Relocation Expense Authorization Page 2

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RELOCATION EXPENSE AUTHORIZATION FORM INSTRUCTIONS
This form is used to request approval for expenses an employee expects to incur due to a job relocation required by
the appointing authority. The employee must receive written advanced approval on the Relocation Expense
Authorization form before incurring relocation expenses.
Completion of Form:
Complete ALL parts of this form. Obtain all required signatures. Agencies should make sure the form is complete
before sending the original to Minnesota Management and Budget (MMB).
Eligibility for relocation expense reimbursement for current employees is determined by the employee’s collective
bargaining agreement/compensation plan and for new employees, by Personnel Rule 3900.2200. Prior to filling out
the Authorization form, you must review the terms and conditions of the applicable bargaining
agreement/compensation plan or for new employees, Personnel Rule 3900.2200.
In some cases, reimbursement is mandatory (e.g., when the language reads “…shall be paid…”). In other cases,
reimbursement is at the discretion of the Appointing Authority (e.g., when the language reads “…may authorize
payment of additional…”). This must be taken into consideration when determining eligibility, completing the
Authorization form and authorizing the amount of each expense type.
Revisions:
MMB will not reimburse expenses incurred outside of the approved time periods. In addition, MMB will not
reimburse more than the amount approved for each expense type, and will not reimburse more than the “Total
Amount Approved is not to Exceed” amount less the third-party moving company payment made through the
Accounting-Procurement system.
• If the Relocation Period and/or Travel Status dates are to be adjusted, one of the approvers (Division
Director, Accounting Director, or Agency Head/Designee) must approve the change in writing via a revised
Relocation Expense Authorization form or email.
• If the Relocation Period and/or Travel Status dates are to be extended, a revised Relocation Expense
Authorization form must be submitted.
• If any of the expense type amounts are to be adjusted (and the “Total Amount” is remaining the same),
one of the approvers (Division Director, Accounting Director, or Agency Head/Designee) must approve the
change in writing via a revised Relocation Expense Authorization form or email.
• If the “Total Amount Approved is not to Exceed” amount is to be changed, a revised Relocation Expense
Authorization form must be submitted.
Moving Expense - IRS Time and Distance Tests:
The IRS outlines a distance test and a time test. To satisfy the distance test, the new job location must be at least 50
miles farther from the employee’s former home than the old job location. To satisfy the time test, the relocating
employee must work full time at least 39 weeks in the new job location. The IRS does allow for certain exceptions,
and IRS regulations are subject to change. It is the responsibility of the agency and the employee to be aware of
and comply with IRS regulations. IRS instructions, publications and regulations can be found on the IRS website.
If the employee does not meet the IRS distance and time tests, the agency must not pay the moving company
directly.
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