Â鶹AV

• Address/Name Change (PDF)
• Campus Information Change (PDF)
• Independent Contractor vs Employee Form (PDF)
• Disclosure of Confidential Information (PDF)
• Exit Interview Checklist (PDF)
• Nepotism Compliance: Annual Report on Family Working at LU
• Personnel Records Request (PDF)
• Separation Notification Form
• Salary Spread Election Form (PDF)
• Stipend/One-Time Pay (PDF)
• State Withholding Taxes (PDF)
• Volunteer Statement (PDF)
• • Click Employee->Tax Forms-> W-4 Employee's Withholding
    • If you need to Update your W-4, then click Update.
    • For questions about this form, please contact Payroll.

Faculty and Adjunct

• Faculty and Adjunct Forms

Staff

• Revised Staff Orientation Schedule FY25
• Checklist for Staff Hiring (PDF)
• Reference Check Form (PDF)
• Security Sensitive Release Form (PDF)
• Interview Results Form (PDF)

Student and Hourly Workers

• Student & Hourly Worker Hiring Process (PDF)

• Supervisor’s Investigation of Employee’s Accident/Incident (PDF)
• Employee’s Report of Injury (PDF)
• Authorization for Release of Information (PDF)
• Witness Statement (PDF)
• Employee’s Election Regarding Utilization of Sick and Annual Leave (PDF)

• Overview and Policies
• Faculty/Staff Course Enrollment (PDF)
• Â鶹AV Tuition Assistance Program (LUTAP) for Dependents and Spouses (PDF)

Employees should contact Human Resources for counseling before completing these forms

• Request for FMLA (PDF)
• Certification of Health Care Provider for Employee's Serious Health Condition (PDF)
• Certification of Health Care Provider for Family Member's Serious Health Condition (PDF)
• Certification for Serious Injury or Illness of Covered Servicemen for Military Family Medical Leave (PDF)
• Certification of Qualifying Exigency for Military Leave (PDF)
• Leave Without Pay and Insurance Continuation (PDF)
• Request for Sick Leave Pool Hours (PDF)
• Sick Leave Direct Donations (PDF)
• Return to Work Status (PDF)

• Authorized Correction Request (PDF)
• Bereavement Request Approval Form (PDF)
• Contribution to Sick Leave Pool (PDF)
• Sick Leave Request Form
• Final Vacation/Sick Leave Form (F3.6) (PDF) for Monthly Employees
• Request for Overtime and Leave (F3.6A) (xls)