Get Louisiana Employee Badge Enrollment Form

Completing the Louisiana Employee Badge Enrollment Form online is a straightforward process that ensures you have the necessary identification for employment purposes. This guide will provide you with step-by-step instructions to efficiently navigate and fill out the form online.

Follow the steps to successfully complete the enrollment form.

1. Click ‘Get Form’ button to access the Louisiana Employee Badge Enrollment Form and open it in your preferred editing tool.
2. Begin by filling in the access cardholder information. Include your first name, middle initial, last name, date of birth in MM/DD/YY format, and your personnel number or Louisiana driver license number. Also, provide your agency and department details.
3. Specify the building name and your work telephone number in the respective fields.
4. Indicate whether you are a full-time or part-time, classified or unclassified state worker, or a student worker by marking an 'X' in the appropriate box.
5. In the building access code(s) section, list the building access codes, making sure to include the access group names as required.
6. Detail the time of access. Specify your access schedule (for example, office hours Monday-Friday or 24 hours a day, 7 days a week). Ensure that access times are clearly listed.
7. Review all entered information for accuracy. You must affirm the correctness of the information by signing in the authorized agency representative signature area. Include your printed name, date, and telephone number.
8. Once you have completed the form, you can save your changes. Depending on your needs, download a copy, print it, or share it as required.

Begin completing the Louisiana Employee Badge Enrollment Form online now for a smooth enrollment process.