Holiday Closures Posted on June 14, 2023 at 3:46 pm.Written by Jimmy.Henry@la.gov OSE will be closed on: Friday, June 16th – Juneteenth Monday, July 3rd – Governor Proclaimed Day Tuesday, July 4th – Independence Day Personnel Action Form – Backup Name * Required First Middle Last Suffix Today's Date * Required MM slash DD slash YYYY Date of Birth * Required Month Day Year Monthly Salary * Required From:Class Status * RequiredSelect OneN/AEmergencyProbationalPermanentProvisionalRecruitSubstituteNew HireJurisdiction Information * Required JurisdictionAbbevilleAlexandriaAscension FPD 2Ascension FPD 3BakerBastropBaton RougeBayou Cane FPDBenton FPD 4BogalusaBossier CityBreaux BridgeBroussardCaddo FPD 1Caddo FPD 2Caddo FPD 3Caddo FPD 4Caddo FPD 5Caddo FPD 6Caddo FPD 7Caddo FPD 8Calcasieu Ward 1 FPD 1Calcasieu Ward 4 FPD 2Calcasieu Ward 6 FPD 1Calcasieu Ward 7 FPD 1Calcasieu Ward 8 FPD 2Cameron FPD 10CarencroCentral FPD 4Concordia FPD 2CovingtonCrowleyDenham SpringsDeRidderDeSoto FPD 1DeSoto FPD 8DeSoto FPD 9DonaldsonvilleEast Baton Rouge FPD 3East Baton Rouge FPD 5East Baton Rouge FPD 6East Central Bossier FPD 1EuniceFranklinGonzalesGrant FPD #5HammondHarahanHoumaIberia FPD 1Jefferson FPDJenningsKennerLafayetteLafourche FPD 3Lake CharlesLeesvilleLincoln Parish FPD 1Livingston FPD 4Livingston FPD 5MindenMonroeMorgan CityNatchitochesNatchitoches FPD 6New IberiaOakdaleOpelousasOuachita FPD 1Ouachita FPD 2PinevillePlaqueminePlaquemines Parish Fire DepartmentRapides FPD 2Rapides FPD 3Rapides FPD 4Rapides FPD 7RayneRed River Parish FPDRustonScottShreveportSouth Bossier Parish FPD 2St. Bernard FPD 1&2St. George FPDSt. John the Baptist Parish FDSt. Landry FPD 1St. Landry FPD 2St. Landry FPD 3St. MartinvilleSt. Tammany 1St. Tammany 11St. Tammany 12St. Tammany 13St. Tammany 2St. Tammany 3St. Tammany 4St. Tammany 5St. Tammany 6St. Tammany 7St. Tammany 8St. Tammany 9SulphurTangipahoa FPD 1Terrebonne FPD 10Terrebonne FPD 4Ville PlatteWashington FPD 7West Baton Rouge FPD 1West Feliciana FPD 1West MonroeWestwegoWinnfieldYoungsvilleZachary Department Class Title To:Class Status * RequiredSelect OneN/AEmergencyProbationalPermanentProvisionalRecruitSubstituteJurisdiction Information * Required ParentsParent 1Parent 2Parent 3 ChildrenChild 1Child 2Child 3 Effective Date of Action * Required Month Day Year Personnel Action * Required— Personnel Action —Absent without Leave and payAdministrative Leave with payAdministrative Leave with pay (extension)Allocation (Firefighter Recruit)Allocation (Firefighter/Operator Recruit)Allocation (permanent)Allocation (Police Officer Recruit)Allocation (Probational Firefighter)Allocation (Probational Firefighter/Operator)Allocation (Probational Police Officer)Allocation (probational)Annual LeaveConfirmationConfirmation (after military leave)Correction- Social Security NumberDeathDemotion (Disciplinary)Demotion (Non-Disciplinary)Demotion (Voluntary)Demotion and Suspension (Disciplinary)Departmental Leave (Shreveport)Emergency AppointmentFamily Medical Leave without payFineFire Communications Officer I Recruit (Shreveport Only)Firefighter RecruitFirefighter/Operator RecruitFuneral LeaveInterruption of the Formal Training Period (administrative leave)Interruption of the Formal Training Period (leave w/o pay)Interruption of the Formal Training Period (military leave)Interruption of the Formal Training Period (sick leave)Interruption of the Working Test Period (administrative leave)Interruption of the Working Test Period (departmental leave) (Shreveport)Interruption of the Working Test Period (leave w/o pay)Interruption of the Working Test Period (military leave)Interruption of the Working Test Period (provisional appointment)Interruption of the Working Test Period (provisional appointment)Interruption of the Working Test Period (sick leave)Interruption of the Working Test Period (substitute appointment)Interruption of the Working Test Period (suspension)Lay-Off (Non-Disciplinary)Leave with payLeave without payMilitary Leave with payMilitary Leave without payMoved to the Unclassified ServiceName ChangeOtherPay ChangePolice Officer RecruitProbationalProbational Fire Communications Officer I (Shreveport Only)Probational FirefighterProbational Firefighter/OperatorProbational Police OfficerPromotion (Probational)Promotion (Probational)(after military leave)Provisional AppointmentProvisional Appointment (Firefighter)Provisional Appointment (Police Officer)Provisional Appointment (Renewal)Provisional Appointment (to a pending classification)ReallocationReconfirm (Deputy chief of police; competitive appointment)Reduction of PayRe-employment (permanent)Re-employment (permanent) (USERRA)Re-employment (permanent)(after lay-off)Re-employment (confirmed)(after resignation or retirement due to job related injury)Re-employment (probational)(after resignation)Reinstatement (following civil service board action)Reinstatement (following court decision)Reinstatement (permanent)Reinstatement (probational)(after non-disciplinary demotion)Rejected from Working Test PeriodRescind ActionResignationResume Formal Training Period (from administrative leave)Resume Formal Training Period (from leave w/o pay)Resume Formal Training Period (from military leave)Resume Formal Training Period (from sick leave)Resume Working Test Period (departmental leave) (Shreveport)Resume Working Test Period (from administrative leave)Resume Working Test Period (from leave w/o pay)Resume Working Test Period (from military leave)Resume Working Test Period (from provisional appointment)Resume Working Test Period (from sick leave)Resume Working Test Period (from substitute appointment)Resume Working Test Period (from suspension)RetirementSettlement of an AppealSick LeaveSick Leave (Duty Injury)Sick Leave (Extended)Special Leave with paySpecial Leave without paySubstitute Appointment for less than 30 daysSubstitute Appointment for 30 days or moreSuspensionTerminationTermination (Expiration of Leave)Termination (Failed Formal Training Period)Termination (Failed Working Test Period)Termination of Administrative Leave with payTermination of Annual LeaveTermination of Departmental Leave (Shreveport)Termination of Funeral LeaveTermination of Leave with payTermination of Leave without payTermination of Military Leave with payTermination of Military Leave without payTermination of Provisional AppointmentTermination of Sick LeaveTermination of Special Leave with payTermination of Special Leave without payTermination of Substitute AppointmentTermination of SuspensionTitle changeWritten ReprimandRemarksSignatureRecommended: Chief Approved: Appointing Authority Chairperson Municipal Fire and Police Civil Service Board Chairperson Municipal Fire and Police Civil Service Board Print Form Δ