1. Notification/Review   [Help/Forms/Resources]     [View/Print Procedure]
	Separating from UCSC
Disability Management Coordinator Procedure

Help, Forms & Other Resources

How to Use

The steps for these procedures have been divided into sets of activities for each role involved in the procedure. When you select a role, you will only see the activities and steps the selected role is involved in. To see activities and steps for a different role, choose the desired role.

Forms

• AB2410 Forms
• Background Investigation No Longer Interested (NLI) Form
• Proof of Service Form
• Separation Data Collection Document (SEPR)
• Unemployment Insurance Termination Report
• Separation: Notice of Intent to Medically Separate Template (Non-Represented Employee)
• Separation: Notice of Intent to Medically Separate Template (Represented Employee)
• Separation: Notice of Intent to Medically Separate Template (Non-Represented Employee, UCRP Disability)
• Separation: Notice of Intent to Medically Separate Template (Represented Employee, UCRP Disability)
• Separation: Notice of Medical Separation Template (Non-Represented Employee)
• Separation: Notice of Medical Separation Template (Represented Employee)
• Separation: Notice of Medical Separation Template (Non-Represented Employee, UCRP Disability)
• Separation: Notice of Medical Separation Template (Represented Employee, UCRP Disability)

Resources

• At Your Service
• Benefits Office
• California Employment Development Department (EDD)
• COBRA/Continuation of Group Insurance Coverage
• Leaving UC Employment
• Management Guide to Layoff
• Payroll Separation from Employment Guide
• Retiring from UC - I am Ready to Retire Now
• Termination of Employment Benefits Checklist
• UCSC Job Opportunities

[Top of Page]