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<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'><img width=431 height=92 id="_x0000_i1025"
src="cid:image001.gif@01C8FE20.5C231230"><o:p></o:p></span></font></p>
<p style='margin:0in;margin-bottom:.0001pt'><b><font size=2 face=Arial><span
style='font-size:11.0pt;font-family:Arial;font-weight:bold'><o:p> </o:p></span></font></b></p>
<p style='margin:0in;margin-bottom:.0001pt'><b><font size=2 face=Arial><span
style='font-size:11.0pt;font-family:Arial;font-weight:bold'>August 14, 2008</span></font></b><font
size=2><span style='font-size:11.0pt'><o:p></o:p></span></font></p>
<p style='margin:0in;margin-bottom:.0001pt'><b><font size=2 face=Arial><span
style='font-size:11.0pt;font-family:Arial;font-weight:bold'><o:p> </o:p></span></font></b></p>
<p style='margin:0in;margin-bottom:.0001pt'><b><font size=2 face=Arial><span
style='font-size:11.0pt;font-family:Arial;font-weight:bold'>TO:
Department Heads, MSO's, Managers and Supervisors</span></font></b><font
size=2 face=Arial><span style='font-size:11.0pt;font-family:Arial'><o:p></o:p></span></font></p>
<p style='margin:0in;margin-bottom:.0001pt'><b><font size=2 face=Arial><span
style='font-size:11.0pt;font-family:Arial;font-weight:bold'><o:p> </o:p></span></font></b></p>
<p style='margin:0in;margin-bottom:.0001pt'><b><font size=2 face=Arial><span
style='font-size:11.0pt;font-family:Arial;font-weight:bold'>RE: Workers' Compensation
Insurance for Out-of-Country Employees</span></font></b><font size=2
face=Arial><span style='font-size:11.0pt;font-family:Arial'><o:p></o:p></span></font></p>
<p style='margin:0in;margin-bottom:.0001pt'><b><font size=3 face=Arial><span
style='font-size:12.0pt;font-family:Arial;font-weight:bold'><o:p> </o:p></span></font></b></p>
<p style='margin:0in;margin-bottom:.0001pt'><font size=3 face=Arial><span
style='font-size:12.0pt;font-family:Arial'>*********************************************************************************<o:p></o:p></span></font></p>
<p style='margin:0in;margin-bottom:.0001pt'><font size=3 face=Arial><span
style='font-size:12.0pt;font-family:Arial'><o:p> </o:p></span></font></p>
<p style='margin:0in;margin-bottom:.0001pt;text-align:justify'><font size=2
face=Arial><span style='font-size:11.0pt;font-family:Arial'>Each year, the
Office of the President requires each campus to provide a list of employees who
reside and work outside of the <st1:place w:st="on"><st1:country-region w:st="on">United
States</st1:country-region></st1:place>. These employees are not
covered by the University's general workers' compensation insurance, which is
only applicable to employees employed within the state. In order to
determine if any of your employees require this special foreign insurance
coverage, the following criteria would apply:<o:p></o:p></span></font></p>
<p style='margin:0in;margin-bottom:.0001pt;text-align:justify'><font size=2
face=Arial><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></font></p>
<p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:
.5in;margin-bottom:.0001pt;text-align:justify;text-indent:-.25in;mso-list:l1 level1 lfo2'><![if !supportLists]><font
size=2 face=Symbol><span style='font-size:11.0pt;font-family:Symbol'><span
style='mso-list:Ignore'>·<font size=1 face="Times New Roman"><span
style='font:7.0pt "Times New Roman"'>
</span></font></span></span></font><![endif]><font size=2 face=Arial><span
style='font-size:11.0pt;font-family:Arial'>Permanent employment is outside of
the <st1:place w:st="on"><st1:country-region w:st="on">United States</st1:country-region></st1:place><o:p></o:p></span></font></p>
<p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:
.5in;margin-bottom:.0001pt;text-align:justify;text-indent:-.25in;mso-list:l1 level1 lfo2'><![if !supportLists]><font
size=2 face=Symbol><span style='font-size:11.0pt;font-family:Symbol'><span
style='mso-list:Ignore'>·<font size=1 face="Times New Roman"><span
style='font:7.0pt "Times New Roman"'>
</span></font></span></span></font><![endif]><font size=2 face=Arial><span
style='font-size:11.0pt;font-family:Arial'>Long term employment outside of the <st1:place
w:st="on"><st1:country-region w:st="on">United States</st1:country-region></st1:place>
(longer than three months assignment)<o:p></o:p></span></font></p>
<p style='margin:0in;margin-bottom:.0001pt;text-align:justify'><font size=2
face=Arial><span style='font-size:11.0pt;font-family:Arial'> <o:p></o:p></span></font></p>
<p style='margin:0in;margin-bottom:.0001pt;text-align:justify'><font size=2
face=Arial><span style='font-size:11.0pt;font-family:Arial'>If employees are
