Dual / Additional Appointment Request Form and Procedures.

Steps:

1. Submit a short term exception requisition to records.

2. Complete this e-form (Req # to include is generated by STE req above)

3. E-form below must be filled out completely and must including all required

signatures before faxing to Central HR.

4. Forward to Michael Yates& MikeSauvageau()

() to request a Dual Appointment (over 100% appointment) or

Additional Appointment(up to 100% appointment) agreement.

5. Michael Yates or Mike Sauvageau will then e-mail a final approval to the HR contacts for

the Requesting and Home Departments.

** Fax number: 858-822-0547

Please note the following:

  1. If the person holds an MSP title we cannot accommodate your request for Dual

appointments.

  1. The combined appointment % may not exceed 120% (dual/additional appointments)
  2. If the 100% position is Exempt, the 20% dual appt. must be a non-exempt position.

D. Duration should be for 6 months or less and may not exceed one year for dual

appointments.

Additional appointments may exceed 1 year if the position is openly recruited.

E. If the employee is/will be working at the UC San Diego Medical Center or in an

Academic position, you must first receive approval from the Medical Center Human

Resources or

Academic Personnel as not all requests are supported.

F. This form is not necessary for University Extension instructors or Recreation instructors,

Contactthe Records Department for instructions for these types of appointments

G. Dual/Additional Appointments may cross bargaining units.

Hiring Forms:

Any questions let us know.

Thank you

Mike Sauvageau 858-534-4802 Fax: 858-822-0547

Michael Yates 858-822-2583

/ Dual/Additional Appointment Request Form
» Upload within the HireOnline Requisition or Fax to 858-822-0546

Requisition#:______

Department:______

Candidate Name:______

This candidate holds another appointment within the UC system. Complete the information below for HR review/approval and to enter into a dual/additional appointment agreement.

Employee Information
Employee Number / Home Department
Current Payroll Title / Current Payroll Title Code
Current Exempt/Non-Exempt Status / Current % of Time
Current Staff Type Code / Current Salary
Home Department HR Contact Info / Bargaining Unit
Requesting Department Information
Requested Payroll Title / Payroll Title Code
Requested % of Time / Bargaining Unit
Appointment/Staff Type Code for this position / Requested Salary
Requesting Department HR Contact Email / Exempt/Non-Exempt
Start Date / End Date
Other Terms defined by Home, Requesting or Human Resources Department

This dual/additional appointment must comply with University policies and procedures. The terms of this agreement may be modified only through Human Resources. This agreement also makes known that in the event premium overtime is accrued by the employee it will be charged to the department where the hours of overtime have occurred.

APPROVALS
Employee Name (Print/Type): / Signature: Date:
Home Dept. Approver Name (Print/Type): / Signature: Date:
Requesting Dept. Approver Name (Print/Type): / Signature: Date: