Forms

sortNUMBERFORM NAMEREVISION DATE
a UC-AP-2Prior Approval for Category I Outside Professional Activities 2015-10
a1 UC-AP-3Annual Report of Outside Professional Activities 2016-03
b UC-AP-5State Fund Exception Request2010-04
b1 UC-AP-9Academic Personal Data Sheet 2009-01
c UC-AP-9AAcademic Personal Data Sheet and Career History & Publication
List Instructions
2008-08
c1 UC-AP-10Addendum Form2007-07
d1 UC-AP-11Identification And Qualifications of External Referees 2009-06
e UC-AP-14Appointment/ReappointmentChecklist for Department Chairs2007-09
e1 UC-AP-15Chair's Guide for Academic Personnel Reviews 2017-06
f UC-AP-20Appointment Summary 2016-08
f1 UC-AP-21Non-Senate Academic Term Appointee Employment Form2017-05
g UC-AP-22Action Summary 2016-10
g1 UC-AP-24Action Summary - Short Form 2008-10
h UC-AP-24DDAction Summary, Short Form - Dean's Delegated Merit Increase2009-12
h1 UC-AP-25Dean Delegated Merit Action and Normal Merit Action reviewed by CAP2014-10
i UC-AP-30Appointment Checklist- All Academic Series2016-08
i1 UC-AP-31Change of Series Checklist- All Academic Series2017-07
j UC-AP-32Advancement to Above Scale/ Above Scale Merit Increase Checklist2017-07
j1 UC-AP-33Short Form Merit Increase/ First No Change Checklist2017-07
k UC-AP-33CShort Form Dean's Delegated Merit Increase Professional Researcher Series2016-08
k1 UC-AP-33DDShort Form Dean's Delegated Merit Increase Checklist2017-07
l UC-AP-34Promotion Checklist
All Academic Series
2017-07
l1 UC-AP-35Normal Merit Increase, Accelerated Merit Increase, Reappointment, No Change, Fifth Year Review or Performance Review Checklists
All Academic Series
2017-07
m UC-AP-37Midcareer Appraisal Documentation Checklist 2017-07
m1 UC-AP-38Postponement of Tenure Review Checklist2003-03
n UC-AP-50Certification Statement for Academic Personnel Reviews2009-12
n1 UC-AP-50ACertification Statement for Additional Information added to Academic Review2008-08
o UC-AP-51Request for Summary or Redacted Copy of Confidential Material in Academic Personnel Review Files2008-08
o1 UC-AP-52UCI Career Equity Review Authorization Form2011-11
p UC-AP-52AUCI Career Equity Review Checklist2017-07
p1 UC-AP-53Statement of Departmental Voting Procedures2008-08
q1 UC-AP-56Professional Research Series- Documentation Summary2015-12
r UC-AP-57Academic Recall2015-06
r1 UC-AP-57-SOMAcademic Recall- School of Medicine2016-10
s UC-AP-60Academic Student Appointment Information- Teaching Assistant, Associates, and Teaching Fellows2016-08
s1 UC-AP-61Academic Student Appointment Information- Graduate Student Tutors and Readers2016-08
t UC-AP-62Academic Student Appointment Information- Undergraduate Student Tutors and Readers2016-05
t1 UC-AP-63Academic Student Employees- Request for Access to Employment Files2008-08
u UC-AP-70One-Time Payment Authorization Form (see complete sample)2005-10
u1 UC-AP-71Intercampus One-Time Payment Form1997-01
v UC-AP-72Temporary Intercampus Appointment2004-09
v1 UC-AP-75Sabbatical Leave of Absence Form1997-04
v2 UC-AP-76Leave of Absence Form2017-01
v3 UC-AP-78Catastrophic Leave Program- Donation Request2012-06
x UC-AP-79Catastrophic Leave Program- Request Form2012-06
x1 UC-AP-85Permanent Residency- Sponsorship Form2017-04
w UC-AP-90Family Friendly and Child Rearing Instructions2013-03
w1 UC-AP-91Modified Duties Request/Certification Form2014-04
w2 UC-AP-92Stop the Clock Certification Form2016-07
w3 UC-AP-93Request for Funding for Ladder Rank Faculty Teaching Release for Birth or Adoption of Child(ren)2014-04
w4 UC-AP-94Family Friendly Checklist for Academic Appointees2017-01
w5 UC-AP-99Academic- Career History & Publication Record2008-08
x UC-AP-137ATerm Appointment- Supplemental Non-Senate Form2011-08
x1 UC-AP-145Layoff or Involuntary Reduction In Time for Non-Senate Academic Appointee Checklist2009-08
y UC-AP-IX1Pre-Six Year Non-Senate Faculty (Unit 18) Employment Form2017-05
y1 UC-AP-IX2Pre-Six Year Non-Senate Faculty Mentoring Meeting2016-04
y2 UC-AP-IX3Non-Senate Faculty (Unit 18) Documentation Checklist (Excellence or Merit Review)2016-11
y3 UC-AP-IX4Non-Senate Faculty (Unit 18) Excellence Review2016-04
y4 UC-AP-IX5Non-Senate Faculty (Unit 18) Merit Review2016-04
y5 UC-AP-IX6Certification Statement for Non-Senate Faculty (Unit 18) Appointees2016-04
y6 UC-AP-IX7Continuing Non-Senate Faculty (Unit 18) Employment Form2017-05
y7 UC-AP-IX8Continuing Non-Senate Faculty (Unit 18) Temporary Augmentation2017-04
y8 UC-AP-IX9Non-Senate Faculty (Unit 18) Documentation Summary2016-04
y9 UC-AP-IX10Identification and Qualifications of External Referees for Unit 18 Actions2016-04
z UC-AP-PX1Postdoctoral Scholar Employment Form2017-04
z1 UC-AP-PX2Postdoctoral Scholar Employment Documentation Checklist2017-01
z2 UC-AP-PX3Postdoctoral Scholar Annual Review- Progress Assessment2016-05
z3 UC-AP-VS1Visitor Appointment Form2016-12

 

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