2017 Health Insurance Waiver Form

OPPJ Name/Address Change Form
*Name Changes must have new Social Security Card Attached

OPPJ DIRECT DEPOSIT FORM
*Must be completed by Bank and signed by Employee.  Original must be turned into OPPJ-HR.  Faxes and copies will not be accepted.

OPPJ W-2 Request Form
*Upon receipt of the completed request form, Duplicate W-2 will be mailed within 5 business days.

Federal Tax Withholding form (W-4)

Louisiana Tax Withholding form (L-4)

Beneficiary Changes to Retirement and Life Insurance
Parochial Employees Retirement System Change Form

MetLife Beneficiary Change Form
 (For Basic and Voluntary Life)
**Completed and signed/dated Beneficiary Change form must be returned to OPPJ Human Resources to be placed in the employee's personnel file.  In the event of a life insurance claim, the most recent beneficiary change in the employee's file will be used.**

Family and Medical Leave Forms
Certification of Health Care Provider for Employee's Serious Health Condition
Certification of Health Care Provider for Family Member's Serious Health Condition
Certification of Qualifying Exigency for Military Family Leave
Certification for Serious Injury of Illness of a Current Service Member
Certification for Serious Injury of Illness of a Veteran for Military Caregiver Leave

US Department of Labor - Family and Medical Leave Fact Sheet

Cell Phone Plan Discounts
AT&T Discount for OPPJ Employees
Verizon Discount for OPPJ Employees
**Check-stub could be required to receive discount.  Service account must be in the employee's name**