<p> GT Human Resources RELOCATION AUTHORIZATION FORM</p><p>Faculty/Staff HR Contact Member: Phone: Spouse Dept. Name: Name: Dept. Position Title: Contact: Dept. Contact Hiring Manager: Phone: PeopleSoft Budget HR Contact Name: Number (if applicable): </p><p>Is the entire move If Yes, what is the cap capped? amount? Is storage If Yes, how many days are authorized? authorized? </p><p>Place an “X” in each box that applies G - H t n s H p</p><p> o i o</p><p> e h N C e</p><p> g e v o S e l r / n g r o d C b i o k</p><p> a a</p><p> t e a M f c g t e - e n</p><p>Funding Source r x l f l a n i a i l u i a b P A e v m H M T a i</p><p>S o t x e s a M s E T u o H Department State Funds Note: Specific, maximum reimbursement limits must be included in the written offer of employment to be paid via State funds.</p><p>Georgia Tech Foundation Funds (GTF)</p><p>NOTE: The Office of the Provost will support the actual costs for moving household goods of new tenured/tenure track faculty members. </p><p>RELOCATION BENEFITS AUTHORIZED</p><p>Household Goods Move: Authorized: Cap, if applicable: Employee Origin Address Stree Stat t: Apt: City: e: Zip: </p><p>Page 1 Questions? Email: [email protected] Updated: 7/12/2010 GT Human Resources RELOCATION AUTHORIZATION FORM</p><p>Home Cell Work Phone: Phone: Phone: Employee Destination Address Stree Stat t: Apt: City: e: Zip: Home Cell Work Phone: Phone: Phone: Professional Goods Move: Authorized: Cap, if applicable: Professional Goods Origin Address Stree Stat t: Apt: City: e: Zip: Home Cell Work Phone: Phone: Phone: Professional Goods Destination Address Stree Stat t: Apt: City: e: Zip: Home Cell Work Phone: Phone: Phone: </p><p>Home Marketing Services (no Armstrong fee): Recommending realtors at origin who will help price, market, monitor, negotiate and facilitate closing.</p><p>Authorized:</p><p>Home Finding Services (no Armstrong fee): Recommending realtors at destination who will help price, market, monitor, negotiate and facilitate closing.</p><p>Authorized:</p><p>Mortgage Services (no Armstrong fee): Taking the faculty/staff member's application over the phone and providing a convenient, cost effective option through an approved national lender.</p><p>Authorized: Temporary Living Services (no Armstrong fee): Providing temporary housing with Armstrong's reduced rates at more than 400,000 apartments in more than 2,000 U.S. cities.</p><p>Authorized:</p><p>Special Instructions/Comments:</p><p>Page 2 Questions? Email: [email protected] Updated: 7/12/2010 GT Human Resources RELOCATION AUTHORIZATION FORM</p><p>Page 3 Questions? Email: [email protected] Updated: 7/12/2010 GT Human Resources RELOCATION AUTHORIZATION FORM</p><p>APPROVAL</p><p>Budget Code #1: Budget Code #2: Hire Date: </p><p>Unit Financial Title Date Officer Manager Title Date OHR/FA Title Date Next Level Title Date Supervisor Additional Title Date Approvals</p><p>Any exception requests to this policy must be approved by the President, Executive Vice President for Administration & Finance, or Provost and Executive Vice President for Academic Affairs or their designees.</p><p>Page 4 Questions? Email: [email protected] Updated: 7/12/2010</p>