Scientific Party List for Cruises in Foreign Waters
This electronic form asks the Chief Scientist to supply advance information about each member of the scientific party and to categorize each member in two different ways using the pull-down menus provided. The "Function on Cruise" entry provides information required for later use by UNOLS in its databases. The category names are largely self-evident. The "observer" category means a person who is primarily an onlooker with respect to the scientific work - a VIP, government agency representative, reporter or documentary filmmaker, etc. The "foreign observer" category refers to a person required by a foreign government to be aboard as a condition of foreign clearance for the cruise, whether or not such a person is also a working scientist/technician/student.
The "status" entry refers to employment and insurance conditions related to UC risk management and required waivers for persons who lack suitable insurance coverage. Detailed definitions of these five categories are given at the end of the form.
In lieu of passport number, submitters can either use a U.S. Merchant Mariner Document (MMD) number, or a foreign MMD number.
The entire form should be completed and submitted electronically as early as possible in advance of the cruise. This will minimize possible delays by port authorities - the sailing lists required by them depend upon information gathered on this form. Upon boarding the ship every person in the scientific party is required to sign a paper copy of the same form, attesting to his or her correct UC category. Some categories require a UC Waiver of Liability; that waiver must be completed, signed and returned AS FAR IN ADVANCE of the cruise as possible.
Research Vessel:
Select ------------ Roger Revelle Melville New Horizon Robert G. Sproul
New Form Update
Cruise Dates:
Select Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Select 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 to Select Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Select 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Chief Scientist:
E-mail:1
NAME
EMPLOYER
FUNCTION ON CRUISE
CITIZENSHIP
PASSPORT NUMBER
GENDER
DATE OF BIRTH
STATUS 1-5 2
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Select Scientist Graduate student Technician Undergraduate Observer Foreign Observer
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(1) PAID UCSD EMPLOYEE, ON DUTY Note that the decisive factor determining whether or not a person is a paid employee is whether that person receives compensation via the UCSD Payroll System. Students who also receive UCSD payroll compensation (e.g. graduate students with research assistantships) ARE paid employees in this sense. Non-payroll forms of compensation generally do NOT result in a "paid employee" with the associated Worker's Compensation coverage. It is the intent of this category to include only persons holding Worker's Compensation coverage.
I hereby certify that I am a paid employee of the University of California, and that my presence aboard this ship for this cruise is in the course of my assigned duties.
(2) UCSD VOLUNTEER These persons volunteer their services to UC in order to participate in the work of the cruise. They may be from outside UCSD or may be normally employed at another UCSD unit but volunteering for purposes of this cruise. They must be appointed as Staff Volunteers by the business office of the UCSD unit to the benefit of which they are volunteering, because this status entitles them to Worker's Compensation coverage.
I hereby certify that I am a Staff Volunteer of the University of California, have submitted the proper forms for appointment as such a Volunteer, and that appointment has been approved.
(3) EMPLOYEE OF ORGANIZATION OTHER THAN UCSD, ON DUTY
I hereby certify that I am an employee (paid or volunteer) of (employer) and am covered by Worker's Compensation or equivalent insurance against injury while in that employment status, that my presence aboard this ship for this cruise is in the course of my assigned duties to that employer, and that that employer is responsible for all pay that may be due me for work done aboard ship. I hereby release the Regents of the University of California, its officers, agents and employees from any and all claims or liabilities for injuries to my person, including death, or property, in any way arising out of my presence on this ship, except such injuries or damage caused solely by the gross negligence or willful misconduct of The Regents of the University of California, its officers, agents, or employees. I agree that I may be asked to perform work aboard ship that is a part of the scientific program, and that I will not be compensated by the University of California for such work.
(4) STUDENT, BUT NOT PAID UCSD EMPLOYEE AS IN #1 AND NOT COVERED BY WORKER'S COMPENSATION THROUGH ANOTHER INSTITUTION AS IN #3 Students who neither receive UCSD Payroll System compensation and thus UCSD Worker's Compensation coverage nor are covered by Worker's Compensation or similar insurance through another institution must sign in this category and complete a UC Waiver of Liability.
I am a student not entitled to Worker's Compensation coverage and have signed the required UC Waiver of Liability.
(5) OTHER This category, which may involve uninsured persons, is to be utilized ONLY when it is IMPOSSIBLE to register the person under any of the other categories. All such persons must have been invited to participate by or with the approval of the Chief Scientist or the Associate Director, SIO, and they must sign a UC Waiver of Liability.
I do not qualify to enroll in any other category and have signed the required UC Waiver of Liability.
