CSU San Bernardino PreRetirement Reduction in Time Base Program Request Form INSTRUCTIONS: This form 2025

1. Click ‘Get Form’ to open the CSU San Bernardino Pre-Retirement Reduction in Time Base Program Request Form in the editor.
2. Begin by entering your name and department in the designated fields at the top of the form. Ensure that all information is accurate for proper processing.
3. Indicate your desired period of annual participation by filling out the effective date and selecting the terms (Fall, Winter, Spring) along with their corresponding time bases.
4. If you are requesting a change in participation or time base, complete the 'Change Period of Participation/Timebase' section with the necessary details.
5. For leave without pay due to personal medical reasons, specify the academic year, term(s), and amount of leave requested. Indicate whether it is full or partial leave.
6. Obtain recommendations from your Department Chair and College Dean by having them sign and provide comments where required. Ensure all signatures are collected before submission.

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