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Forms

The forms below are frequently used by DOA sections and the Office of Human Resources (OHR) to initiate personnel actions for DOA employees.  All forms should be printed and forwarded to the OHR in hard copy form.

ATTENDANCE​PDF
​Flexible Hours Request Form​                                                                                  
​Attendance/Leave, Work Hours Guide​                                                                                  
​Student Employee Time Sheet (Recommended Format)​                                                                                  
BENEFITS
​Lasers Change of Address Authorization​                                                                                  
CELLULAR PHONES/MOBILE DEVICES
​Justification Memorandum for Wireless Communication Devices​                                                                                  
​Cellular Phone/Mobile Device Policy Acknowledgement and Certification Form​                                                                                   
​CLASSIFICATION
​Position Description​                                                                                  
​Position Description Optional Attachment​                                                                                  
​Change of LA Gov HCM Org Unit and/or Reporting Relationship Request​                                                                                  
​Classified WAE Position Description​                                                                                  
​Statement of Agreement and Understanding - Employment in a Non-Permanent Appointment​                                                                                  
COMPENSATION
​Release for Reference Checking​                                                                                  
​Verification of Employment [6.5(g)] Request​                                                                                    
​On-Call Pay Request Form​                                                                                  
​Shift Differential​                                                                                        
​Special Projects/Significant Achievement​                                                                                   
​Education/Training/Certification Application​                                                                                   
​Optional Pay Grid​                                                                                        
​Optional Pay Adjustment Questionnaire​                                                                                       
​Premium Pay​                                                                                    
​Voluntary Demotion (Reduction in Pay)​                                                                                   
​Voluntary Demotion (Waiver of Pay Reduction)​                                                                                         
​Computation of Student Pay​                                                                                  
CRISIS LEAVE
​Crisis Leave Donation Form​                                                                                                
​Crisis Leave Request Form​                                                                                     
DETAIL TO SPECIAL DUTY
​Agency Request for Extension of Detail to Special Duty​                                                                                        
DISCRIMINATION AND HARASSMENT 

Prohibiting Discrimination and Harassment Forms​

​                                                                                     
DRUG TESTING
​Conditional Offer of Employment​                                                                                   
​Drug Test Consent and Release for Non-Minor​                                                                                     
​Drug Test Consent and Release for Minor​                                                                                   
FAMILY AND MEDICAL LEAVE
​Employee Serious Health Condition​                                                                                  
​Family Member Serious Health Condition​                                                                                  
​Serious Injury or Illness of Covered Service member for Military Family Leave​                                                                                  
​Qualifying Exigency for Military Family Leave​                                                                                    
​FLSA
​FLSA Questionnaire​                                                                                  
GRIEVANCE
​Grievance Forms​                                                                                  
​HIRING
​Conditional Offer of Employment​                                                                                  
​Request to Recruit for a Vacant Position​                                                                                   
​Section Induction Checklist​                                                                                  
​Release for Reference Checking​                                                                                  
​State of Louisiana Employment Application (SF-10)                                                                                   ​
​Application for Student Employment (SF-10D)​                                                                                   

​Application to Employ Minors Under Age 18

​                                                                                  
LEAVE
​Special Leave Request​                                                                                      
​Prior Pay Period Time Adjustment​                                                                                  
​Documentation Online Time Entry​                                                                                  
​Validation Online Time Entry Data Reports​                                                                                    
OUTSIDE EMPLOYMENT
​Outside Employment Disclosure Statement​                                                                                    
​Employee Acknowledgement of Outside Employment Policy (New Hire/New Position)​                                                                                    
​Employee Acknowledgement of Outside Employment Policy​                                                                                   
OVERTIME
​Statement of Agreement or Understanding Regarding Compensation for Overtime Work                                                                                   ​
PERFORMANCE EVALUATION SYSTEM (PES)
PES Planning & Evaluation Form (To be used by sections within the DOA)​​                                                                                  
​PES Planning & Evaluation Form (To be used by Executive Dept. Agencies Supported by DOA/OHR)​                                                                                               
​PERSONAL DATA
​Name, Address & Phone Number Change Form​                                                                                   
PERSONNEL ACTION REQUEST
​Personnel Action Request (PAR) Form​                                                                                       
​Personnel Action Request Form Instruction​                                                                                         
PROBATIONARY PERIOD
Probationary Appointment Acknowledgment​​                                                                                  
​SEPARATION
​Separation Form​                                                                                  
​Section Head/Designee Exit Checklist​                                                                                            
TEMPORARY HELP (WESTAFF)
​Temporary Help Requisition​                                                                                                    
​TELECOMMUTING
​Telecommuting Work Agreement​                                                                                        
​Telecommuting Guidelines​                                                                                     
​UNCLASSIFIED AUTHORITY
​Request for an Exemption from the Classified Service Form (CSUA.1)​                                                                                  
​Statement of Agreement and Understanding - Employment in a Non-Permanent Appointment​