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Administrative
Forms and Documents
Adobe Acrobat is required to view and print most of these documents. Unless otherwise noted,
the PDFs are 2 MB or less.
A C D E F G H I J L M N O P Q R S T U W
Academic Employment Form
Academic Conduct Policy
ACE Assignment Letter, 2009-10
Acknowledgment of Payment
Address Information Form, Student (includes financial address)
Address
List, Study Center
Advisor Country Responsibility Chart, Campus
Administrative Travel — Personal Car Use
Admission Information Sheet, Graduate
Affidavit of Registered Domestic
Partnership
Annual Safety and Incident Report (Word
template or Adobe Acrobat file)
Appeal Procedure, Student Conduct
Applicant Information for Non-UC Students Card, Undergraduate
Application for Exemption from EAP Health
Assessment
Application for Regents Emergency Loan Fund
Application Cover Memo (Sample) (Excel)
Application Transmittal Form 2007-2008
Authorization
for Medical or Surgical Consultation/Treatment (at the end of the
Student Agreement)
- Calendar, UC Academic, 2007-08
- Campus Administrative Director’s List
- Campus Advisor Country Responsibility Chart
- Campus UCEAP Representatives
- Classification Instructions and Checklist
- Communication Guidelines, Infectious Diseases:
- Confidential Health History Form and
Instructions
- Consensus of Where Orientation Items
Should be Covered
- Contract for “I” (Incomplete) Grade (Word template)
- Course Information Form, Student (Word
template)
- Cross Regional Contacts, UOEAP
- Data Access/Release Chart
- Departmental and College Pre-Approval to Extend from
Term to Year 2010-11
- Departmental and College Pre-Approval to Extend from
Term to Year 2009-10
- Dependent Care Reimbursement Claim Form, UC, Health for EAP staff
abroad
- Dependent Packet for EAP students
also see Affidavit
of Registered Domestic Partnership
- Disclosure of Student Records
- Dismissal, Sample Letter of
- Disciplinary Probation,
Sample Written
-
Electronic Funds Transfer (EFT) Authorization and Instructions
- Email Communication Policy, EAP
Exemption from EAP Health Assessment
Expenditures for Student Activities
- Expenditure Categories
- Exploratory Proposal Template
- Extend from
Term to Year, Departmental and College Pre-Approval to, 2010-11
- Extend from
Term to Year, Departmental and College Pre-Approval to, 2009-10
- Extend, Request for Final Approval to, 2010-11
- Extend, Request for Final Approval
to, 2009-10
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- Extend 2010-11, Petition to
- Extend 2009-10, Petition
to
- Request for Extension
of Insurance Coverage (writeable pdf) or (Writeable Word template)
- Faculty Employment, Sample
Contract for
- Faculty Handbook:
Section
One: Faculty Responsibilities, Recruitment, and Selection
Section
Two: Compensation and Benefits
- Financial Arrangements & Procedures Matrix
- Fees 2009-10
- University of California, Graduate
- University of California,
Non-Resident
- University of California Miscellaneous
Campus
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- Fees 2008-09
- University of California, Graduate
- University of California,
Non-Resident
- University of California Miscellaneous
Campus
- Financial Aid
Counselors for EAP
- Financial Aid Disbursement Schedule
- Financial Aid Operating Schedule,
2006-07 (Excel)
- Financial Aid Operating
Schedule, 2007-08
- Financial Information, Student
- FERPA
- Authorization to Release Directory/Public Information
- Data Access/Release Chart
- Release of Student Information to a Third Party, Authorization Form (writeable pdf) or
- Release of Student Information to a Third Party, Authorization Form (Word doc)
- Release Information (Finance) to Third
Party, Authorization/Restriction Form (writeable pdf) or
- Release Information (Finance) to Third Party, Authorization/Restriction
Form (Word doc)
