Human Resources Forms

Teamwork * Character * Integrity * Honesty * Professionalism * Leadership


Kellie Jolivette
Human Resource Director
8900 Jimmy Wedell Drive, Building B
Baton Rouge, LA, 70807
Phone: (225) 389-5163
Fax: (225) 389-8979


Human Resources Forms:

DRI Report Form

Address-Name-Phone Change Form

Flower Fund Request Form

Intent to Retire Form

EBRSO Resignation and Exit Interview Form


Health Club Log Sheet

Health Club Reimbursement Program Enrollment Form

EBRSO Grievance Form

Deputy of the Month Nomination Form



Insurance Information:

Employee Benefit Guide

MetLife Life Insurance Policy

MetLife Dental Insurance Benefits

MetLife Vision Insurance Benefits

Disability Insurance Policy

Insurance Forms:

Employee Change Form

MetLife Life Beneficiary Change Form

Law Enforcement Officers Survivor Benefit Beneficiary Designation Form

LA Sheriff's Pension and Relief Fund Designation of Beneficiary Change Form

Transparency in Coverage Documents:  UMR creates and publishes the Machine-Readable Files on behalf of the East Baton Rouge Parish Sheriff’s Office. To link to the Machine-Readable Files, please click on the URL provided:







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