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Moving Expense Form (In Development)
Moving Expense Form (In Development)
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Submit moving expenses to be paid or reimbursed by the the University.
Requesting Division
Academic Affairs and Learning Initiatives
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Cost of Moving Household Goods
What moving household good expenses do you have to report?
What moving household good expenses do you have to report?
Moving company
Self-move (truck rental, containers, etc.)
Other
Moving company - Amount paid to vendor by the University
Moving company - Reimbursement to employee
Self-move - Amount paid to vendor by the University
Self-move - Reimbursement to employee
Other move - Amount paid to vendor by the University
Other move - Reimbursement to employee
Explanation for other move expenses
Cost of Traveling to New Location
What traveling expenses do you have to report?
What traveling expenses do you have to report?
Airfare
Meals
Lodging
Mileage ___ miles X $0.20 per mile
Other
Airfare - Reimbursement to employee
Meals - Reimbursement to employee
Lodging - Amount paid to vendor by the University
Lodging - Reimbursement to employee
Mileage - Reimbursement to employee
Other travel - Reimbursement to employee
Explanation for other travel expenses
Pre-move House-hunting Trip
What pre-move house-hunting trip expenses do you have to report?
What pre-move house-hunting trip expenses do you have to report?
Airfare
Meals
Lodging
Mileage ___ miles X $0.20 per mile
Other
Airfare pre-move - Reimbursement to employee
Meals pre-move - Reimbursement to employee
Lodging pre-move - Amount paid to vendor by the University
Lodging pre-move - Reimbursement to employee
Mileage pre-move - Reimbursement to employee
Other pre-move - Reimbursement to employee
Explanation for other pre-move expenses
Tax Liability
All expenses reimbursed are taxable moving expenses, taxable income included on your W-2 form.
Indicate the number of pay periods you want applicable taxes to be withheld.
How many pay period(s) should we withhold all applicable taxes?
The pay period(s) must be in the calendar year in which you are being employed.
Receipts & Attachments
All receipts must be provided before reimbursement can be made. In the "Attachment(s)" field below attach all receipts.
Attachment(s)
To attach/select multiple files, have all files in the same folder, press the Ctrl key on the keyboard and select all the files with single clicks. Release the Ctrl key when all files are selected. Selected files will be highlighted.
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By checking "I agree", I certify that, to the best of our knowledge, the information contained in this request form is true and accurate.
By checking "I agree", I certify that, to the best of our knowledge, the information contained in this request form is true and accurate.
I agree
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Your name
Your first name
Your last name
Your email address
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Verification Code