Forms

Administrative Leave Report - For administrators to report their leave time
Authorization to Cancel Direct Deposit
Budget Adjustment Form
Calvert Hall Request for Remission of Tuition and Dependency
Child Care Voucher Program Application
Child Care Voucher Monthly Cost Verification Form - To be completed monthly for Child Care voucher payment
Confidentiality Agreement - Agreement to maintain confidentiality of data, to be signed by all working at the University
Direct Deposit Agreement Form - To request direct deposit of pay
Duplicate W-2 Request Form
Employee Accident and Injury Report - Workers' Compensation forms to be completed by the employee
Employee Time Sheet Adjustment Form - To report adjustments to a previously submitted time sheet
Flexible Schedule Form - To request permission to take courses during work hours
FSA Dependent Claim Form - Flexible Spending Account dependent care request for reimbursement
FSA Medical Claim Form - Flexible Spending Account medical request for reimbursement
Graduate Assistantship Application
I-9 - Link for completing section 1 of the Form I-9, Employment Eligibility Verification (Loyola's employment code for I-9 Express is 14129)
Interim Student Timesheet - For student employees not appearing on preprinted timesheets
Legally Domiciled Adult (LDA) Affidavit
Life Insurance Limit Form - Request to limit or cap Group Life Insurance Benefit
Loyola Blakefield Request for Tuition Remission
McGuire Scholars Program Application
Medical Default Notice (for new hires)
Mercy High School Tuition Remission
Moving Expense Reimbursement for Employees - Certification form for employees to request moving expense reimbursement
Moving Expense Reimbursement for Supervisors - Certification form for supervisors to verify employee moving expense reimbursement
MW 507 - Maryland Tax Form
Name Change Form - To formally change your name within the Loyola University Maryland HR/Payroll system
Non-Employee Account Request Form - To request account access for non-employees
Overtime Request Form
Payment for Services - To request payment for services to be paid as a stipend for existing employees
Performance Evaluation Form - Supervisor
Performance Evaluation Form - Non-Supervisor
Performance Evaluation Form - Office Support Staff
Performance Evaluation Form - Parking and Transportation
Performance Evaluation Form - Public Safety
Performance Evaluation Form - Environmental Services
Performance Evaluation Form - Event Services
Performance Evaluation Form - Facilities Maintenance
Performance Evaluation Form - Grounds Crew
Performance Evaluation Form - Printing and Mail Services
Personal Data Form - For employees to submit personal data to human resources
Salary Reduction Agreement - Retirement Agreement and Retirement Allocation
Statement of Health (Metlife) - Metlife Statement of Health
Student Employee Evaluation Form
Student Employment Agreement - To be completed by both the student employee and the student's supervisor prior to beginning work
Student Employment Application
Supervisor Accident Investigation Reports - Workers' Compensation forms to be completed by the supervisor
Tuition Remission - Graduate - Application for graduate tuition remission
Tuition Remission - Undergraduate - Application for undergraduate tuition remission
Tuition Scholarship Preliminary Application - For FACHEX and tuition Exchange
W-4 - Federal withholding certification

Office of Human Resources

Forms

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