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Human Resources Policies & Forms
Below are the official LDH Division of Human Resources policies and forms to be used by all LDH offices. Please do not alter any policies or forms without first contacting the LDH Division of Human Resources (225-342-6477). Human Resources may return any altered forms with no action taken.
All LDH policies are maintained as part of the Policy Issuance System. Below is a list of active LDH-wide Human Resources policies and related forms. Please refer to the respective office and/or facility for additional policies.
Policies
- Americans with Disabilities Act #81
- Appointment and Pay of Student Employees #36
- Certification of Compliance of Personnel Actions #31
- Criminal History Records Check of Applicants and Employees #47
- Crisis Leave Pool #26
- Dual Career Ladder - Engineer 6 #146
- Electronic Mail and Internet Access Policy #66
- Emoluments #6
- Employee Conduct #86
- Employee Discipline #30
- Employee Lactation Support #104
- Employee Handbook
- Employee Performance Evaluation System #33
- Employee Substance Abuse and Drug-Free Workplace Policy #4
- Equal Employment Opportunity #34
- Family and Medical Leave Act Policy #29
- Filling Job Vacancies #32
- General Training #38
- Grievances and Complaints #35
- Insurance Solicitation #83
- LDH Demotion Policy #54
- LDH Employee Drug Testing Policy #48
- LDH Employee Offboarding Policy #134
- LDH Employee Recognition and Rewards #52
- LDH Exclusion Screening and Disclosure Policy #132
- LDH Fair Labor Standards Act Policy #49
- LDH Objects on Loan Policy #142
- LDH Overpayment Policy #131
- LDH Policy on Client Abuse and Neglect #145
- Leave Policy for Classified LDH Employees #28
- Management of System Access #143
- OPH Absence Reporting - Policy 605
- OPH Overtime - Policy 607
- Optional Pay Adjustments (Civil Service Rule 6.16.2) #53
- Overtime Policy #45
- Pay Policy #50
- Pay for Extraordinary Qualifications (CS Rule 6.5g) #120
- Policy Issuance System #69
- Recoupment of Payroll Overpayments #2
- Reference Checking #46
- Relocation Expenses #37
- Sexual Harassment Policy #56
- Statewide Telework Policy
- Succession Planning #141
- Temporary Appointments #55
- Time Administration and Time Entry #77
- Tobacco-Free Workplace #5
- Transitional Return to Work #109
- Travel Regulations #10
- Unclassified Appointees and Unclassified Employees - Attendance and Leave #136
- Unused Airline Tickets #113
- Verification of Credentials #40
- Workplace Violence #85
- Work Schedules, Attendance and Punctuality #125
Forms & Instruction
- ADA Request for Accommodation HR75
- Certification of Supervisory Elements over Contract Personnel
- Civil Service Rule 6.5g HR20 Instructions
- Civil Service Rule 6.5g Request HR20
- Classified WAE Position Description
- Computation of Leave Prior to Retirement
- CPM Agency Review Form
- CPM Evaluation Form
- CPM Not Evaluated Form
- CPM Notes and Discussion Form
- CPM Performance Development Tool
- CPM Planning Form
- CPM Request Form
- Direct Deposit Enrollment Authorization, Main Bank (Primary Account)
- Direct Deposit Enrollment Authorization, Other Bank (Secondary Account)
- Disaster Operations Time Sheet HR48B
- Disaster Operations Time Sheet Instructions HR 48B
- EEO Complaint Form HR76
- Employee Exit Survey/Questionnaire HR65
- Employee Separation Checklist HR64
- FLSA Determination HR36
- FMLA Alert Form HR31
- FMLA Employee Request Form HR28
- FMLA Flowchart HR80
- Grievance Form HR35
- Human Resources Liaison Checklist HR11
- Justification for Temporary Appointments HR3
- LDH Budget Approval
- LDH Conversion Chart of Minutes to Hours HR114
- LDH Explanation of Policy Template
- LDH Prior Pay Period Adjustment HR74
- LDH Secretary Payroll Certification HR103
- LDH Standard Policy Format
- Leave Request Form SF6
- License Verification Form LV1
- Local Governing Entities - Map
- LSAG Request Form
- New Employee Orientation Checklist HR66
- Notice of Resignation or Transfer Form HR117
- Objects on Loan Entry Instructions HR78
- Objects on Loan Form HR102
- OPH Policy Acknowledgement
- Optional Pay Adjustment Additional Duties Questionnaire
- Optional Pay Adjustment Request HR22
- Overtime Request HR23
- Parental Leave Frequently Asked Questions
- Parental Leave Request Form
- Personal Data Form HR9
- Physical Requirements and Conditions
- Physical Requirements and Conditions Acct Auditor Human Resources
- Physical Requirements and Conditions RN
- Physical Requirements and Conditions Sanitarian
- Physical Requirements and Conditions Social Services
- Position Description Form SF-3
- Premium Pay Request HR58
- Prior State Service Questionnaire HR6
- Recognition and Rewards Request HR24
- Reference Checking HR12
- Request for Personnel Action HR1
- Request to Fill a Vacant Position HR2
- Request to Fill Requiring Executive Approval Form
- SF-3a Optional Attachment
- Shift Differential Request Form HR57
- Statement of Agreement and Understanding HR69
- Student Application SF10D
- Succession Planning Profile Template HR104
- Task Assignment Log HR71
- Telework Formal Agreement HR70
- Training Requirements for All LDH Employees
- Training Requirements for All LDH Contract Workers
- Voluntary Demotion Letter HR67
- Work Schedule Form HR13
Contact
For more information on the Policy Issuance System or a specific policy, please contact [email protected].