Pre-Employment Forms

Congratulations and welcome to our team! This page contains important information for candidates who have accepted a conditional offer of employment with the University of Chicago Medicine. Please note: These forms are specifically for new employees who are engaged in the on-boarding process.  

The following forms are required for pre-employment processing. Download and print out each form. Please complete all required documents in the appropriate sections and bring them with you to your pre-employment appointment.
 

Forms

PDF Downloads:

• Applicant Emergency Contact Information (PDF)
• Benefits for You Welcome Letter (PDF)
• Biweekly Employee Attendance Policy (PDF)
• Biweekly Employee Attendance Policy Acknowledgement (PDF)
• Computer Security Confidentiality Agreement (PDF)
• Conflict of Interest Disclosure Statement (PDF)
• I-9 -- Employment Eligibility Verification (PDF)
• Illinois DCFS Acknowledgement of Mandated Reporter Status (PDF)
• Instructions to Access Employee Self Service (PDF)
• Occupational Health Evaluation Requirements (PDF)
• Occupational Medicine – Health History Form (PDF)
• Payroll Calendar (PDF)
• State of Illinois W4 (PDF)
• UCMC Officer, Employee and Influential Medical Staff Member Conflict and Vendor Relationship Policy (PDF)
• Veterans Questionnaire (PDF)