How to Request Active Service-Modified Duties (ASMD)

Active Service-Modified Duties (ASMD) Information: ASMD Fact Sheet
Active service-modified duties is a period during which a faculty member’s normal duties are modified so that they may prepare for and/or care for their newborn child or a child under the age of 18 newly placed for adoption or foster care. At UCSF, ASMD are not requests for reductions in effort, they are only a modification of duties. However, requests for reduction in effort may be approved under other policies for family accommodations including parental leave without pay.

To be eligible, a faculty member must have a full time (100%) 12-month appointment and be responsible for 50 percent or more of the care of the child.

Process:

Prior to filling out this form, you should:

Review the ASMD Fact Sheet.
Identify qualifying circumstance for requesting the modification of duties.
Determine ASMD start and end dates.
Describe your current and proposed modification of duties.
Meet and discuss the above proposed modification/s with your supervisor and/or department chair; outline the agreed upon expectations for the modification of duties.
Note: Modification of duties must not result in an overall reduction of effort. You should consult with your HR leave specialist if you have questions.
Once the terms have been agreed upon by the supervisor and/or chair, provide the completed form with your signature to your HR leave specialist for initiating the approval process.
How to find your HR leave specialist:
- Visit https://hr.ucsf.edu/hr.php?function=hrrep
- In the “Find Your HR Representative Search” box, enter your last name (or department name) and wait for pre-populated options to appear
- Select your name and press enter
- Search results will provide a list of your HR contacts including your leave specialist

Download the ASMD Request Form here.

You must download the form and complete the PDF from your computer. Using the browser window will not successfully edit the form.