UCSF home page UCSF home About UCSF Search UCSF UCSF Medical Center

Campus HBS Employee Update Form

HBS HR ADMIN INFORMATION
Name
 Phone #
 Email Address

This form is used by the HBS HR Admin to request the following types of HBS updates for the specified employee:

A. Provide a Grace Period for Vacation Maximum D. End Grandfathered Status G. Assign/Remove Non-Exempt Unrestricted Timesheet
B. Adjust Leave Balances E. Override Vacation Eligibility H. Assign/Remove Auto-Population of Timesheet
C. Adjust Months of Service F. Change Management Group

Note: Items G and H only apply to Bi-Weekly employees.

EMPLOYEE INFORMATION
Name
 Employee ID #
 Management Group #
Is this individual a UCSF Employee?
Yes
No

 

A. Provide a Grace Period for Vacation Maximum
Bargaining Unit

 

B. Adjust Leave Balances
Leave Type Type of Adjustment Effective Date
(MM/DD/YYYY)		 # of Hours
(# of hours to Add/Remove)		 Reason

 

Vacation Leave Add
Remove
Sick Leave Add
Remove
Comp Time Add
Remove

Note: If selecting "Other" as the Reason, specify the reason in the comments section.

C. Adjust Months of Service
Effective Date
(MM/DD/YYYY)		 # of Months
Add
Remove		 Reason

Note: If selecting "Other" as the Reason, specify the reason in the comments section.

D. End Grandfathered Status
End Date
(MM/DD/YYYY)

 

E. Override Vacation Eligibility
Date From
(MM/DD/YYYY)		 Date To
(MM/DD/YYYY)		 Eligibility Status
Reason:

Note: Dates must be month end dates.

 

F. Change Management Group
New Management Group #

 

G. Assign/Remove Non-Exempt Unrestricted Timesheet
Request

 

H. Assign/Remove Auto-Population of Timesheet
Request

 

Comments

CERTIFICATION: Submission of this form serves as your electronic signature. It certifies that the request aligns with policy and has been appropriately approved by the employee in accordance with departmental procedures.

 

This page is maintained by ITS. For support, please contact the ITS Service Desk at 415-514-4100, option 2.