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Get the free Compensated Outside Professional Activity Notification and Approval Request Form - lbl

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This form is used to request approval for compensated outside professional activity at Lawrence Berkeley National Laboratory. Approval is mandatory and must be renewed annually. Specific information
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How to fill out Compensated Outside Professional Activity Notification and Approval Request Form

01
Obtain the Compensated Outside Professional Activity Notification and Approval Request Form from your department or the relevant administrative office.
02
Fill out your personal information, including your name, position, and department.
03
Describe the proposed outside professional activity in detail, including the nature of the work and the expected time commitment.
04
Include the name of the organization or entity for which you will be performing the outside work.
05
Outline how this activity aligns or conflicts with your current duties and responsibilities.
06
Indicate whether you will receive compensation for this activity and specify the amount, if applicable.
07
Sign and date the form to certify that the information provided is accurate.
08
Submit the completed form to your supervisor or designated administrator for approval.

Who needs Compensated Outside Professional Activity Notification and Approval Request Form?

01
Employees or faculty members who wish to engage in compensated outside professional activities while maintaining their primary job responsibilities.
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The request must be submitted not less than ten (10) calendar days prior to the date the proposed employment will begin, in order to allow for completion of the review before the anticipated start of the outside employment.
Timely Completion: Section 1 of Form I-9 must be completed by the employee no later than their first day of employment, and Section 2 must be verified and certified by the employer within three business days of the employee's first day of employment.
An employee may permit his/her name and official title in connection with an outside activity (other than teaching, speaking, or writing) as long as there is a prominent disclaimer indicating that the employee is serving in a personal capacity, e.g., the name and official title may be listed on the letterhead or other

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The Compensated Outside Professional Activity Notification and Approval Request Form is a document used by individuals to formally request permission to engage in professional activities outside of their primary employment that may result in compensation.
Typically, employees or professionals engaged in full-time employment with specific institutions or organizations, especially in academia or public service, are required to file this form if they wish to undertake paid work outside of their primary job.
To fill out the form, individuals should provide their personal information, details of the outside professional activity they wish to undertake, the expected duration, the nature of the work, and any compensation involved. They may need to obtain signatures for approval from relevant authorities.
The purpose of the form is to ensure transparency and prevent conflicts of interest by allowing institutions to review and approve outside professional activities that may compromise an employee's commitments to their primary job.
The form typically requires reporting personal information, a description of the outside activity, the name of the organization involved, compensation details, dates of engagement, and any potential conflicts of interest.
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