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Loyola University Chicago

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Pay & Holiday Calendar

2019 Pay and Holiday Calendar (PDF)
2020 Pay and Holiday Calendar (PDF)
2021 Pay and Holiday Calendar (PDF)
Current Academic Calendars

Compensation

Resources

Performance Management

Key Forms

2021 Benefit Selection Form
1095-C Request Form (PDF)
1095-C Form
Adoption Assistance Program Reimbursement Form (PDF)
Evidence of Insurability (EOI Form) (PDF)
HIPAA Notice of Privacy Practices (NoPP) and Privacy
Legally Domiciled Adult (PDF)
Group Life Conversion Application (PDF)
Term Life Insurance Portability Request (PDF)
Reliance Standard Accident Claim Form (PDF)
Reliance Standard Critical Illness Claim Form (PDF)
University Assisted Housing Program Application
Wellness Benefit Claim Form - Accident and Critical Illness Insurance (PDF)
WW® Reimbursement Form (PDF)

Change of Address (via the Employee Self-Service Portal)
- Or if no longer employed, e-mail your change to hr-payroll-processing@luc.edu)
Change of Name (PDF)
Confidentiality Agreement (PDF)
Conflict of Interest Disclosure Policy
Direct Deposit Change (via the Employee Self-Service Portal)
Disciplinary Report of Conference (PDF)
Fitness for Duty Medical Authorization Form (PDF)
Influenza Vaccination Exemption Form (PDF)
Giving to Loyola - Payroll Deduction Form‌
‌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 Tax Withholding Change (via the Employee Self-Service Portal)
Federal W-4 Form (PDF)
Illinois Dept. of Revenue-Electronic Filing
Illinois W-4 Form (PDF)
Other State & Local Witholding Forms
Statement of Nonresidence in Illinois (IL-W-5-NR) (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)
New Hire Packet - Electronic Version (PDF)
New Hire Employee Packet Instructions
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 Pension Estimator
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

Self Identification Form for Veterans (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

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Undergraduate
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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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