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
• Asset Protection Plan
• "Sign Up Today" Form
• Informational FAQ Form
• Dental Plan
• Ameritas Dental Basic Plan Features
• Ameritas Dental Enhanced Plan Features
• Ameritas Dental Change Form
• Dental Change Form (Denta-Care, LA Dental, Bene-Dent, Paid Dental)
• Dental and Vision Plan Continuation - COBRA
• 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
• Critical Care Informational Brochure
• GB-01 - Group Benefits Enrollment/Change Form
• Dependent Verification Information Sheet
• Health Plans Comparison and Summary (2009-2010)
• Humana Primary Care Physician Election Form
• LSU First Life Beneficary Change Form
• Medical Certification
• Insurance Portability Law Form
• Pre-Existing Condition Form
• Rates for All Health Plans (2008-2009)
• Rates for All Health Plans (2009-2010)
• 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
• Claim Form
• Enrollment Form
• Evidence of Insurability Form
• Extension Benevolent Plan (Great West)
• Beneficiary 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 - Gilsbar - 2009-2010 Plan Year
• Direct Deposit Form - Gilsbar - 2009-2010 Plan Year
• Claim Form - Gilsbar  - 2009-2010 Plan Year
• Plan Booklet
• Reimbursement for Over The Counter (OTC) Drugs
• Status Change Form
• Enrollment Form - ProcessWorks - 2008-2009 Plan Year
• Direct Deposit Form - ProcessWorks - 2008-2009 Plan Year
• Claim Form - 2008-2009 Plan Year - Must login to ProcessWorks Inc.
• Debit Card Application - ProcessWorks - 2008-2009 Plan Year
• Debit Card Instructions - ProcessWorks - 2008-2009 Plan Year
• Debit Card FAQ's - ProcessWorks - 2008-2009 Plan Year
• Frequently Asked Questions - ProcessWorks  - 2008-2009 Plan Year
• Vision Plan
• Always Vision Plan Change Form
• Always Vision Plan Enrollment Form
  
• Always Vision Plan Features
• Vision and Dental Plan Continuation - COBRA
• 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
• 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)
• Beneficiary Designation/Change
• Refund of Accumulated Contributions
• Louisiana Deferred Compensation Plan
• Beneficiary Designation
• Enrollment Form
• 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
  

• Address and/or Name Change Form
• Alien Tax Information Request Form
• Bank of America Corporate Travel Application
• Campus Federal Payroll Deduction Form
• Car Insurance Agreement-LCES
• Direct Deposit Form (Payroll Records)
• Direct Deposit Waiver (Payroll Records)
• Form 8233 (Tax Treaty) - Exempt from Withholding on Comp. for Independent (and Certain Dependent) Personal Services of a Nonresident Alien Individual)
• I-9 Employment Eligibility Verification (07-01-2009 revision has not yet been published.  Continue using this form.)
• Name and/or Address Change Form
• Name Tag Information
• Orientation Checklist for New Employees - PDF or Word
• 2009 Orientation Schedule and Registration for New Employees
• PM-11 - Outside Employment Disclosure Forms A & B
• Policy Statement 18 - Illegal Use of Drugs or Alcohol
• Resignation Letter
• Selective Service Verification Instructions
• SF-10 - Civil Service Pre-Employment Application - PDF or Word
• 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.

• Forms Processing
• PER 1A - Personnel Action Form (Print on Yellow Paper) - PDF or Word
• 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
• 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 - PDF or Word
• Employment Screening Form - PDF or Word
• Exit Checklist
• Extension Faculty Employment Application - Extension Agent
• Faculty Job Description Form (PS-46) -  PDF or Word
• I-9 Employment Eligibility Verification (07-01-2009 revision has not yet been published.  Continue using this form.)
• 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
• Request for Employment Packet - PDF or Word
• Research Associate Supplemental Job Description Form - PDF or Word
• SF-3 - Civil Service Position Description - PDF
• SF-10 - Civil Service Pre-Employment Application - PDF or Word
• Student Employment Application

• Academic/Faculty
• Associate/Postdoctoral Researcher Performance Evaluation - PDF or Word
• Faculty Performance Evaluation Form - 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
  

• 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
• Form W-5 - Earned Income Credit Advance Payment 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 .

• 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