PRIOR APPROVAL REQUIRED BY APPOINTING AUTHORITY
(U.W. MADISON DEAN, DIRECTOR, OR DESIGNEE)

It is the policy of the University of Wisconsin-Madison to pay moving expenses and/or temporary lodging expenses for new and presently employed personnel assigned to new locations by transfer or promotion provided that it is approved by the Supervisor and Dean/Director prior to initiation of the move.

Name of (new) (present) employee:
UDDS:
PVL number or CERT number this employee is filling:
Relocation from:
Amount being requested for reimbursement for relocation expenses:

Please indicate the necessity of offering relocation and travel expenses.
	The individual's skills are in critically short supply.
	The labor market is tight for this particular position.
	The individual ranks above all other candidates in a combination of training, experience and personal qualities.
	The best-qualified individual for the position would be unable to accept the offer for financial reasons unless moving expenses are paid.
	Other

If applicable, temporary lodging allowance requested (limited to 45 days): $
(not to exceed the in-state lodging maximum for a single room rate).
Please explain why it is necessary to pay temporary lodging expenses.
APPROVALS:
_____________________________	_____________________________
(Supervisor's Signature) (Date)	(Dean/Director's Signature) (Date

Please attach completed and approved form to all requests for reimbursement