Fillable Relocation / Temporary Lodging Pre-Approval (University of Wisconsin - Whitewater)

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Relocation / Temporary Lodging Pre-Approval (University of Wisconsin - Whitewater)

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Relocation / Temporary Lodging Pre-Approval
Position / Candidate Information
Name of the (new/present) employee: _________________________________
Reason for Move: _________________________________________________
Position Control Number: _________
Relocating from (city/state): __________________
Funding/ Estimated Expenses
Expenses will be charged to:
Fund: ______ Program: _____ Dept ID: ________ Project: _________
Requested amount for relocation expenses
$
Requested amount for temporary lodging
$
Requested stipend amount
$
Total amount requested
$
If reimbursement for temporary lodging expenses is requested, briefly explain why and the
number of days it is needed:
Approval for temporary lodging: __________________________Date: _______
(Must be approved by Vice Chancellor of Admin Affairs – Grace Crickette)
APPROVAL
Stipend Amount Approved
$
Total Amount Approved (including stipend)
$
Dean or Division Head Authorization
Date
For further information see https://www.wisconsin.edu/uw-policies/uw-system-administrative-
policies/relocation-household-moves-and-temporary-or-indefinite-work-assignments/
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Relocation Temporary Lodging Pre-Approval (University of Wisconsin - Whitewater)

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Completed 31 August 2020

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