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RETIRED EMPLOYEE APPROVALS FORM LBNL 02. 03. 009-002 v. 5 equivalent to University of California Human Resources Form UBEN 138 Lawrence Berkeley National Laboratory Berkeley Lab 1 Cyclotron Road Berkeley CA 94720 SEE REVERSE FOR SIGNATURES INSTRUCTIONS AND DISCLAIMERS This form must be completed to 1 hire a Lab/UC retiree in a Career Term or Rehired Retiree appointment 2 to extend a Lab/UC retiree s current Term or Rehired Retiree appointment or 3 update status of a retiree s appointment....
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009-002 v is a form used for reporting specific information to the designated authority.
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