HEALTH AFFAIRS FORM 1
ADMINISTRATIVE APPOINTMENT ONLY

Name and Address                                                                  Date

MEMORANDUM OF APPOINTMENT, 20__ - ____ Fiscal Year

The Board of Regents of The University of Texas System has authorized your appointment to the following position at The University of Texas ___________________________________:

Administrative Title

Percent Time

Budget Period

     
Base Compensation Practice Plan Compensation Other Compensation Total Compensation
       

This appointment is subject to the provisions of the Rules and Regulations of the Board of Regents of The University of Texas System, Regental and U.T. System policies, the rules and regulations of the University, and applicable state and federal laws and regulations. The total compensation is the gross amount for the indicated budget period only and is subject to deductions required by state and federal law and, if permitted by law, other deductions that you may authorize. You also will receive such employee benefits as may be authorized by applicable laws.  The obligation for the payment of all or any portion of your compensation from contracts, grants, gifts, bequests, or endowments is dependent upon receipt of those funds.  The stated compensation may be increased or decreased in subsequent budget periods on the basis of your performance of assigned duties and responsibilities.  Practice plan augmentation may be decreased during a budget period when the current income to the practice plan is insufficient to meet the existing practice plan commitments.

Your appointment is without term and is subject to termination at the pleasure of the President.

Please indicate acceptance of this appointment by signing and dating this Memorandum in the space indicated below and return it to the Office of the ___________________ by _________________, 20__, in order that your name may be placed on the payroll for the next fiscal year.

A revised Memorandum will be sent if there is a change in your status during the indicated budget period.

_______________________________
President

I accept this appointment ___________________________________
Date: ________________________

Last Updated:  April 21, 2000
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