Teamwork * Character * Integrity * Honesty * Professionalism * Leadership

Kellie Jolivette
Human Resource Director
100 St.Ferdinand Street Rm.103
Baton Rouge, La 70802
Phone: (225) 389-5163
Fax: (225) 389-8979
Email Human Resources 

Human Resources Forms:

Fitness for Duty Certification Form

DRI Report Form

EBRSO Change of Address Form

Flower Fund Request Form

Intent to Retire Form

Deputy of the Month Nomination Form

Benefits:

INSURANCE INFORMATION:

2013 Open Enrollment Notice Form

Summary of Benefits

Network of Doctors and Hospitals:  PPO Plus (www.ppoplus.com) and Baton Rouge General Direct Providers Program (click here for a list of Baton Rouge General Doctors and Hospitals)

Life Insurance Policy

Disability Insurance Policy

Disablity Insurance Information and Rates

INSURANCE FORMS:

Dependent Verification Form

Benefits Enrollment/Change Form

Benefits Enrollment/Change Form effective 7/1/2013

Out of Network (OON) Vision Claim Form

Standard Life Insurance Enrollment Form

Standard Life Insurance Medical Statement Form

Premium Conversion Enrollment Form (Cafeteria Plan)

Mail Order Prescription Drug Form

MISCELLANEOUS:

EBRSO Wellness Center Information

Pension Beneficiary Form

Health Club Log Sheet

Health Club Enrollment Form