INSTUCTIONS FOR PREPARING THE
SABBATICAL LEAVE/SPECIAL LEAVE OF ABSENCE FORM
UPAY 573 (R11/89)

 

For additional information on Sabbaticals check out the UCLA Call, Appendix 24 - Sabbatical Leaves.  For information on Special
Leaves of Absence you will need to review Appendix 25 of the UCLA Call - Leave of Absence.


SABBATICAL LEAVES SPECIAL LEAVES OF ABSENCE
10. 
Type of Leave: Indicate type of leave.  If it is partial salary, incidate the percent time in the Remarks Section.  Note:  Where the terms of a grant or contract permit and where funds are available, the salary of a faculty member working on an extramurally financed project during sabbatical leave shall be charged to the project according to the actal proportion of time and effort expended on the project.  Academic employees who will receive partial salary while on sabbatical leave may obtain full retirement credit by making their contributions and the Regent's retirement conbrituion on the remaining percentage.  For further information on  Service Credit Buyback for Approved Leaves, go to UCbencom.
Use this form for:

Academic 
Authorized leaves of absence with full salary for periods in excess of seven days, and authorized leaves of absence without salary or with partial salary.

Staff
Unanticipated absences without salary for thirty days more, leaves of absence for personal reasons and tempoarary layoffs.

11. 
Pay Period of Leave: For a fiscal year appointee, a quarter of sabbatical leave is for one fourth ( 3 months) of the calendar year.  Therefore, the effective pay period is three months, six months or nine months as the case may be.  A sabbatical leave may neither begin nor end within the period of an academic quarter except by specific permission of the Chancellor.  For academic year appointees, the actual service period differs from the pay period. For accounting purposes, enter the pay period of leave. 11. 
and 
12. 
Pay period of Leave and Academic Year Service Quarters Affected:  Indicate begin date for pay period of leave.  The return date is the day after the pay period ends, and the employee's records will revert to active status.  For academic year appointees, indicate the service quarters affected by leave.
14. 
and 
15. 

These Items Are Completed for Academic Employees Who Are Going on a Leave of Absence.
 
12. Academic Year Appopintees Service Quarters of Leave:  A quarter of sabbatical leave is defined by the academic calendar.  Thus, the effective service period of one quarter sabbatical leave begins with and ends with the Academic calendar quarter; a two quarter sabbatical leave begins with the beginning of the first quest and ends with the end of the second quarter, etc.  Indicate the year under the quarter shown. 18. 
 
 
Disposition of Work While of Leave:  For academic teaching titles, indicate courses and names of persons to be in charge. 
19.  Compensation While on Leave:  For academic appointees who are to receive compensation during leave, refer to the Academic Personnel Manual. 
13. Reason or Specific Purpose of Proposed Leave:  Explain details in Sabbatical Leave Program Statement.
 
 
14. Other Sources of Income While on Leave:  Explain sources of other income during sabbatical leave.  Include fellowships, sponsored research, etc. 
Approvals:  The Academic Personnel Manual contains policy for authorized approval signatures for academic appointments.