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director
Ron Jackson, PhD

Tel: (225) 342-6060
Fax: (225) 342-0019
Email: Ronald.Jackson@la.gov

Mailing Address:
P.O. Box 94095
Baton Rouge, Louisiana
                   70804-9095

Get A Game Plan spacer Louisiana Transparency & Accountability
Forms
The forms below are frequently used by DOA sections and Human Resources to initiate personnel actions for DOA employees. All forms should be printed and forwarded to Human Resources in hard copy form. Please let us know if there is a form(s) that you would like added to this page.
Form
PDF Format
Word/Excel Format
ATTENDANCE
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
SF-3 Position Description
SF-3.A 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 Position
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
DETAIL TO SPECIAL DUTY
Request for Extension of Detail to Special Duty
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 Servicemember 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-10D Application for Student Employment
IT CONSOLIDATION QUESTIONNAIRE
Consolidation Questionnaire
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
PERSONNEL ACTION REQUEST
PAR
Personnel Action Request Form Instructions
SEPARATION
Separation Form
La. Workforce Commission-ES 77
Employee Exit Checklist
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 Position