Onboarding & Other Resources

NEW HIRES WITHOUT A PERSONNEL NUMBER SHOULD ENTER "0" IN THE PERSONNEL # FIELD.

**COMPLETED DOCUMENTS CAN BE SUBMITTED VIA EMAIL.**

Payroll Forms

 

• Personal Data Form-HR9
• Federal Tax Form - W4 (The form should be downloaded/saved before completing.)
• State Tax Form -L4
• Direct Deposit Enrollment Authorization, Main Bank (Primary Account)
• Direct Deposit Enrollment Authorization, Other Bank (Secondary Account)
• Voluntary Self-Identification of Disability Form
• Prior State Service Questionnaire

Retirement Benefits

 

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• Lasers Membership Registration (Form 1-01)
• Lasers Designation of Beneficiary (Form 1-06)
• Lasers Benefit Forfeiture (Form 1-13)
• Statement Concerning Your Employment…(Form SSA-1945)
• View only - LASERS General information - View Only
• View Only - Deferred Compensation: A Supplemental Retirement Plan - View Only

Insurance Benefits

 

• Office of Group Benefits Enrollment / Change Form (Form GBO1)

 Dependent Verification (Without the below documentation, your enrollment cannot be completed)

 If adding a spouse or child or children, you MUST provide proof of legal relationship for each person you want covered along with the GB-01 form:

• marriage certificate
• birth letter or birth certificate
• legal adoption or custody papers

• Office of Group Benefits-Flexible Benefits Plan-Flexible Spending Arrangement Enrollment Form

Policies & Procedures

 

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• STATE CIVIL SERVICE - PROHIBITED POLITICAL ACTIVITY (GENERAL CIRCULAR NUMBER 2023-046)
• LDH – Recoupment of Overpayments (Policy #2.2)
• LDH – Disclosure of Outside Employment (Policy #44.1)
• LDH – Disclosure of Outside Employment Form
• LDH – Overtime Policy (Policy #45.2)
• LDH – Firearms in the Workplace (Policy #68.1)
• LDH - Safety Rules
• General Safety/ Loss Prevention Manual
• Tenant Interaction with Inmates (LDH Employee Interaction with Inmates)
• Employee Lactation Support (Policy #104.1)
• Notice of Compliance to Employees – Worker’s Compensation
• LDH - Transitional Return to Work (Policy # 109.1)
• LDH - Sexual Harassment Policy (Policy # 56.4)
• LDH- Work Schedules Attendance Policy 2019 (Policy # 125.1)
• LDH - Policy and Procedure Acknowledgement Form
• State Civil Service – Appointment Affidavits (SF13)
• LDH – Emergency Preparedness Policy (Policy #65.2) - Sign and return page12

Training Compliance

 

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• LDH Training Course Information 

For Reference

• LEO-Address, Phone, Bank, Tax & W-2 Quick Reference Card
• LEO-Log On Assistance Quick Reference Card
• LEO-Employee Pay Statement Quick Reference Card
• Affordable Care Act (ACA) Flyer
• OSUP 2025 Pay Period Chart    
• OSUP 2025 Pay Period Calendar 
• Referral List Instructions 
• Pre-Onboarding Documents/Requirements
• Pre-Employment Drug Screening Information
• Pre-Onboarding Hiring Process Workflow

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