State Of Alaska Employee Move Authorization Request Form printable pdf download

State Of Alaska Employee Move Authorization Request Form

STATE OF ALASKA EMPLOYEE MOVE

AUTHORIZATION REQUEST

PART I

(Department Completes)

Department:

Division:

Division Move/Travel Representative:

Phone:

Employee Name:

Date:

New Duty Station:

Bargaining Unit:

Date employee is scheduled to report to new duty station:

PART II

(Employee Completes)

: Read and complete the following request for information including the household cube sheet.

NSTRUCTIONS

This request initiates the moving process, which must be authorized by your division director or designee prior to

any move beginning. Please consult with your designated division representative if you have any questions. The

employee pays for all move expenses unless stated otherwise in this Request for Authorization. The amount of

moving expenses that will be reimbursed may be limited by the employee’s State agency.

1. Move from

(city/location)

2. Date you wish to start moving

♦ This is the actual date the movers arrive to begin packing

♦ Please submit this request at least three weeks prior to your move date.

♦ The move must be completed within one year of assignment to the new duty station.

3. Members of immediate family who will be moving (if any are also State of Alaska employees, please note the

State agency where employed).

RELATIONSHIP

(age of dependent)

NAME

DATE OF TRAVEL MODE OF TRAVEL

DOA Request for Authorization

for Move. Form 5/18/00

G:\Public\DAS\Fisca\Travel Forms\Move Authorization.doc

State Of Alaska Employee Move Authorization Request Form