Forms & Documents

Agreement of Appointment

Alien Tax Form

Applicant Information Sheet

Appointment Form

Appointment Packet

Biographical Data Form

Certificate Order Form

Contract

Data Protection Form

Data Sheet for Visiting Residents and Fellows

DIO Transfer Approval Packet

Direct Deposit Form

Driver Safety Form

Drug Test Authorization Form

EPIC Training Request Form

EQuIP Participation Outline

Extra-Curricular Form

Faculty Becoming House Officer Checklist

FCVS Release Form

GME Data Sheet

GME Program Exit Packet

GME Verification Letter

Graduation Spreadsheet

Health Requirements Form

Healthcare Network Break Glass Form

House Officer Contract

House Officer Manual Acknowledgement Form

House Officer OSHA Respirator Medical Evaluation Questionnaire

House Officers Becoming Faculty Spreadsheet

I-9 Form

Incoming House Officer Checklist

Interviewee Acknowledgement Form

L-4

Lab Coat Order Form

LCMC Onboarding Spreadsheet

LCMC Visiting House Officer Packet

Letter of Agreement

Library Form

LSBME Letter of Commitment - PGY 1

LSBME Letter of Commitment PGY 2

LSBME Permit Renewal Spreadsheet

LSBME Release Form

Malpractice Form

Malpractice Spreadsheet

Mask Fit Test Medical Form

Moonlighting Form

Newhire Checklist

Newhire Packet

Oath of Affirmation Form

Ochsner Internal Application

Ochsner IRIS Form

Paperwork Submission Timeline

Per 2

PER 3 (Paper); ePAF for Terminations (electronic Personnel Action Form/PER 3); eCSOF for Change in Source of Funds

Personal Data Change Form

Program Director Letter

Program Letter of Agreement

Promotion Spreadsheet

Release Data From LSU Form

Release Data To LSU Form

Request for Authorization to Serve Alcohol

Resident Contract

Selective Service Registration Form

Summative Letter Template

TB Form

Termination Spreadsheet

Transfer and Promote Spreadsheet

Transfer Without Promotion Spreadsheet

UMCNO Exit Form

UMCNO Learner Code of Conduct

UMCNO Meal Card Tracking

Visiting House Officer Checklist

W-4

DS-2019

ECFMG Certificate

Green Card

I-94

Permanent Resident Card

US Passport

Visa