Loyola University Chicago

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Loyola University Chicago

Office for International Programs

Dependent (spouse/child) of Loyola Faculty or Staff

If you are accompanying a spouse or parent on an international trip for Loyola University, please download this form, and send it directly to CISI. Please make sure that the LUC faculty or staff member has registered for insurance first. Your coverage dates should not exceed the LUC employee's coverage dates.

CISI Dependent Form 2013

After enrolling you will receive an email directly from CISI with the following:

Loyola

Office for International Programs · Sullivan Center, 6339 N. Sheridan Rd, Chicago, IL 60660
Mailing Address: 1032 W. Sheridan Road, Chicago, IL 60660
773.508.3899 · intlcntr@luc.edu

Notice of Non-discriminatory Policy