Interactive Forms 

BLUE Form Links are interactive PDF forms that may be printed and/or emailed.
RED Form Links are old scanned forms that must be printed.

To use the interactive PDF forms, the current version of Adobe Acrobat Reader is required. This is free software and is available at: Adobe Acrobat Reader  (https://get.adobe.com/reader/)


UPM FORMS

All UPM Officers and Committee members must complete a UPM Hourly Payroll Registration Form and return it to the UPM office complete and signed, in person, by mail or email. To submit UPM Payroll Registration Form, please download and complete the UPM Hourly Payroll Registration PDF Form.

To submit UPM Stipend Hours, please download and complete the UPM Stipend Form

To submit for UPM Reimbursement for mileage or purchases, please download and complete the UPM Reimbursement Form.

Completed UPM forms may be submitted via UPM email or printed and submitted to the UPM office via inner office mail. For all UPM/MCCD CBA Forms listed below, follow the current CBA Article requirements to submit the respective form(s).


2014-2016 UPM/MCCD CBA FORMS

ARTICLE 3: WAGESARTICLE 4: FRINGE BENEFITSARTICLE 5: LEAVESARTICLE 6: TRANSFERS & ASSIGNMENTSARTICLE 7: EVALUATIONARTICLE 8: WORKLOADARTICLE 12: GRIEVANCEARTICLE 24: PROFESSIONAL STANDARDS  • ARTICLE 26: REASONABLE ACCOMODATION

ARTICLE 1: RECOGNITION

ARTICLE 2: PAYROLL DEDUCTIONS

ARTICLE 3: WAGES 

Article 3.10 Office Hours
Faculty Office Hours Form

ARTICLE 4: FRINGE BENEFITS  (top of page)

Article 4.7.a Medical Waiver Temporary Member
Medical Waiver Temporary Member Form

Article 4.7.b Medical Waiver Permanent Member
Medical Waiver Permanent Member Form

Article 4.10 Domestic Partner Enrollment
Domestic Partner Enrollment Form

ARTICLE 5: LEAVES  (top of page)

Article 5.1.a Notice of Member Absence
Member Absence Form

Article 5.1b Faculty Absence Report
Faculty Absence Report Form

Article 5.2.13.a Donation of Sick Leave
Sick Leave Donation Form

Article 5.5 Conference Leave
Conference Leave Form

Article 5.6.2 Sabbatical Leave Application
Sabbatical Leave Application Form

Article 5.6.7 Evaluation of Sabbatical Leave Proposals
Sabbatical Leave Proposals Evaluation Form

Article 5.8 Request for Unpaid Leave
Request for Unpaid Leave Form

Article 5.17 Waiver for Units Banked 
Waiver for Units Banked Form

Article 5.18 Request for Family Care Leave
Request for Family Care Leave Form

ARTICLE 6: TRANSFERS & ASSIGNMENTS  (top of page)

Article 6.1 Voluntary Transfer Agreement
Voluntary Transfer Agreement Form

Article 6.3 Involuntary Transfer Agreement
Involuntary Transfer Agreement Form

Article 6.4 Assignments
Assignments Form

Article 6.5 District Directed Assignments
District Directed Assignments Form

Article 6.8.e ETCUM Availability
ETCUM Availability Form

ARTICLE 7: EVALUATION  (top of page)

Article 7.0.a Instructional Performance Observation
Instructional Performance Observation Form

Article 7.0.b Nurse Performance Observation
Nurse Performance Observation Form

Article 7.0.c Librarian Performance Observation
Librarian Performance Observation Form

Article 7.0.d Counselor Performance Observation
Counselor Performance Observation Form

Article 7.0.e Student Evaluation of Course
Student Evaluation of Course Form

Article 7.0.f Student Evaluation of Librarian Instruction
Student Evaluation of Librarian Instruction Form

Article 7.0.g Student Evaluation of Counseling Session
Student Evaluation of Counseling Session Form

Article 7.0.h Professional Self-evaluation Criteria
Professional Self-evaluation Criteria Form

Article 7.0.i Statement of Professional Objectives
Statement of Professional Objectives Form

Article 7.0.j Evaluation Progress Report
Evaluation Progress Report Form

Article 7.0.k Evaluation Report
Evaluation Report Form

Article 7.4 Offsite Clinic Performance Observation
Offsite Clinic Performance Observation Form

Article 7.4.4 Nursing Home Day Program Evaluation
Nursing Home Day Program Evaluation Form

Article 7.5 Community Education Student Evaluation of Course
Community Education Student Evaluation of Course Form

Article 7.9.a Children Center Staff Performance Observation
Children Center Staff Performance Observation Form

Article 7.9.b Children Center Staff Professional Development Plan
Children Center Staff Professional Development Plan Form

ARTICLE 8: WORKLOAD  (top of page)

Article 8.3.7 Request for Overload
Request for Overload Form

Article 8.12.d(a) Management Evaluation of Department Chairs
Management Evaluation of Department Chairs Form

Article 8.12.d(b) Member Evaluation of Department Chairs
Member Evaluation of Department Chairs Form

Article 8.14 Request for Reduced Load
Request for Reduced Load Form

ARTICLE 9: CALENDAR

ARTICLE 10: CLASS SIZE

ARTICLE 11: SAFETY

ARTICLE 12: GRIEVANCE  (top of page)

Article 12.3.3 Member Grievance
Member Grievance Form

ARTICLE 13: BOARD/AGENT RELATIONS

ARTICLE 14: DISTRICT RIGHTS

ARTICLE 15: REDUCTION IN FORCE

ARTICLE 16: UPGRADING of TEMPORARY & PERMANENT PART-TIME FACULTY

ARTICLE 17: ACADEMIC FREEDOM

ARTICLE 18: NON-DISCRIMINATION

ARTICLE 19: SEVERABILITY

ARTICLE 20: CONCERTED ACTIVITIES

ARTICLE 21: REPRESENTATION/SERVICE FEE

ARTICLE 22: COMPLETION of AGREEMENT

ARTICLE 23: TERM

ARTICLE 24: PROFESSIONAL STANDARDS  (top of page)

Article 24.1.2 Sample Warning Letter
Sample Warning Letter PDF

Article 24.14.a Student Complaint Initial Notification
Student Complaint Initial Notification Form

Article 24.14.b Student Complaint Initial Notification to UPM
Student Complaint Initial Notification to UPM Form

Article 24.14.c Student Complaint Member Designation of Representative
Student Complaint Member Designation of Representative Form

Article 24.14.c Student Complaint Notification to Authorized Representattive by District
Student Complaint Notification to Authorized Representattive by District Form

ARTICLE 25: COPYRIGHT

ARTICLE 26: REASONABLE ACCOMODATION  (top of page)

Article 26.0 Request for Reasonable Accomodation
Request for Reasonable Accomodation Form

Link for Dental Benefit for Part-Time Faculty€‹ Form:
http://www.marin.edu/WORD-PPT/REIMBURSEMENTPTDENTAL_082516.pdf