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New Employee Forms

 

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New Employee Forms by Name (in alphabetical order)Instructions or Information about form
403(b) Enrollment with INGContact ING Representative
403(b) Enrollment with MetLifeContact MetLife Representative
403(b) Enrollment with VALICContact VALIC Representative
403(b) Enrollment Contract with TIAA-CREF & Salary Reduction Authorization FormBoth forms must be submitted to being enrollment.
457(b) Louisiana Deferred Compensation Enrollment AgreementSupplemental Retirement
457(b) Louisiana Deferred Compensation Beneficiary FormSupplemental Retirement
Academic Employee Request for 12 ChecksMust be submitted prior to first academic check of the year.
Accidental Death & Dismemberment Enrollment FormMust enroll within first 30 days of employment or enroll as a late applicant and be medically underwritten.
Dental Enrollment FormMust enroll within first 30 days of employment or during Annual Enrollment.
Dependent Care Spending Account Enrollment FormMust enroll within first 30 days of employment or during Annual Enrollment.
Dependent Care Spending Account Direct Deposit FormFlexible Spending Accounts
Direct Deposit Form*Submit to Payroll in 204 T.Boyd
Drug Policy Acknowledgment Form*PS-67
Employee Information Sheet & Loyalty Oath*Submit only if unable to complete online (not common).
Flexible Spending Account Direct Deposit FormFlexible Spending Accounts
Flexible Spending Account Enrollment FormMust enroll within first 30 days of employment or during Annual Enrollment.
Flexible Spending Account Expense Estimation Worksheet for Unreimburesed Healthcare CostsFlexible Spending Accounts
GB-01Health Insurance Enrollment Form
Health Insurance Enrollment FormMust enroll within first 30 days of employment or enroll as a late applicant.
I-9: Immigration Employment Form*I-9 Tutorial
L-4 Louisiana Employee Withholding*Payroll
Leave Accrual Rate Election Form*PS-12
Life Insurance Beneficiary Designation Form - The HartfordTerm Life Insurance
Life Insurance Beneficiary Designation Form - PrudentialTerm Life Insurance
Life Insurance Enrollment Form - The HartfordMust enroll within first 30 days of employment or enroll as a late applicant and be medically underwritten.
Life Insurance Enrollment Form - PrudentialMust enroll within first 30 days of employment or enroll as a late applicant and be medically underwritten.
Long Term Care Enrollment FormMust enroll within first 30 days of employment or enroll as a late applicant and be medically underwritten.
Long Term Disability Enrollment FormMust enroll within first 30 days of employment or enroll as a late applicant and be medically underwritten.
ORP/Optional Retirement Plan Enrollment FormMust submit form within first 60 days of employment to transfer out of default plan and keep all contributions.
ORP Enrollment with ING *Contact ING RepresentativeSupplemental Retirement
ORP Enrollment with TIAA CREF Form *See Instruction columnThis form must be submitted with the ORP Enrollment Form.
ORP Enrollment with VALIC *Contact VALIC RepresentativeSupplemental Retirement
Outside Employment of University EmployeesPM-11
Premiums Only Plan Enrollment FormMust enroll within first 30 days of employment or during Annual Enrollment.
Relocation Authorization FormFor department use only.
Relocation Incentive AgreementRelocation Incentive Policy
Salary Reduction Authorization FormSupplemental Retirement
TRSL Beneficiary Designation FormTRSL Retirement
Vision Enrollment FormMust enroll within first 30 days of employment or during Annual Enrollment.
Voluntary Benefits Enrollment FormSupplemental Benefits
Voluntary Self Identification of Disability Form 
W-4 Employee Withholding Allowance Certificate*Payroll

 

 *Only to be completed if unable to submit online/electronically (not common).

 

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Form directions and/or additional information are provided in the Instructions or Information column or within the form.

 

Forms that are submitted HRM can be scanned and emailed (unless original documents are required for processing) to hr@lsu.edu or sent via campus mail to 110 Thomas Boyd Hall.

 

For technical support on forms, contact an HR Generalist at 225-578-8200 or hr@lsu.edu.