only working outside of the <st1:place w:st="on"><st1:country-region w:st="on">US</st1:country-region></st1:place>
on a temporary basis and out of the country only for less than three months -
they would be covered under the University's self-insured program.<o:p></o:p></span></font></p>
<p style='margin:0in;margin-bottom:.0001pt;text-align:justify'><font size=2
face=Arial><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></font></p>
<p style='margin:0in;margin-bottom:.0001pt;text-align:justify'><font size=2
face=Arial><span style='font-size:11.0pt;font-family:Arial'>If you have any
employees who require this special foreign Workers’ Compensation
coverage, please provide the following information to Nini Furst in <font
color=navy><span style='color:navy'>the</span></font> Labor Relations and
Workers' Compensation Office (<a href="mailto:nini.furst@ucr.edu"
target="_blank" title="blocked::mailto:nini.furst@ucr.edu">nini.furst@ucr.edu</a>)
by <b><u><font color=blue><span style='color:blue;font-weight:bold'>Wednesday,
August 20, 2008</span></font></u></b>:<o:p></o:p></span></font></p>
<p style='margin:0in;margin-bottom:.0001pt;text-align:justify'><font size=2
face=Arial><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></font></p>
<p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:
.5in;margin-bottom:.0001pt;text-align:justify;text-indent:-.25in;mso-list:l0 level1 lfo4'><![if !supportLists]><font
size=2 face=Symbol><span style='font-size:11.0pt;font-family:Symbol'><span
style='mso-list:Ignore'>·<font size=1 face="Times New Roman"><span
style='font:7.0pt "Times New Roman"'>
</span></font></span></span></font><![endif]><font size=2 face=Arial><span
style='font-size:11.0pt;font-family:Arial'>Employee Name<o:p></o:p></span></font></p>
<p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:
.5in;margin-bottom:.0001pt;text-align:justify;text-indent:-.25in;mso-list:l0 level1 lfo4'><![if !supportLists]><font
size=2 face=Symbol><span style='font-size:11.0pt;font-family:Symbol'><span
style='mso-list:Ignore'>·<font size=1 face="Times New Roman"><span
style='font:7.0pt "Times New Roman"'>
</span></font></span></span></font><![endif]><font size=2 face=Arial><span
style='font-size:11.0pt;font-family:Arial'>Hiring Department<o:p></o:p></span></font></p>
<p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:
.5in;margin-bottom:.0001pt;text-align:justify;text-indent:-.25in;mso-list:l0 level1 lfo4'><![if !supportLists]><font
size=2 face=Symbol><span style='font-size:11.0pt;font-family:Symbol'><span
style='mso-list:Ignore'>·<font size=1 face="Times New Roman"><span
style='font:7.0pt "Times New Roman"'>
</span></font></span></span></font><![endif]><font size=2 face=Arial><span
style='font-size:11.0pt;font-family:Arial'>Address of Residence<o:p></o:p></span></font></p>
<p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:
.5in;margin-bottom:.0001pt;text-align:justify;text-indent:-.25in;mso-list:l0 level1 lfo4'><![if !supportLists]><font
size=2 face=Symbol><span style='font-size:11.0pt;font-family:Symbol'><span
style='mso-list:Ignore'>·<font size=1 face="Times New Roman"><span
style='font:7.0pt "Times New Roman"'>
</span></font></span></span></font><![endif]><font size=2 face=Arial><span
style='font-size:11.0pt;font-family:Arial'>Work Address<o:p></o:p></span></font></p>
<p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:
.5in;margin-bottom:.0001pt;text-align:justify;text-indent:-.25in;mso-list:l0 level1 lfo4'><![if !supportLists]><font
size=2 face=Symbol><span style='font-size:11.0pt;font-family:Symbol'><span
style='mso-list:Ignore'>·<font size=1 face="Times New Roman"><span
style='font:7.0pt "Times New Roman"'>
</span></font></span></span></font><![endif]><font size=2 face=Arial><span
style='font-size:11.0pt;font-family:Arial'>Payroll Title/Job Description (the
job description can be faxed to X<font color=navy><span style='color:navy'> </span></font>2-2672)<o:p></o:p></span></font></p>
<p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:
.5in;margin-bottom:.0001pt;text-align:justify;text-indent:-.25in;mso-list:l0 level1 lfo4'><![if !supportLists]><font
size=2 face=Symbol><span style='font-size:11.0pt;font-family:Symbol'><span
style='mso-list:Ignore'>·<font size=1 face="Times New Roman"><span
style='font:7.0pt "Times New Roman"'>
</span></font></span></span></font><![endif]><font size=2 face=Arial><span
style='font-size:11.0pt;font-family:Arial'>Description of Operation (choose
one: Office, Classroom, research Lab, Field<font color=navy><span
style='color:navy'> </span></font>Station, Dormitory)<o:p></o:p></span></font></p>