- Funds Transfer (EFT) Authorization, Electronic and Instructions
- General Petition (Word template)
- Grade Change and Appeals, Policy
on EAP
- Grade, Contract for “I” (Incomplete) (Word template)
- Graduate Admission Information Sheet
- Graduate Fees, University of California, 2008-09
- Graduate Fees, University of California, 2007-08
- Graduate Information Sheet
- Graduate Preliminary Inquiry Form
- Graduate Student Agreement [GSAG]
Graduate Student Agreement for Short-Term or Language and Culture Application
[GSAG-S]
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- Heath Alert 2009-10: Swine Flu (H1N1 Virus) Information
- Health Assessment, Application
for Exemption from
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- Health Clearance Form and Instructions, UC
- Health Clearance Instructions for Students
- Health History Form and Instructions, Confidential
- Health Services
Campus Contacts
- Health Update, 2009-10, Annual
- Health: Online Travel Health Education Certification Course
- Host Institution Preference
Form 2006-07
-
- Housing Allowance Request
-
ILP Exemption Request 2010-11
Incident Report, Annual Safety and (Word
template or Adobe Acrobat file)
- Incident Report for Students Studying Abroad, Safety and (Word template or Adobe
Acrobat file)
- Incomplete, Contract for "I"
Grade (Word template)
- Individual Grade Report (IGR) (Word template)
- Infectious Diseases: Communication Guidelines
- Insurance for 2009-10 Students
- 2009-2010 EAP Insurance Plan Claim Form
- ACE Assignment Letter
- EAP Health Insurance Plan
Europ Assistance
Extension insurance enrollment form (writeable pdf) or (writeable Word document)
Gap Insurance Enrollment Form (writeable pdf)
Gap FAQ
Insurance Options Chart
Dependent Health Insurance Enrollment form (writeable pdf)
- Non-UC insurance enrollment form—for non-UC students only (writeable pdf) or (writeable Word document)
- Insurance: Personal Property
- Personal Effects Claim form
- Insurance: Trip Cancellation/Interruption
- Trip Cancellation/Interruption Claim Form
- Insurance for 2008-09 Students —
- 2008-09 Accident and Sickness Claim Form and Instructions
- 2008-09 AIG Assist (This service is part of Student
Accident and Sickness Plan/Medical Evacuation Plan)
- 2008-09 Insurance Options Chart
- 2008-09 Student Accident and Sickness
Plan/Medical Evacuation Plan, 2008-09 (See "AIG Assist")
- Insurance Coverage (Request for Extension
of) (writeable pdf) or (Writeable Word template)
- Gap Health Insurance 2008-09 (pdf) or Gap
Health Insurance 2008-09 (Word template)
- Gap Health Insurance FAQs 2008-09
- Job Description, 7 Steps
to Writing an Effective
- Job Description, Guide
- Job Description, Sample
- Judicial Order or Subpoena, Notification
of
- Large Group Entertaining Expenditures
- Letter, Disciplinary
probation
- Letter, Dismissal
- Letter, Reprimand
- Liability, Waiver of (at the end of
the Student Agreement)
- Loan Application, EAP, Confidential Appraisal
of Student’s Need, Regents Emergency
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- Loan Fund, Application for Regents Emergency
- Loan Fund — EAP, Promissory Note, UCSB
— The Regents Emergency
- Loan Information to Students, Regents Emergency
- Local Administrative Travel Expenses
- M&Ie Reimbursement
- Miscellaneous Campus Fees, 2008-09, University
of California
- Miscellaneous Campus Fees, 2007-08, University of California
- New EAP Program
Proposals
- Non-Resident Fees, 2007-08,
University of California
- Non-Resident Fees, 2006-07,
University of California
- Non-UC Students Card, Undergraduate,
Applicant Information for
- Notification of Judicial Order or Subpoena
Office Hours
Orientation Items Should be Covered, Consensus
of Where
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- Petition to Extend 2010-11
- Petition to Extend 2009-10
- Petition, General (Word template)
- Petition, Retroactive (Word template)
