HUMAN RESOURCES
INDEFINITE POSITION CLOSURE PROPOSAL
This form may be completed on-line and electronically signed, or it may be printed and completed by hand.
Please Note: Do not inform the employee of this pending action until authorized to do so by
Human Resources.
Employee name: ________________________ Department: ________________________________
Title: _________________________________ PCN: ___________ Job Code: ________ FTE: _______%
Check One:
__ Non-Represented
__ Represented – Bargaining Unit: ____________________
Building Name: ______________________ Room Number: ________ Work Phone: _______________
Home Address: ___________________________________________ Home Phone: _______________
Position Closure Unit Name: ___________________________________________________________
Position Closure Unit Head: _________________________________ Work Phone: _______________
Department Head: ______________________________________ Work Phone: _________________
Check One:
___ Position Closure – Beginning Date: _______________
___ Reduction in Time from ____ % to ____ % - Beginning Date: ___________
1. Reason for Position Closure (Check appropriate policy or contract in first column, then check
reasons in second column.)
___ UC Policy
___ Lack of Funds
___ Lack of Work
___ AFSCME
(Patient Care Technical, Service)
___ Budgetary
___ Operational Conditions
___ CNA (Nursing)
___ Budgetary
___ Operational Conditions
___ Teamsters (Clerical)
___ Budgetary
___ Lack of work
___ Reorganization
___ Redefinition of needs
Continued on page 2
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HUMAN RESOURCES
INDEFINITE POSITION CLOSURE PROPOSAL
___ UPTE
___ Budgetary
___ Lack of work
(Healthcare, Research, Technical)
___ Reorganization
___ Redefinition of needs
___ Curtailment of operations
2. Is this proposal being submitted due to the expiration of extramural funding? ___ Yes ___ No
If yes, please provide the following information:
End date: ____________ Funding Source: ____________________________________________
3. Explain why this position is proposed for position closure. (The reason provided should be based
on the stated mission and goals of the unit.)
4. List all limited, per diem, temporary, contract and student employees in the position closure unit
and, if applicable, show date appopintment will end. If the appointment has no end date, write
“none.” Attach an additional page, if necessary. This information can be found on the
Department Roster in eHR.
Name
Title
Limited, PD, Temp,
Contract, or Student
% Time
End Date
5. List all career employees with this job title in the position closure unit, including the employee(s)
proposed for this position closure, regardless of funding source. See your Department Roster in
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HUMAN RESOURCES
INDEFINITE POSITION CLOSURE PROPOSAL
eHR for this information. Include an asterisk (*) in front of the names of employees in
positions proposed for closure. Use space provided on next page. Attach an additional page if
necessary. An employee’s months of service can be forund on the UC Balance Page in eHR.
Name
Most Recent
Date of Hire
Appointment
Percentage
Months
of
Service
6. The order of position closure is based on the employee’s:
(Check One)
___ Seniority
Special Skills, Knowledge,
and Abilities
Documented
Performance
Please explain:
If the order is based on special skills, please complete the Special Skills Addendum.
7. Are there any vacant positions in the position closure unit with the same or lower range
maximum?
___ Yes
___ No
If yes, is the identified employee qualified for any of those positions? ___ Yes
Please explain in space provided on next page.
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___ No
HUMAN RESOURCES
INDEFINITE POSITION CLOSURE PROPOSAL
8. Will another position (vacancy) be created at a different classification or salary level as a result of
this action?
___ Yes
___ No
If yes, is the identified employee qualified for that position? ___ Yes
___ No
Please explain:
9. Will the proposed action result in any reclassification proposals for other positions in the position
closure unit?
___ Yes
___ No
If yes, please identify the position(s) and explain:
10. Will the work of any of the identified employees be reassigned to another employee?
___ Yes
___ No
If yes, please describe how work will be distributed. (If reassignment affects represented
employees, a 30 day notice may be required.)
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HUMAN RESOURCES
INDEFINITE POSITION CLOSURE PROPOSAL
11. Did the identified employee receive any corrective action or counseling for job performance
problems during the past two years?
___ Yes
___ No
If yes, please briefly describe the type of corrective action and the job performance problem.
12. Is the employee a member of a protected group for which there is a current affirmative action
goal? Contact the Affirmative Action Unit (UCDHS) to obtain goal information.
___ Yes
___ No
If yes, please explain.
Signatures:
Department Head: _______________________________________ Date: _____________
Position Closure Unit Head: ________________________________ Date: _____________
FOR HUMAN RESOURCES USE ONLY
Approvals:
Medical Center CEO: ______________________________________ Date: _____________
HR Executive Director: _____________________________________ Date: _____________
Department Notified By: ___________________________________ Date: _____________
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