Treatment+Authorization.doc 113.00 KB
H1B1-Extension-Instructions.doc 108.00 KB
H1B1-Extension-Instructions.pdf 26.70 KB
H1B1-New-Petition-Instructions.doc 465.50 KB
H1B1-New-Petition-Instructions.pdf 67.06 KB
directdeposit.pdf 526.79 KB
Perf-Evaluation-Associate-Postdoc-03-08.doc 114.50 KB
Perf-Evaluation-Associate-Postdoc-03-08.pdf 75.87 KB
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
Form-I-9.pdf 407.89 KB
Prudential+Life+Claim+Form.pdf 757.30 KB
Supplemental-Timesheet+(Form+AS420).pdf 267.41 KB
Health+Plan+Comparison.pdf 41.65 KB
Exit-Checklist.pdf 19.96 KB
LSU-First-Life-Beneficiary-Change-Form.pdf 256.37 KB
Dependent-Verification-Info-Sheet.pdf 73.86 KB
TRSL+Name+Change+Request.pdf 55.02 KB
LSUFirst-flyer.pdf 509.33 KB
LSUFirst-Critical-Illness.pdf 259.12 KB
GILSBAR+-+Health_Dependent_Care_Reimbursement_Form.pdf Claim form for both Health and Dependent Care Spending Accounts - faxed or mailed to Gilsbar. 134.41 KB
The+Hartford+-+Enrollment+Form.pdf 206.10 KB
The+Hartford+-+Beneficiary+Change+Form.pdf 73.44 KB
Thrift+Savings+Plan+Election+or+Change+Form+-+TSP-1.pdf 53.17 KB
Thrift+Savings+Plan+Catch-Up+Contribution+Election+TSP-1c.pdf 31.30 KB
Employment+Packet+Instructions+-+Folder+4.pdf 121.26 KB
Employment+Packet+Instructions+-+Folder+3.pdf 93.72 KB
Retirement+Eligibility+Chart+-+All+Systems+2009.pdf 114.05 KB
Folder+1+-+Insurance+Agreement+for+LCES+Employees.pdf 64.28 KB
The+Hartford+-+Evidence+of+Insurability.pdf 91.60 KB
LTD+Plan+Features+-+Info+Only.pdf 3,481.42 KB
Supporting-Documents-Required-For-Appointments.pdf 89.06 KB
Employment+Packet+Instructions+-+Folder+5+ALL+NON+U.S+CITIZENS.pdf 30.62 KB
Folder+5+-+EXAMPLE+-+8233+and+Attachment.pdf 623.87 KB
Folder+5+-+W-4+L-4+Example+Sheet.pdf 371.77 KB
457+and+403b+Overview+Information+2009.pdf 219.21 KB
LDCP+Particpant+Enrollment.pdf 362.77 KB
LDCP+Beneficiary+Designation.pdf 314.60 KB
Position+Advertisement+and+Selection+Record.doc 69.50 KB
Position+Advertisement+and+Selection+Record.pdf 123.49 KB
Demotion+Letter+for+Classified+Employees.doc 23.50 KB
Employment+Packet+Instructions+-+Folder+2+REGULAR+RETIREMENT.pdf 92.77 KB
Employment+Packet+Instructions+-+Folder+2+TEMPORARY+RETIREMENT.pdf 109.82 KB
Employment+Packet+Instructions+-+Folder+2+CLASSIFIED+RETIREMENT.pdf 102.47 KB
UNUM+Acknowledgement+of+Dislosure+of+Rating+Practices.pdf 49.91 KB
Dearborn+National+Provider+Nomination+Form.pdf 488.79 KB
The+Hartford+-+Enrollment+Form+Supplemental+Life.pdf 115.58 KB
Print+Packet+2years+.pdf 4,646.83 KB
Print+Packet+181-2years.pdf 4,705.83 KB
Print+Packet+121-180.pdf 4,196.78 KB
Print+Packet+120+or+less.pdf 1,356.09 KB
Print+Packet+LCES.pdf 123.94 KB
Print+Packet+International.pdf 1,642.78 KB
Interview+and+Selection+Requirements+for+Agent+Positions.pdf 32.95 KB
LCES+Internship+Application+2010.doc 128.00 KB
Forms-Processing-Guidelines.pdf 99.44 KB
Retirement+Calculator,+Funded+and+Unfunded.xlsx 13.05 KB
ORP+-+Retirement+with+Resignation+Form.doc 95.00 KB
Employment+Packet+Request.pdf 121.54 KB
Dental+Plan+-+Basic+-+Benefit+Highlights.pdf 270.61 KB
Dental+Plan+-+Enhanced+-+Benefit+Highlights.pdf 271.50 KB
Dental+Services.pdf 75.87 KB
Health+Plan+Comparison+and+Summary.pdf 135.39 KB
Health+Plan+Rates.pdf 49.43 KB
Vision+Plan+Info+(LSU+First+participants).pdf 111.88 KB
Vision+Plan+Info+(Non-LSU+First+participants).pdf 111.95 KB
Campus+Federal+Payroll+Deduction.pdf 300.43 KB
Supp+Employment+Form+fill+in+05-05.pdf 200.56 KB
PPRGeneral+Fill-in.pdf 6,853.07 KB
UNUM+LTC+Enrollment+Form.pdf 55.38 KB
Instructions+for+online+enrollment+CHANGEPLAN.doc 28.50 KB
Final+Rates+for+July+1+2011+Plan+Year.pdf 34.02 KB
Boon+Chapman+DIRECT+DEPOSIT.pdf 47.30 KB
2011+Health+Plan+Comparison+and+Summary.pdf 332.65 KB
Davis+Annual+Enrollment+Slide+Show.pdf 340.04 KB
Davis+Handout+-+AE.pdf 189.52 KB
LSU+First+-+Preventive+Health+Coverage.pdf 8,873.25 KB
LSU+First+-+Chronic+Health+Condition+Brochure.pdf 2,387.16 KB
Incident+Accident+Investigation+Form+1.pdf 14.37 KB
Def+Comp+Participant+Enrollment.pdf 182.84 KB
Prescription-Drug-Benefit-Administrators.docx 16.16 KB
Employment-Packet-Instructions---Folder-1.pdf 129.66 KB
BoonChapman-Medical-FSA-Claim-Form.doc 110.00 KB
BoonChapman-Dependent-FSA-Claim-Form.doc 110.50 KB
Instructions-for-online-enrollment-FLEX.doc 29.00 KB
Annual-Enrollment-for-Active-Employees.doc 26.00 KB
LSU-Vol.-Benefits-Enrollment-Change-form.pdf 306.25 KB
PPRGeneral.pdf 7,263.52 KB
PPRAdminClericalSupport.pdf 7,468.62 KB
PPRNutritionEducator.pdf 137.48 KB
PPRGeneralFill.pdf 7,054.51 KB
PPRAdminClericalSupportFill.pdf 7,459.87 KB
PPRNutritionEducatorFill.pdf 135.60 KB
FSA-ENROLLMENT-FORM.pdf 20.92 KB
sf3.doc 89.50 KB
Last Updated: 2/8/2012 2:08:08 PM

Have a question or comment about the information on this page?
Click here to contact us.


   Print Page Print Version
   Mail to a friend Send to friend

related articles
Listing of Forms by Section
Forms
 
point of contact
 
institutions
LSU AgCenter
© Copyright 2012 LSU AgCenter All Rights Reserved
Privacy | Disclaimer | EEO | Search | LSU | Contact Us | Site Map