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Loyola University Chicago

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Pay & Holiday Calendar

2018 Pay and Holiday Calendar (PDF)
2019 Pay and Holiday Calendar (PDF)
2020 Pay and Holiday Calendar (PDF)
Current Academic Calendars

Compensation

Resources

Performance Management

Key Forms

1095-C Form (Request) (PDF)
1095-C Form
Adoption Assistance Program Reimbursement Form (PDF)
Benefit Enrollment (PDF)
Evidence of Insurability (EOI Form) (PDF)
HIPAA Notice of Privacy Practices (NoPP) and Privacy
HMI Doctor Form for Biometric Screenings (PDF)
HMI Quest Form for Biometric Screenings (PDF)
Legally Domiciled Adult (PDF)
Life Conversion Form (PDF)
Life Portability Request Form (PDF)
Reliance Standard Accident Claim Form (PDF)
Reliance Standard Critical Illness Claim Form (PDF)
University Assisted Housing Program Application
WW® Reimbursement Form (PDF)

Change of Address
- (via Employee Self-Service or if no longer employed, email your change to hr-payroll-processing@luc.edu)
Change of Name (PDF)
Confidentiality Agreement (PDF)
Conflict of Interest Disclosure Policy
Direct Deposit Form (PDF)
Disciplinary - Report of Conference (PDF)
Fitness for Duty - Medical Authorization (PDF)
Giving to Loyola - Payroll Deduction Form‌
Annual Staff Performance Review ‌ (PDF)
Annual Staff Performance Review‌ (Word)

Federal I-9 Employment Eligibility Form Instructions (PDF)
Federal I-9 Employment Eligibility Form (PDF)
Federal I-9 Employment Eligibility Form (Fillable PDF)
Federal I-9 Supplemental Form (PDF)
Federal W-4 Form (PDF)
Illinois Dept. of Revenue-Electronic Filing
Illinois W-4 Form (PDF)
Statement of Non-Residence in Illinois (PDF)

Hiring - New Employee

Hiring a Student Worker & Processing HR Paperwork
International: Office of International Students & Scholars
International: Nonresident Alien Compliance Information
International: Glacier for Hiring Managers Resource (PDF)
New Hire Packet (PDF)
Personal Fact Sheet‌ (PDF)
Register for Loyola Alert
Out of State Employee Information

Personnel Action

Personnel Action Form (PDF)‌
‌Position Management Form (PDF)
Student Workers - ePAF Login
Student Workers: ePAF Request (PDF)
Student Workers: ePAF User Guide (PDF)
DocFinity - Login
DocFinity: User Guide (PDF)
DocFinity: New Hire Instructional Video

Retiree & Retirement

LUERP Estimate Request Form
LUERP Beneficiary Form (PDF)
Medicare Request for Employment Information (PDF)
Retiree Health Reimbursement Account Enrollment Form (PDF)
Retiree Statement of Privileges Form (PDF)

Voluntary Self-Identification

Protected Veteran‌ (PDF)
Am I a Protected Veteran?
Disability (PDF)
OFCCP Self ID Video—Open Captioned
Requests for Reasonable Accommodation for Disability

Workers' Compensation

Limitations (PDF)
Report of Workplace Injury (Workers Comp) Form (PDF)
Workers' Compensation Policy and Information

Undergraduate
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Adult Education

Undergraduate
Graduate/ Professional
Adult Education

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Office of Human Resources · 820 N. Michigan Ave., Chicago, IL 60611 · 312.915.6175 hr-wtc@luc.edu

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