Employee & Labor Relations - forms

Be sure to check back for the following letter templates. If you should have any questions or have an immediate need, please contact the Employee & Labor Relations Department.

Please click on each of the following tabs to locate the forms and documents associated with the Employee & Labor Relations topic.

Layoff/Reduction-In-Time
Overtime Compensation
Medical Separation
Other

Layoff Resources for Employees

Outplacement and Career Transition Services	UC Employee Outplacement Career Transition Services - Silver Package
Resources for Employees Who Have Received Notice of Layoff	Unemployment Insurance Resource for Employees

Proposal for Reduction In Time or Layoff

Represented Staff

Non-Represented Professional and Support Staff

Seniority Points

Layoff Seniority Point Calculation Guidelines	Layoff Selection Worksheet
Calculation Worksheet (Bi-weekly)	Calculation Worksheet (Monthly)

Notification of Indefinite Layoff

Clerical Unit Employees (CX)	Non-Represented Staff Employees
Academic Researchers (RA)	Non Senate Instructional Unit Pre Six-Year Lecturer (IX)
Postdoctoral Scholar (PX)	Professional Librarian Unit Employees (LX)
Research Support Professional (RX)	Service Unit Employees (SX)
Technical Unit Employees (TX)	Skilled Crafts Unit Employees (K5)
Patient Care Technical (EX) Unit	Physicians, Dentists and Podiatrists (DX)

Notifications of Indefinite Reduction in Time

Non-Represented Staff Employees	Clerical Unit Employees (CX)
Non Senate Instructional Unit Continuing Lecturer (IX)	Non Senate Instructional Unit Pre Six-year Lecturer (IX)
Research Support Professional (RX)	Service Unit Employees (SX)
Technical Unit Employees (TX)

Notification of Indefinite Reduction in Time to Partial-Year Position

Clerical Unit Employees (CX)	Non-Represented Staff Employees
Research Support Professional (RX)	Service Unit Employees (SX)
Technical Unit Employees (TX)

Notifications of Temporary Layoff

Clerical Unit Employees (CX)	Non-Represented Staff Employee
Skilled Crafts Unit Employees (K5)	Research Support Professional (RX)
Service Unit Employees (SX)	Technical Unit Employees (TX)
Patient Care (EX)

Notification of Temporary Reduction in Time

Clerical Unit Employees (CX)	Non-Represented Staff Employees
Research Support Professional (RX)	Service Unit Employees (SX)
Technical Unit Employee (TX)	Skilled Crafts Unit Employees (K5)

Severance Election

Employee Election for Severance Indefinite Layoff (CX)	Employee Election for Severance (HX)
Employee Election for Severance Indefinite Layoff (RX-TX)	Employee Election for Severance Indefinite Layoff (SX)
Employee Election for Indefinite Layoff in Lieu of Indefinite Reduction in Time (PSS)	Employee Election for Severance Indefinite Reduction in Time (RX-TX)
Employee Election for Severance In Indefinite Layoff - K5 Employees	Employee Election for Severance Indefinite Layoff (EX)

Notices Regarding Overtime Compensation

Clerical and Allied Services Unit (CX)	Health Care Professional Unit (HX)
Not Represented Unit Employees	Police Officer Unit Employees
Registered Nurse Unit Employees	Research Support Professional Unit (RX)
Service Unit (SX)	Skilled Crafts Unit Employees
Technical Unit (TX)

Medical Separation

Notices of Intent to Medically Separate

Please check back for updated Notices of Intent to Medically Separate

Notices of Medical Separation

Please check back for updated Notices of Medical Separation

Academic Student Employees

UCR Guidelines for ASE Child Care Reimbursement Program

ASE Child Care Reimbursement Request Form - UBEN254

Academic Student Employee 9ASE) and Graduate Student Researcher (GSR) Childcare Reimbursement Program - for UAW-represented Student Employees

UAW ASE Membership Election Form - effective August 2018

Corrective Action

Counseling Memo - Sample Letter	Release from Probationary Period - Sample Letter
Written Warning - Sample Letter

Grievance Forms under PPSM 70 – Request for Formal Review

Professional and Support Staff Employees

Grievance Form for Managers and Senior Professional Employees

Grievance Form under Academic Personnel Manual (APM) 140 – Request for Formal Written Grievance Review

Non-Senate Academic Appointees

Other

Limited Appointment Notice of Conversion to Career Status	Request to Exceed the Maximum Vacation Accrual Limit
Sick Vacation Leave Authorization Letter	Unemployment Insurance Termination Report

Human Resources