People & Culture

• Notification to Central HR Benefits of a Qualifying Event  (Word)

• Retired Employee Approvals Form  (PDF) (UBEN 138)
• UC Berkeley Supplement to the Retired Employee Approvals Form  (PDF)
• UCRP Reemployed Retiree Notification Form   (PDF) (UBEN 1039)

• Rehire Approvals Form  (PDF) (UBEN 138)
• UCRP Reemployed Retiree Notification Form  (PDF) (UBEN 1039)
• UC Berkeley Supplement to the Retired Employee Approvals Form  (PDF)

• Request a Retirement Initiation Kit  (PDF)

• Equity Increase Request Form

• Transmittal Form  (PDF)

• ASE Appointment Notification template
• General Position, Letter of Expectation, and Description of Duties
• GSR Appointment Notification template
• General Position Description, General Expectations, and Description of Duties
• GSR - Trainee/Fellow Notification template
• General Position Description, General Expectations, and Description of Duties

• Employee/Applicant Release and Disclosure Form  (PDF)
• Sample Notification Letters:
  • New Hires  (Word)
  • Reclassification or Assignment of New Duties  (Word)
  • Transfers  (Word)

• Vacation Hours Transfer Form (PDF)

• UBEN 254 - ASE & GSR Childcare Reimbursement Form for UAW-Represented Student Employees
• UBEN 255 - Postdoctoral Scholar Childcare Reimbursement Form for UAW-Represented (PX) Employees
• Postdoctoral Scholars Childcare Reimbursement Program Factsheet

• TBD

• See Labor Relations: Forms & Letters

• Certifications

• Medical Leave Form for Employees  (PDF)

• Medical Leave Form for Family Member  (PDF)

• Pregnancy Disability  (PDF)

• Return to Work  (PDF)

• Forms, Checklists and Facts

• Leave of Absence Request Form  (PDF)

• Physical/Environmental/Mental Demands Form  (Word)

• Request to Continue/Cancel Benefits Form  (PDF)

• Military Certifications

• Caregiver Leave  (PDF)

• Qualifying Exigency Leave  (PDF)

• Letters

• See sample letters on UCnet

• Other

• Leave Usage Tracking Form  (Excel)

• • Family and Medical Leaves Charting Calendar (Word) 

• Academic Researchers Unit (RA/UAW 5810) Grievance Form

• Academic Student Employee Unit (BX/UAW 2865) Grievance Form

• Clerical & Allied Services Unit (CX/Teamsters 2010) Grievance Form

• Graduate Student Researchers Unit (BR/UAW 2865) Grievance Form

• Health Care Professional Unit (HX/UPTE) Grievance Form

• Non-Senate Instructional Unit (IX/UC-AFT) Grievance Form

• Patient Care Technical Unit (EX/AFSCME) Grievance Form

• Police Officers Unit (PA/FUPOA) Grievance Form

• Postdoctoral Scholar Unit (PX/UAW 5810) Grievance Form

• Professional Librarian Unit (LX/UC-AFT) Grievance Form

• Registered Nurses Unit (NX/CNA) Grievance Form

• Research Support Professional Unit (RX/UPTE) Grievance Form

• Service Unit (SX/AFSCME) Grievance Form

• Skilled Crafts Unit (KB/ACBCTC) Grievance Form

• Student Health Service Physicians Unit (DX/UAPD) Grievance Form

• Technical Unit (TX/UPTE) Grievance Form

• Conclusion of Investigatory Leave Template

• Extension of Investigatory Leave Template

• Notice of Investigatory Leave Template

• PPSM Layoff/Reduction in Time Working Document

• PPSM Notice of Indefinite Layoff Template

• PPSM Notice of Indefinite Reduction in Time Template

• PPSM Notice of Temporary Layoff Template

• PPSM Notice of Temporary Reduction in Time Template

• Represented Employee Layoff/Reduction in Time Templates can be found on the Labor Forms & Letters webpage

• Notice of Leave of Absence and Special Placement Consideration (90 day transfer search)  (Word) 

• Request for Review (Campus Accommodation and/or Medical Separation) form  (Word) - please review the instructions before filling out this form

• Special Leave of Absence Form (to be used for Military Leaves)  (Word)

•  TBD

• Notice of Intent to Separate MSP (position elimination)

• Notice of Intent to Reduce MSP Appointment Percentage

• Letter of MSP Separation (position elimination when employee responds)

• Letter of MSP Separation (position elimination when employee does not respond)

• Letter of MSP Reduction in Time (when employee responds)

• Letter of MSP Reduction in Time (when employee does not respond)

• Working Document [MSP]

• Employee Organization Membership Payroll Deduction Authorization (UPAY 699)  (PDF)

• Managing the Performance Review Process for Represented Employees

• Represented Staff Performance Review Form #1

• Represented Staff Performance Review Form #2

• Achieve Together

PSS & Represented Employee Templates

• Letter of Counseling (LOC) Template

• Letter of Warning (LOW) Template

• Notice of Suspension Template

• Notice of Intent to Suspend (NOIS) Template

• Final Notice of Discipline: Suspension Template

• Notice of Intent to Terminate (NOIT) Template

• Final Notice of Discipline: Termination Template

Situation-Specific Templates

• No Call/No Show Letter Template

• Notice of Intent to Terminate (NOIT): Job Abandonment Template

MSP Employee Templates

• MSP 3 and Below Memo of Expectations

• Employee FML Eligible  (PDF) - For combined PDL and Parental Leave

• Employee FML Eligible  (PDF) - For Requests Limited to PDL

• Employee FML Eligible but Leave Entitlement Exhausted  (PDF) - For Requests for PDL only

• Employee Not FML Eligible  (PDF) - For requests for PDL only

• Letter for Change in End Date of PDL  (PDF) - For Approved Combined PDL and Parental Leave

• Medical Certification for Employee's Pregnancy Disability  (PDF)

• PDL Confirmation Letter  (PDF) - Employee Not FML Eligible or Employee FML Eligible but Leave Entitlement Exhausted

• Request to Continue/Cancel Benefits While on Leave  (PDF)

• Return to Work Certification  (PDF)

• Notice of Release from Probationary Period Template

• Notice of Extension of Probationary Period Template

• Notice of Recalculation of Probationary Period Template

• Notice of Completion of Probationary Period Template

• Probationary Period Midpoint Review Form

• Proof of Service Template 

• Interview Data Form: PDF  and Word 

• 2.0 People Leadership at UC Berkeley
• BPM Development Plan Template - Manager Self-Assessment
• Career Assessments for Growth
• Grow Your Impact Consulting Request Form
• Grow Your Journey Request Intake Form
• Helpful Toolkits and Guides

• Achieve Together Online Dashboard

• Demographic Data:
  • HCM Instructions  (PDF)
  • Transmittal Form  (PDF)
• E-Verify & I-9:
  • Tracker I-9 at UC Berkeley
  • Federal Form I-9, Employment Eligibility Verification
• UPAY 585–State Oath of Allegiance and Patent Agreement  (PDF)
• W-4:
  • Federal Withholding Form - Resident (Form UC W-4/DE 4)  (PDF) - This form can be filled in electronically. Read notes on form about privacy.
  • Federal Withholding Form - Nonresident (Form UC W-4NR/DE 4)  (PDF) - This form can be filled in electronically. Read notes on form about privacy. More information on taxation forms for non-residents.
  • Instructions for Entering W-4 Tax Allowances via At Your Service Online  (PDF)

• STAR Plan Nomination Form