Louisiana OCDD Employee Packet Checklist
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Louisiana OCDD
Welcome Letter
Packet Instructions
Employment Application
Change Notice
Medicaid Fraud
Background Check Authorization
Statement of Understanding of Tasks
Applicant Verification Form
Louisiana Department of Health Provider Agreement
Louisiana L-4 Employee Withholding
Louisiana State Police Inquiry Authorization and Release
General Forms
Payroll Schedule
Tax Information Questionnaire
Live & Work Tax Exemption
Form I-9
Federal W-4 Form and Notice 797
Direct Deposit/ Pay Card Form
Documents to Provide
Document(s) that establish both identity and employment authorization for the USCIS Form I-9
Voided check or letter from your bank (if enrolling in Direct Deposit)
HIDE- All Packets
Payroll Schedule
Tax Information Questionnaire
Live & Work Tax Exemption
Form I-9
Federal W-4 Form and Notice 797
Direct Deposit/ Pay Card Form
HIDE- Louisiana OCDD
Welcome Letter
Packet Instructions
Employment Application
Change Notice
Medicaid Fraud
Background Check Authorization
Statement of Understanding of Tasks
Applicant Verification Form
Louisiana Department of Health Provider Agreement
Louisiana L-4 Employee Withholding
Louisiana State Police Inquiry Authorization and Release
HIDE-Documents to Provide
Document(s) that establish both identity and employment authorization for the USCIS Form I-9
Voided check or letter from your bank (if enrolling in Direct Deposit)
Should be Empty: