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NEW HIRE OVERSTATE OF LOUISIANA OFFICE OF GROUP BENEFITS ENROLLMENT/CHANGE FORM AGENCY NUMBERAGENCY PREPRIMARY PLAN PARTICIPANT / EMPLOYEE NAME(PAGE 1 of 2)DATE OF HIRES AGCENTER190100Section 1 Primary
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How to fill out new hire waiver

01
Collect the necessary information from the new hire, such as their full name, address, contact details, social security number, and emergency contact information.
02
Ensure that the new hire is aware of the purpose and significance of the waiver form.
03
Provide the new hire with a clear and detailed explanation of the contents of the waiver form.
04
Make sure the new hire understands their rights and responsibilities as outlined in the waiver form.
05
Include any specific instructions or guidelines for filling out the form, such as using black ink, signing and dating each page, and providing accurate information.
06
Double-check that all sections of the waiver form are completed properly and legibly.
07
Review the completed new hire waiver form with the new hire to address any questions or concerns.
08
Obtain the signature of the new hire and the date of signing.
09
Keep a copy of the signed new hire waiver form for your records.
10
Ensure that the new hire is provided with a copy of the signed waiver form for their own reference.

Who needs new hire waiver?

01
Employers who are hiring new employees
02
Organizations and companies that want to establish legal agreements with new hires
03
Any entity that wants to protect themselves from potential liabilities and risks associated with the employment relationship
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A new hire waiver is a form that allows an employer to waive participation in the state's new hire reporting program for a specific employee.
Employers who have specific reasons for not reporting a new hire to the state's new hire reporting program may be required to file a new hire waiver.
To fill out a new hire waiver, the employer must provide information about the employee and the reason for waiving the reporting requirement.
The purpose of a new hire waiver is to notify the state that an employer will not be reporting a specific new hire to the state's new hire reporting program.
The new hire waiver must include the employee's name, social security number, reason for waiver, and employer information.
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