<p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:
.5in;margin-bottom:.0001pt;text-align:justify;text-indent:-.25in;mso-list:l0 level1 lfo4'><![if !supportLists]><font
size=2 face=Symbol><span style='font-size:11.0pt;font-family:Symbol'><span
style='mso-list:Ignore'>·<font size=1 face="Times New Roman"><span
style='font:7.0pt "Times New Roman"'>
</span></font></span></span></font><![endif]><font size=2 face=Arial><span
style='font-size:11.0pt;font-family:Arial'>Date of Hire<o:p></o:p></span></font></p>
<p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:
.5in;margin-bottom:.0001pt;text-align:justify;text-indent:-.25in;mso-list:l0 level1 lfo4'><![if !supportLists]><font
size=2 face=Symbol><span style='font-size:11.0pt;font-family:Symbol'><span
style='mso-list:Ignore'>·<font size=1 face="Times New Roman"><span
style='font:7.0pt "Times New Roman"'>
</span></font></span></span></font><![endif]><font size=2 face=Arial><span
style='font-size:11.0pt;font-family:Arial'>End Date (current or projected)<o:p></o:p></span></font></p>
<p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:
.5in;margin-bottom:.0001pt;text-align:justify;text-indent:-.25in;mso-list:l0 level1 lfo4'><![if !supportLists]><font
size=2 face=Symbol><span style='font-size:11.0pt;font-family:Symbol'><span
style='mso-list:Ignore'>·<font size=1 face="Times New Roman"><span
style='font:7.0pt "Times New Roman"'>
</span></font></span></span></font><![endif]><font size=2 face=Arial><span
style='font-size:11.0pt;font-family:Arial'>Annual Salary (estimated payroll for
<u>07/01/2007 to 06/30/2008</u>)<o:p></o:p></span></font></p>
<p style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:
.5in;margin-bottom:.0001pt;text-align:justify;text-indent:-.25in;mso-list:l0 level1 lfo4'><![if !supportLists]><font
size=2 color=navy face=Symbol><span style='font-size:11.0pt;font-family:Symbol;
color:navy'><span style='mso-list:Ignore'>·<font size=1
face="Times New Roman"><span style='font:7.0pt "Times New Roman"'>
</span></font></span></span></font><![endif]><font size=2 face=Arial><span
style='font-size:11.0pt;font-family:Arial'>Dept. FAU# <font color=navy><span
style='color:navy'><o:p></o:p></span></font></span></font></p>
<p style='margin:0in;margin-bottom:.0001pt;text-align:justify'><font size=2
color=navy face=Arial><span style='font-size:11.0pt;font-family:Arial;
color:navy'><o:p> </o:p></span></font></p>
<p style='margin:0in;margin-bottom:.0001pt;text-align:justify'><font size=2
face=Arial><span style='font-size:11.0pt;font-family:Arial'>If you have any
questions, please contact Nini Furst at ext. 2-4207. <o:p></o:p></span></font></p>
<p style='margin:0in;margin-bottom:.0001pt;text-align:justify'><font size=2
face=Arial><span style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></font></p>
<p style='margin:0in;margin-bottom:.0001pt'><b><font size=3 face=Arial><span
style='font-size:12.0pt;font-family:Arial;font-weight:bold'>:: :: ::<o:p></o:p></span></font></b></p>
<p class=MsoNormal style='text-align:justify'><font size=2 face=Arial><span
style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></font></p>
<p style='margin:0in;margin-bottom:.0001pt;text-align:justify'><strong><b><font
size=2 face=Arial><span style='font-size:11.0pt;font-family:Arial'>Mariela E.
Roberts</span></font><o:p></o:p></b></strong></p>
<p style='margin:0in;margin-bottom:.0001pt;text-align:justify'><font size=2
face=Arial><span style='font-size:11.0pt;font-family:Arial'>Labor Relations
& Workers' Compensation</span></font><o:p></o:p></p>
<p style='margin:0in;margin-bottom:.0001pt;text-align:justify'><st1:PlaceType
w:st="on"><font size=2 face=Arial><span style='font-size:11.0pt;font-family:
Arial'>University</span></font></st1:PlaceType><font size=2 face=Arial><span
style='font-size:11.0pt;font-family:Arial'> of <st1:PlaceName w:st="on">California</st1:PlaceName>,
<st1:place w:st="on"><st1:City w:st="on">Riverside</st1:City></st1:place><o:p></o:p></span></font></p>
<p style='margin:0in;margin-bottom:.0001pt;text-align:justify'><font size=2
face=Arial><span style='font-size:11.0pt;font-family:Arial'>Tel. : (951)
827-3641; Fax: (951) 827-2672<o:p></o:p></span></font></p>
<p style='margin:0in;margin-bottom:.0001pt;text-align:justify'><font size=3
face=Arial><span style='font-size:12.0pt;font-family:Arial'>E-mail: <a
href="mailto:mariela.roberts@ucr.edu"><font size=2><span style='font-size:11.0pt'>mariela.roberts@ucr.edu</span></font></a></span></font><font
size=2 color=navy face=Arial><span style='font-size:11.0pt;font-family:Arial;
color:navy'><o:p></o:p></span></font></p>
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