This category of appointment is available for full time or part time practitioners employed by the University whose contributions are judged by the faculty of a department to be valuable to clinical and/or educational programs. Individuals in this appointment category full time or part time salaried employees of the University.  Clinical Associates are frequently based at an off-site facility, an outlying or affiliated hospital, or on campus. The initial term of appointment can be made for a term of up to two-years.

In some instances, unpaid appointments may first need to be reviewed for determination of Medicare reassignment compliance. These appointments require a separate checklist. MS Word

Appointment proposal--The department will prepare and submit a recommendation for the appointment that is reviewed by OAA for completeness, endorsed by the Dean and submitted to the Provost’s office for approval. An original recommendation should be submitted to OAA. A complete recommendation will include:

_____ New appointment checklist MS Word

Chairman’s letter to Dean which should include

• name of candidate
• proposed academic rank, track, effective date, term (normally, term end date is June 30 except for individuals on the Research Associate track)
• % effort
• proposed compensation and mix
• statement of the individual's clinical activity and reputation, as well as role envisioned

_____Updated CV MS Word

_____ Search documentation

If Full-Time, Benefits eligible:

• Applicant log MS Excel
• Search documentation memo (suggested format) MS Word
• Copies of advertisements (showing name of publication and date(s) ran)

If part-time (salaried):

• Requistion on UC Jobs that has been posted for minimum of 30 days

Post-approval/Payroll—Upon approval of appointment and attending privileges, the department should process a Multiple Action Form (MAF) with appropriate attachments to get the new recruit into the University’s payroll system. Forms must be received by the OAA payroll deadline to guarantee a paycheck at the end of the month. payroll deadlines

If this is an unpaid appointment, only the MAF and Compliance screening need to be submitted to OAA.

MAF—Not available on-line. Please contact OAA for a supply of blank forms.

_____     I-9 form and attachments ADOBE PDF

_____     UPP192 and attachments (for Permanent Residents and Non-Immigrant Aliens) ADOBE PDF

_____     Federal W-4 tax form ADOBE PDF

_____ State W-4 tax form ADOBE PDF

_____ Benefits Enrollment Form ADOBE PDF

_____ Compliance Screening form with original signatures and within the last 30 days w/ results Cover Sheet and Screening Form