UC Intercampus Transfer of Fee Remission
Use this form to request a transfer of fee remission to another campus for a UC graduate student serving in an eligible appointment at Berkeley.
Email address *
UC BERKELEY HIRING UNIT INFORMATION
Department or Hiring Unit *
Your answer
Contact Name *
Your answer
Alternate Contact Email (optional)
Your answer
Contact Phone *
Your answer
STUDENT INFORMATION
Student Name
Your answer
Student's Home Campus (e.g., UCSF, UCD) *
Your answer
Student's Home Campus SID *
Your answer
Student's Home Department and Degree Goal *
Your answer
Is the student registered at home campus for semester of appointment? *
UC Berkeley SID (if applicable, e.g. on Intercampus Exchange as visiting student)
Your answer
Is student enrolled at Berkeley during the semester of appointment?
If yes, how many units is student enrolled at Berkeley?
Your answer
Is student assessed fees as a California resident? *
Has student waived health insurance at home campus? *
APPOINTMENT and REMISSION INFORMATION
Berkeley Employee ID (EID) *
Your answer
Title Code *
Your answer
Percentage Time *
Your answer
Begin Date *
MM
/
DD
/
YYYY
End Date *
MM
/
DD
/
YYYY
CHART STRING INFORMATION
Please provide entire chart string(s).
Chart String *
Your answer
Chart String
Your answer
Chart String
Your answer
A copy of your responses will be emailed to the address you provided.
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