- Petition to Withdraw from UC Education Abroad Program
- Petty Cash Count Form (Excel)
- Policies
and Regulations Governing Travel (UCOP website)
- Policy on EAP Grade Change and Appeals
- Policy: EAP Academic Conduct
- Policy: EAP Student Conduct and Discipline
- Policy: Confidential Records
- Policy: EAP Substance Abuse
- Policy: EAP Student Travel
Policy
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- Policy: UCEAP Sexual Harassment
- Program Proposals, New EAP
- Pre-Approval to Extend from
Term to Year, Departmental and College 2010-11
- Pre-Approval to Extend from
Term to Year, Departmental and College 2009-10
- Promissory Note — EAP Study Center Emergency
Loan
Promissory Note, UCSB — The Regents Emergency
Loan Fund — EAP
- Proposal Template, Exploratory
- Psychological
Health: Study Center Toolbox
- Psychological Health: Types of Psychological
Disorders
- Public Information, Authorization to Release Director/
- Quarterly Request for Operating Funds
- Receipt of Paste-Up Process
- Reciprocal Exchange Forms (html)
- Reconciliation
of Study Center Operating Funds (Excel)
- Records, Disclosure of Student
- Recording Course Numbers — Sample
Form
- Records Policy, Confidential
- Regents Emergency Loan Application, EAP,
Confidential Appraisal of Student’s Need
- Regents Emergency Loan Fund
- Regents Emergency Loan Information to Students
- Regional Contacts, UOEAP
- Reimbursement Claim
- Reimbursement from Students for Student
Activities
- Reimbursement to Students for Student
Activities
Relocation Reimbursement Request
- Report of Expenditures (Excel)
- Reprimand (Warning), Sample Written
- Request for Final Approval to Extend 2010-11
- Request for Final Approval to Extend 2009-10
- Request for Classification Review
- Request for Disability
Accommodations Abroad Instructions
- Request for Extension
of Insurance Coverage (writeable pdf) or (Writeable Word template)
- Request to Review Student EAP Record
- Retroactive Petition (Word template)
- Safety and Incident Report, Annual (Word
template or Adobe Acrobat file)
Safety and Incident Report for Students Studying Abroad (Word
template or Adobe Acrobat file)
- Safety and Security Checklist, Study
Center (pdf) or
Safety and Security
Checklist, Study Center (writeable Word template)
- Sample Contract for Faculty Employment
- Sample Letter of Dismissal
Sample Written Disciplinary
Probation
Sample Written Reprimand (Warning)
- Share Your Experiences
Special Study Project Form (Word template)
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- Student Address Information
Form (includes financial address)
- Student Agreement, 2009-10
- Student Agreement, 2008-09
-
- Student Conduct Appeal Procedure
- Student Course Information Form (Word
template)
- Student Financial Information Form
-
Student Records, Disclosure of
- Student Travel Policy
- Study
Center Address List
- Study Center Salary Payment—No Withholdings
- Study Center Salary Payment—Net
Withholdings
- Study Agreement, Graduate
- Study Agreement for Short-Term or Language and Culture Application [GSAG-S], Graduate
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- Subpoena, Notification of, Judicial
Order or
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- Transfer of Funds
- Travel Arrangments for Faculty
- Relocation to/from Study Center
- Orientation Travel
- Travel, Policies and Regulations Governing (UCOP website)
- Travel
Waiver, Student
- UC Academic Calendar,
2009-10
- UC Academic Calendar, 2008-09
- UCIE Membership
List
- Unit Conversion Chart
- UOEAP Country Responsibilities Chart
- UOEAP Cross-Regional Contacts
- UOEAP Regional Contacts
- Undergraduate Applicant Information for Non-UC
Students Card
- Waiver of Liability (at the end of the Student Agreement)
- Waiver, Travel
- Withdraw from UC Education Abroad Program, Petition to
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