Request To Authorize Moving And Relocation Expenses (Reimbursement Authorization For Moving And Relocation Expenses)

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FORM#11
REQUEST TO AUTHORIZE MOVING AND RELOCATION EXPENSES
Approval is requested to authorize reimbursement for moving and relocation expenses as noted below.
I. IDENTIFICATION DATA:
Name of Faculty Member: ________________________________________________________
Academic Rank/Title: ___________________________________________________________
Position Number: _______________________________________________________________
Effective Date of Employment: ____________________________________________________
Relocation From (City, State): _____________________________________________________
II. JUSTIFICATION FOR NON-ROUTINE REQUESTS:
III. RELOCATION FUNDS REQUESTED:
A. University Recruitment Budget
Total Amount requested from University Recruitment Budget: $
B. Department Budget
Amount to be provided from department/college funds: $
Specify budget to be charged:
C. Total amount designated for moving/relocation expenses: $
Updated 06/2011

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