Request for Exception to Academic Policy (Apm 560): Payments for Moving / Relocation Expenses*

REQUEST FOR EXCEPTION TO ACADEMIC POLICY (APM 560): PAYMENTS FOR MOVING / RELOCATION EXPENSES*

*Requests for exception to policy APM 560 are required for moving / relocation expense payments in excess of 50% of total expenses and / or to pay expenses for appointees whose academic series is not currently covered by the policy. Only requests for faculty and non-faculty academic appointees will be reviewed. Do not submit requests for postdoctoral scholars OR other students/fellows.

Instructions: 1. Complete the exception request below. 2. Send the completed form to the OVPAA Box: 0652 (or email [email protected]) for final approval before routing to accounting for payment. If there is a Dean’s Office commitment of funds for the expenses, the form must be routed to your school’s Dean’s Office first, for pre-approval. The OVPAA will not be responsible for verifying Dean’s Office funding. ------Appointee Name City, State, Country (relocating from): Date of Hire: Search # (if applicable): Appointment Title: School: Department/Division: Department Contact (name & phone):

We are requesting a policy exception to APM 560 for the following, (check all that apply):

Exception to pay (or reimburse) more than 50% of the total personal household moving expenses.

Exception to pay (or reimburse) moving expenses for a faculty member or non-faculty academic not covered by policy.

______Required Signature & Date – Chair or ORU Director

______Optional Signature -2nd Dept. approval (as required by Dept.)

For Dean’s Office/VPAA use only: Page 1 of 1 v.2/2012 Review and approvals are for UC academic policy (APM 560) only; not reviewed for Business and Finance Bulletin G-13 or any other applicable accounting policies.

Approved – Dean’s Office, Academic Affairs

______Name / Signature & Date *For use of Approval of Dean’s Office Funds Only

Approved – Manager of Academic Personnel, OVPAA

______Name / Signature & Date