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Policy 6.4.1. November 2011 Moonlighting Documentation Resident's Attestations (to be completed by resident) Name: Program: Date: The responsibilities in the moonlighting circumstance including dates,
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The moonlighting UTHSCSA form is a form used by individuals affiliated with the University of Texas Health Science Center at San Antonio (UTHSCSA) to report their moonlighting activities. Moonlighting refers to an additional job or work that is done outside of one's primary employment or academic responsibilities at UTHSCSA.
Any individual who is affiliated with UTHSCSA and engages in moonlighting activities is required to file the moonlighting UTHSCSA form. This includes faculty members, staff members, and students who have received permission to engage in outside employment.
To fill out the moonlighting UTHSCSA form, individuals are required to provide information about the nature of their moonlighting activities, including the name and address of the employer, the type of work performed, the hours worked, and any compensation received. The form may also require individuals to obtain approvals or signatures from their supervisors or department heads.
The purpose of the moonlighting UTHSCSA form is to ensure transparency and compliance with UTHSCSA policies regarding outside employment. By reporting moonlighting activities, UTHSCSA can monitor potential conflicts of interest and ensure that individuals' outside employment does not interfere with their primary responsibilities or obligations at the institution.
The moonlighting UTHSCSA form typically requires individuals to report the name and address of the employer, the type of work performed, the hours worked, and any compensation received. Additional information such as the duration of the moonlighting activities and any potential conflicts of interest may also be required.
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