System Support Menu
   
Employee Services User Support
  • Active Employee Rate and Subsidy Charts
  • Active Employee Rate and Subsidy Charts only for Load Dispatchers Association, MEA, ACE
  • 2018-2019 Employee Benefit Guide
  • 2018 Benefits Open Enrollment Newsletter for Employees
  • eBenefits User Guide
  • HR Self Service User Guide
  • Active Enrollment/Change Form
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    Flex Plan
  • Flex Plan Open Enrollment Newsletter – Short Plan Year 2018
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    Retirees
  • Retiree Benefit Guide
  • Benefits Newsletter for Retirees
  • Retiree Enrollment/Change Form
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    Forms
  • Marital Status Change Form
  • Name Change Form
  • Affidavit of Domestic Partnership
  • Termination of Domestic Partnership
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    DWP Employee Hiring Packages
  • 1 - Regular Appointment
  • 2 - Construction Exempts
  • 3 - Exempt to Regular
  • 4 - Emergency (EM), Limited (LI) Appt
  • 5 - Part-time Exempt (Student Engineers)
  • 6 - Part-time Exempt (Student Workers under age 18)
  • 7 - Part-time Exempt (Student Workers age 18 or over)
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    Additional Information Form for Conditional Job Offer
  • Additional Information Form
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    Medical Packages
  • General Medical History Questionnaire
  • OSHA Respirator Evaluation Questionnaire
  • Hearing Questionnaire
  • Initial Asbestos and⁄or Silica Questionnaire
  • Lead and⁄or Hazmat Questionnaire
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    Worker's Compensation
  • Burn Treatment Directive For Work Related Injuries
  • Time of Hire Pamphlet - English
  • Time of Hire Pamphlet - Spanish
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    Active Employees Summary of Benefits
  • Delta Dental Active Summary of Benefits 2018-19
  • United Healthcare PPO Active Summary of Benefits 2018-19
  • Kaiser Active Summary of Benefits 2018-19
  • United Healthcare PPO Active Summary of Benefits for Prescription 2018-19
  • United Concordia DHMO Active Summary of Benefits 2018-19
  • United Healthcare PPO Owens Valley Active Summary of Benefits 2018-19
  • United Healthcare HMO Active Summary of Benefits 2018-19
  • United Healthcare PPO Owens Valley Active Summary of Benefits for Prescription 2018-19
  • United Healthcare HMO Active Summary of Benefits for Prescription 2018-19
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  • Delta Dental Active Summary of Benefits 2017-18
  • United Healthcare PPO Active Summary of Benefits 2017-18
  • Kaiser Active Summary of Benefits 2017-18
  • United Healthcare PPO Active Summary of Benefits for Prescription 2017-18
  • United Concordia DHMO Active Summary of Benefits 2017-18
  • United Healthcare PPO Owens Valley Active Summary of Benefits 2017-18
  • United Healthcare HMO Active Summary of Benefits 2017-18
  • United Healthcare PPO Owens Valley Active Summary of Benefits for Prescription
  • United Healthcare HMO Active Summary of Benefits for Prescription 2017-18
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    Retirees Summary of Benefits
  • Kaiser Retiree Post 65 Summary of Benefits 2018-19
  • United Healthcare PPO Pre 65 Retiree Summary of Benefits ERT Plan A 2018-19
  • Kaiser Retiree Pre 65 Summary of Benefits 2018-19
  • United Healthcare PPO Pre 65 Retiree Summary of Benefits ERT Plan B 2018-19
  • United Concordia Dental DHMO Retirees CA 21 Schedule of Benefits 2018-19
  • United Healthcare PPO Pre 65 Retiree Summary of Benefits ERT Plan C 2018-19
  • United Concordia Dental Retiree DHMO Exclusions and Limitations 2018-19
  • United Healthcare PPO Retiree PDP Rx Plan A 2018-19
  • United Healthcare HMO Post 65 With Medicare A and B Rx MAPD 2018-19
  • United Healthcare PPO Retiree PDP Rx Plan B 2018-19
  • United Healthcare HMO Retiree Pre 65 Summary of Benefits for Prescription 2018-19
  • United Healthcare PPO Retiree PDP Rx Plan C 2018-19
  • United Healthcare HMO Retiree Pre65 Summary of Benefits 2018-19
  • United Healthcare PPO Pre 65 Prescription Summary of Benefits ERET Rx Plan A 2018-19
  • United Healthcare PPO Pre 65 Prescription Summary of Benefits ERET Rx Plan B 2018-19
  • United Healthcare PPO Pre 65 Prescription Summary of Benefits ERET Rx Plan C 2018-19
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  • Kaiser Retiree Post 65 Summary of Benefits 2017-18
  • United Healthcare PPO Pre 65 Retiree Summary of Benefits ERT Plan A 2017-18
  • Kaiser Retiree Pre 65 Summary of Benefits 2017-18
  • United Healthcare PPO Pre 65 Retiree Summary of Benefits ERT Plan B 2017-18
  • United Concordia Dental DHMO Retirees CA 21 Schedule of Benefits 2017-18
  • United Healthcare PPO Pre 65 Retiree Summary of Benefits ERT Plan C 2017-18
  • United Concordia Dental Retiree DHMO Exclusions and Limitations 2017-18
  • United Healthcare PPO Retiree PDP Rx Plan A
  • United Healthcare HMO Post 65 With Medicare A and BRx MAPD 2017-18
  • United Healthcare PPO Retiree PDP Rx Plan B
  • United Healthcare HMO Retiree Pre 65 Prescription Summary of Benefits 2017-18
  • United Healthcare PPO Retiree PDP Rx Plan C
  • United Healthcare HMO Retiree Pre65 Summary of Benefits 2017-18
  • United Healthcare PPO Retiree Post 65 Plan A
  • United Healthcare PPO Pre 65 Prescription Summary of Benefits ERET Rx Plan A 2017-18
  • United Healthcare PPO Retiree Post 65 Plan B
  • United Healthcare PPO Pre 65 Prescription Summary of Benefits ERET Rx Plan B 2017-18
  • United Healthcare PPO Retiree Post 65 Plan C
  • United Healthcare PPO Pre 65 Prescription Summary of Benefits ERET Rx Plan C 2017-18
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    Support Contact Information

    For questions using eBenefits, e-mail at eBenefits@ladwp.com.