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 email@example.com.
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?
Transfer to LBNL
Transfer to UC location
No Transfer of Vacation Credit
Eligible to Transfer Vacation
Is employee moving into a vacation-eligible position?
No, transferring to a non-vacation accruing position.
UC Location that the employee is transferring from or to
Estimated # of Qualifying UC Service Years
For new hires only, estimated # of qualifying UC & State of CA Service Hours.
Eff. Date of Hire/Termination
Effective Date of new UC Hire or LBNL Employee Termination
HR Center Contact
UC Payroll Contact
Smartsheet Web Forms
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