Form B "Hire Access Request Form" - Louisiana

What Is Form B?

This is a legal form that was released by the Louisiana Workforce Commission - a government authority operating within Louisiana. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2019;
  • The latest edition provided by the Louisiana Workforce Commission;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form B by clicking the link below or browse more documents and templates provided by the Louisiana Workforce Commission.

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Download Form B "Hire Access Request Form" - Louisiana

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APPENDIX 1: ELIGIBLE TRAINING PROVIDER FORMS
rd
1001 North 23
Street
225-342-7692
(O)
John Bel Edwards, Governor
Post Office Box 94094
225-342-7690
(F)
Ava Dejoie, Secretary
Baton Rouge, LA 70804-9094
www.laworks.net
Office of Workforce Development
HiRE Access Request Form
Please complete this form and upload into the Documents Section of the Provider Profile
Section 1: Provider Information
1. Name of Institution:
2. Institutional Code:
Section 2: HiRE Access Update
1. Name of Contact:
2. Title:
3. Phone #
4. Fax #
5. Email Address:
6. HiRE User Name:
7. HiRE Security Question and Answer:
Section 3: HiRE Access Removal
1. Name of Contact:
Title:
2. Name of Contact:
Title:
3. Name of Contact:
Title:
4. Name of Contact:
Title:
X
Signature
Date
LWC USE ONLY
Date Received:
Completed By:
Date Completed:
Form B: HiRE Access Request Form
Page 1 of 1
03/19
APPENDIX 1: ELIGIBLE TRAINING PROVIDER FORMS
rd
1001 North 23
Street
225-342-7692
(O)
John Bel Edwards, Governor
Post Office Box 94094
225-342-7690
(F)
Ava Dejoie, Secretary
Baton Rouge, LA 70804-9094
www.laworks.net
Office of Workforce Development
HiRE Access Request Form
Please complete this form and upload into the Documents Section of the Provider Profile
Section 1: Provider Information
1. Name of Institution:
2. Institutional Code:
Section 2: HiRE Access Update
1. Name of Contact:
2. Title:
3. Phone #
4. Fax #
5. Email Address:
6. HiRE User Name:
7. HiRE Security Question and Answer:
Section 3: HiRE Access Removal
1. Name of Contact:
Title:
2. Name of Contact:
Title:
3. Name of Contact:
Title:
4. Name of Contact:
Title:
X
Signature
Date
LWC USE ONLY
Date Received:
Completed By:
Date Completed:
Form B: HiRE Access Request Form
Page 1 of 1
03/19