In accordance with Arizona State Personnel System Statewide Policy ASPS/HRD‐PA3.02, use this form to
request approval to pay an out‐of‐state candidate's relocation expenses. Payment of such expenses is
intendedasarecruitmenttoolandrequirestheArizonaDepartmentof AdministrationDirector'sapprovalIN
ADVANCE,priortomakinganyemploymentcommitmentsoragreeing topaythecandidate'stransportation
ormovingexpenses.
ArizonaStatePersonnelSystem
AGENCYREQUESTTOPAYMOVINGAND/ORTRANSPORTATIONEXPENSESFORANOUT‐OF‐STATECANDIDATE
AgencyName
CandidateName
PositionTitle
SupervisorName
Position Grade
StartDate
ReallocationAmountRequested
JobRequirements:
Attachacopyofthejobpostingandprovideabriefsummaryofthedutiesandrequirementsoftheposition.
Advertising/Posting:
Providede
tailsofrecruitmentefforts youhavetaken.Providenamesofpublicationsandwebsiteaddressesofallofthe
advertisementsandpostingsyouhaveusedinanattempttofillthisposition.
CandidateInformation:
Attachacopyofthecandidate'sresumeandprovideabriefsummaryofthecandidate'srelevantexperienceand
eduction.
Summary:
Summarizethereason(s)thatpayingmovingand/ortransportationexpensestorecruitthiscandidateisinthebest
interest oftheState.Includeadditionaldetailsrelevanttothe request,suchasthenumberofcandidateswhoapplied
forthepositionorinterviewed,thelengthoftherecruitmentperiod,etc.
AgencyHead
Date
Signature
ADOAHumanResourcesDirectorRecommendation
RecommendApproval
RecommendDenial
Date
Signature
ADOA Director Approval
Approved
Denied
Signature
Date
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signature
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signature
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signature
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