Human Resources Forms

Application for Employment (Online)

Application for Employment Form (Paper Form for Adjunct Faculty Only)

Change of Address/Name Form (for all Delgado employees)

Classified Employees Performance Evaluation System (PES)

Classified Full-Time Position Description (Word)

Classified Part-Time WAE Position Description (Word)

Classified Staff Grievance Form (SF16)

Direct Deposit Enrollment Authorization Form (Form BAA-K01/001)

Direct Deposit Waiver Request Form (Form BAA-K01/002)

Disclosure of Outside Employment Requiring Approval of Chancellor or System President (LCTCS Form "B", Word Version)

Disclosure of Outside Employment Requiring Approval of Chancellor or System President (LCTCS Form "B", PDF Version)

Disclosure of Outside Employment Requiring Approval of the Vice Chancellor (LCTCS Form "A", PDF Version)

Disclosure of Outside Employment Requiring Approval of the Vice Chancellor (LCTCS Form "A", Word Version)

Documentation of Warning (Form 2130/001) - Suggested Template

Emergency Contact Form

Employee Exit Checklist (Form 1410/008)

-- Contact Phone Numbers for Employee Exit Checklist

Employee Request for Released Time to Attend Class (Form 1412/001)

Employee Request for Tuition Exemption (Form 1412/002)

Employee Request for Tuition Reduction (1412/003)

Employee Withholding Allowance Certificate - Federal (W-4)

Employee Withholding Exemption Certificate - State of Louisiana (L-4)

Employment Eligibility Verification Form (I-9)

End-of-Semester Checkout Form (Form 2122/002)

Exemption from the Classified Service - Request (Part-Time Unclassified)

Extra Service Agreement (Form 3242/003)

Federal Ethnicity and Race Reporting Form

FMLA - Certification for Serious Injury or Illness of Covered Service Member - for Military Family Leave

FMLA - Certification of Health Care Provider for Employee's Serious Health Condition

FMLA - Certification of Health Care Provider for Family Member's Serious Health Condition

FMLA - Certification of Qualifying Exigency for Military Family Leave

FMLA - Designation Notice

FMLA - Notice of Eligibility and Rights & Responsibilities

Interim Coverage of Hospitalization-Life Insurance Form (Form 2600/001)

LASERS Change of Address Form

Leave Request Form (Form 2400/001)

OGB (Office of Group Benefits) Enrollment/Change Form

OGB (Office of Group Benefits) Flexible Benefits Plan - Flexible Spending Arrangement Enrollment Form

OGB (Office of Group Benefits) Flexible Benefits Plan - Premium Conversion Enrollment/Stop Form

Overtime/Compensatory Leave Approval Form (Form 2400/005)

Overtime - Statement of Agreement or Understanding for Classified Employee Compensation for Overtime Work

Part-Time Agreement (Form 3242/002)

Personnel Action Form (Form 2100/002)

Position Control Form (Form 2100/001)

Recoupment of Overpayments Statement of Understanding Form (LCTCS Form)

Reference Check Form

Request for Direct Deposit Waiver (Office of State Uniform Payroll UPR/F46)

Request for Released Time (Form 2420/001)

Salary Deferred-Payback Option Form (2014-2015)

Self-Identification Form for Individuals with Disabilities (Voluntary Employee Identification Form)

Statement of Agreement or Understanding for Classified Employee Compensation for Overtime Work

Summer Service Employment Form for Nine-Month Full-Time Faculty (Form 2123/001)
-- Summer Session Pay Scale

Telephone Reference Check Sample Form

TRSL Enrollment Application/Notification Form

TRSL Name Change Request Form

 Unclassified Employee Problem Solving Form (Form 2534/014)

Unclassified Faculty/Staff Position Description Form (Form 2200/005)

Unclassified Staff/Administrators Evaluation Form

Verification of Employment Form

Violence Incident Statement