[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-305384-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-305384-en":127},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","conversion-from-contract-to-uc-employee-qualified-individual-form","Conversion from Contract to UC Employee - Qualified Individual Form","","This document serves as the official Qualified Individual Form for contract workers seeking conversion to University of California (UC) employment under the Patient Care Technical (EX) Contract. It outlines the specific eligibility criteria, requiring a worker to have performed services at the same UC location for either 1,000 hours over a rolling 12-month period or at a 35% time commitment over a rolling 36-month period, while maintaining necessary professional certifications, licenses, and specific skill sets. The form facilitates the collection of essential candidate data, including employment history, contact information, and current facility details, ensuring a standardized process for personnel transition. By formally documenting these metrics, the form enables both the University and the relevant union representative, AFSCME 3299, to verify compliance with established labor agreements and support the fair evaluation of contract staff for permanent roles within the UC 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are the eligibility requirements for conversion to UC employment?","Question",{"text":63,"@type":64},"A worker must have worked for a contractor performing the same services at the same UC location for either 1,000 hours over a rolling 12-month period or 35% time over a rolling 36-month period, while possessing the required skills, certifications, and licenses.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"Who should receive a copy of this form once it is filed?",{"text":68,"@type":64},"Once completed and filed with the appropriate department, a copy of the form must be provided to AFSCME 3299.",{"name":70,"@type":61,"acceptedAnswer":71},"What information is required from the applicant on this form?",{"text":72,"@type":64},"The applicant must provide their personal contact details, the date they started at the UC, their current hourly pay rate, the facility or building where they are currently stationed, and an estimate of their average weekly work hours.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},305384,1790593059,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,109,113,118,123],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},16,"Social 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the worker has worked for a contractor performing the same services at the same UC location (i.e. at the same Campus, Medical Center, Lab or other location) for 1,000 hours over a rolling 12-month period, or 35% time over a rolling 36-month period, provided they have skills, certification and licenses required.  \n\n| Date UC Campus/Health System\u003Cbr>Department/Unit\u003Cbr>Company/Contractor Supervisor Current Job Title |  |  |\n| --- | --- | --- |\n| Qualified Individual Information |  |  |\n| Last Name |  |  |\n|  | First Name | Email Address |\n| Address\u003Cbr>City |  | ZIP Code |\n|  | State |  |\n| Phone Number |  |  |\n| Start Date at UC |  | Approximate Number of Hours/Week |\n| Current Facility/Building |  | Current Hourly Pay Rate |\n\nSignature  \nDate  \nFile this form with   , and provide a copy to AFSCME 3299:","cbCaire6pXKeA4dJ","https://ap.wps.com/l/cbCaire6pXKeA4dJ","pdf",66239,"English","# Eligibility Requirements\n## Qualified Individual Information\n## Submission and Authorization","[{\"question\":\"What are the eligibility requirements for conversion to UC employment?\",\"answer\":\"A worker must have worked for a contractor performing the same services at the same UC location for either 1,000 hours over a rolling 12-month period or 35% time over a rolling 36-month period, while possessing the required skills, certifications, and licenses.\"},{\"question\":\"Who should receive a copy of this form once it is filed?\",\"answer\":\"Once completed and filed with the appropriate department, a copy of the form must be provided to AFSCME 3299.\"},{\"question\":\"What information is required from the applicant on this form?\",\"answer\":\"The applicant must provide their personal contact details, the date they started at the UC, their current hourly pay rate, the facility or building where they are currently stationed, and an estimate of their average weekly work hours.\"}]","Conversion from Contract to UC Employee - Qualified Individual Form | PDF",1789824334]