Listing of Forms by Section

LSU AgCenter, All, General

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
- Disability Income Insurance
  - Long Term Disability Site (has forms)
- Health Insurance
  - GB-01 - Group Benefits Enrollment/Change Form
  - Health Insurance Site
- Life Insurance
  - LSU System (Voluntary Life through UnitedHealthcare)
    - UHC Evidence of Insurability
  - Prudential Life Insurance
  - Extension Benevolent Plan (Cigna)
    - Beneficiary Change Form
- Long-term Care (UNUM)
  - Long term Care Brochure
  - Long term Care Enrollment Form
- Tax Saver Flexible Benefits Plan
  - Tax Saver Page
- Vision Plan
  - Vision Plan Site
- Workers' Compensation
Leave
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

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Section 2: Employee Records

Address and/or Name Change Form
Alien Tax Information Request Form
Campus Federal Payroll Deduction Form
Car Insurance Agreement-LCES
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.

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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
- Emeritus Request Form
- 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

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Section 4: Performance Appraisal

Academic/Faculty
- Associate/Postdoctoral Researcher Performance Evaluation - PDF or Word
Classified
- CS Transitional Performance Evaluation Form - Word
Non-Classified
- Non-Classified Performance Evaluation Form - PDF or Word

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Section 5: Tax Withholding

Alien Tax Information Request Form
Federal Forms
- Form 8233 - Exemption from Withholding on Compensation for Independent (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 .

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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
- Unit Instructions to Extend H1B Status - PDF
J-Status
- Unit Instructions to Obtain J-1 Exchange Visitor Status
- Unit Instructions to Extend J-1 Exchange Visitor Status
TN-Status
- Unit Instructions to Obtain TN Canadian Status and Employ
- Unit Instructions to Extend TN Status and Continue Employment

8/8/2023 2:21:34 PM

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