Follow the steps to fill out the LA DoR R-10605 online accurately.

1. Press the ‘Get Form’ button to access the LA DoR R-10605 form and open it in your preferred online document editor.
2. In Section I, provide your employer information. This includes your Louisiana Revenue Account Number or Social Security Number, FEIN, the date of application, legal name, trade name, and your complete address including city, state, and ZIP code.
3. Proceed to Section II, where you will enter details about the employee you are applying for. Include the employee’s name, Social Security Number, and their address, ensuring all information is accurate.
4. Move to Section III, the employer declaration. Here, you will affirm that the application is truthful and compliant with all relevant rules. Include your signature, printed name, and the date.
5. After submitting the form, wait for Section IV, which will be completed by the Department of Health. This section contains their signature, date, printed name, printed title, and the appointing authority's signature.
6. Once Section IV is filled out and returned to you, complete Sections V and VI. In Section V, input employment information such as employment start and end dates, hourly rate of pay, average weekly hours worked, the position, location of employment, and details on the employee’s disability.
7. In Section VI, calculate the deduction for the tax year. Fill out the gross wages paid during the first four months and subsequent months, applying the appropriate percentages to arrive at the total deduction amount.
8. Finally, review all sections for accuracy, save your changes, and prepare to download, print, or share the completed form as needed.

Complete your LA DoR R-10605 form online today to ensure your application is submitted correctly.