Leonard J. Chabert Medical Center - Human Resources Department

ph: (985) 873-2200

HR Forms/Documents
Annual Leave Request Form CPTP Class Registration Form Direct Deposit Form Educational Leave Request Form Employee Illness - HR Tracking Form FMLA Leave Eligibility Form Grievance Form Medical Certificate Medical Certificate for Family Member Mispunch Slip Outside Employment Form	Personal Data Change Form Tax Forms Louisiana Tax Withholding L-4 Federal Tax Withholding W-4 Advanced Earned Income Credit W-5 Tuition Exemption Form Unclaimed Payroll Checks Understanding Your Paycheck
Contact Human Resources for more information (985) 873-1855

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