Vacation Balance Transfer Alert

After a UC employee accepts an LBNL offer of employment or when a LBNL employee gives notice that they accepted a UC offer of employment, complete this form to alert OCFO (Payroll, Accounts Payable) and to keep track of vacation transfers.

Please complete this form even if the transferring employee is not eligible to transfer their vacation balance.

If you have any questions, please contact the HR Policies Analyst at hrpolicies@lbl.gov.


Employee's Last Name


Employee's First Name


UC ID # (new LBNL hire)


LBNL ID # (terminating LBNL employee)


Is employee coming to or leaving LBNL?


Is employee moving into a vacation-eligible position?


UC Location that the employee is transferring from or to


For new hires only, estimated # of qualifying UC & State of CA Service Hours.


Effective Date of new UC Hire or LBNL Employee Termination






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