UNIVERSITY OF CENTRAL FLORIDA

REQUEST FOR APPROVAL TO PAY MOVING EXPENSES

TO: UNIVERSITY OF CENTRAL FLORIDA, PURCHASING DEPARTMENT, ORLANDO TECH CENTER, 12479 RESEARCH PARKWAY, ORLANDO, FLORIDA 32826

FROM REQUESTING DEPT:

1. Name of Employee or Applicant:	2. Employee ID (if available):
3.Beginning Date of Employment:	4. Type of Employment: Original Promotion Reassignment Demotion Transfer

CLASS TITLE

PAY PLAN

RATE OF PAY

PLACE OF WORK

5. JUSTIFICATION: No commitment to expend university funds for the payment of moving expenses shall be made without prior approval by the chief administrative officer. Payment of moving expenses for this employee/applicant is in the best interest of the University of Central Florida for the following reasons:

6. ESTIMATED COST TO THE STATE UNIVERSITY SYSTEM: The estimated gross weight for which the University of Central Florida will be responsible for payment in connection with this move is pounds. The cost of this move is estimated to be.   Sufficient budgeted funds are available for these expenses. The move will be made on or about the date of . The employee/applicant has been advised that this payment is limited to the packing, shipping, and storage of household goods and that no more than 15,000 pounds gross weight will be approved unless any of these restrictions is specifically waived. If the cost of the move exceeds the approved estimated cost by an additional 25% or greater, a revised request must be submitted for approval of the additional cost.

NOTE : NUMBER 7 and 10 MUST BE SIGNED PRIOR TO SUBMITAL OF THIS FORM.

7.University Review Authority: Must be signed by Chair, Dean or Director only

8. Date

9. ACTION TAKEN: Approved up to a maximum of 15, 000 pounds Approved in excess of 15,000 pounds Disapproved

Remarks:

10. By: Vice President or Provost

11. Date

University Authorized Signature