LCES - Appt Greater Than 2 Years - Required Forms Checklist

Folder #1

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Supplemental Employment Form

General Employment Forms

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Tax Forms (2): W-4 Federal; L-4 State

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I-9 Employment Eligibility Verification and copies of supporting documents

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Bank Deposit Authorization Form and Attachments

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Drug Policy Certification (PS-18)

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Bank of America Corporate Card Application (Optional) 

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Car Insurance Agreement (LCES employees only)

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Name Tag Request Form

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Selective Service Verification (Males 18-25 only)

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Vehicle Authorization Form 

Folder #2

Enrollment / Selection Forms – Either TRSL or ORP

Retirement Forms

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Teachers’ Retirement System Enrollment Form (TRSL) and a copy of your birth certificate and social security card

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TRSL Beneficiary Form

OR

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Optional Retirement Plan Enrollment Form (ORP)

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Copy of ORP Carrier Election Form (TIAA-CREF or VALIC or ING) - contact carrier for their form.

AND

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SSA-1945 (Statement concerning employment in a job not covered by Social Security)

Folder #3

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Office of Group Benefits (OGB) Enrollment / Change Document – also used for Definity & Humana (HMO)

Health Insurance & OGB (Prudential) Life Insurance

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Insurance Portability Law (IPL) Application

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Prudential Enrollment Form – Control # 33624 (Complete if enrolling in the OGB (Prudential) Life Insurance Plan)

Folder #4

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Annual Leave Accrual Rate Election Form

Other Benefits

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Tax Saver Flexible Benefits Form (If enrolling in a spending account also include the following forms:
□ Direct Deposit Authorization Form
□ MBI Benefits Card Request Form (Optional)

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Extension Benevolent Insurance Election Form 

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LSU Optional Insurance Plan Election Form

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If enrolling in an optional insurance plan, also include that plans enrollment form (Long-Term Disability, AD&D, Dental Option 1 or Dental Option 2, Vision, ING Life, Long-Term Care, Asset Protection Plan)

Folder #5

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Alien Tax Information Request Form

(Non-U.S. Citizens Only)

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Form 8233 and Attachments