REQUEST/AGREEMENT FOR MOVING EXPENSE REIMBURSEMENTMoving Expense Reimbursement Agreement • March 18th, 2019
Contract Type FiledMarch 18th, 2019Pursuant to Section 202 and 204 of the State Finance Law, reimbursement is requested for moving and travel expenses for the CUNY employee below: Last Name First Name MI Suffix CUNYfirst Employee ID Address of New Residence City State Zip Code Address of Old Residence City State Zip Code Previous Employer Name (include all employers who you worked for within the past 3 years from the date of appointment, include dates worked, if more than one include on separate sheet). Address of Previous Location City State Zip Code Dates Worked: From: To: Name of Current Employer: Address of New Work Location City State Zip Code Functional Title: Payroll Title: Part Time: Full Time: Date of Appointment: Is it an Interim or Acting Appointment? Yes No Duration of Appointment: Distance in Miles (Shortest measurement along public highways): A. From old place of work to new place of work B. From old residence to new place of work If the distance in either (A) or (B) is less than 100 miles, the employee is
REQUEST/AGREEMENT FOR MOVING EXPENSE REIMBURSEMENTMoving Expense Reimbursement Agreement • March 13th, 2019
Contract Type FiledMarch 13th, 2019Pursuant to Section 202 and 204 of the State Finance Law, reimbursement is requested for moving and travel expenses for the CUNY employee below: Last Name First Name MI Suffix CUNYfirst Employee ID Address of New Residence City State Zip Code Address of Old Residence City State Zip Code Previous Employer Name (include all employers who you worked for within the past 3 years from the date of appointment, include dates worked, if more than one include on separate sheet): Address of Previous Location City State Zip Code Dates Worked: From: To: Name of Current Employer: Address of New Work Location City State Zip Code Functional Title: Payroll Title: Part Time: Full Time: Date of Appointment: Is it an Interim or Acting Appointment? Yes No Duration of Appointment: Distance in Miles (Shortest measurement along public highways): A. From old place of work to new place of work B. From old residence to new place of work If the distance in either (A) or (B) is less than 100 miles, the employe
REQUEST/AGREEMENT FOR MOVING EXPENSE REIMBURSEMENTMoving Expense Reimbursement Agreement • March 13th, 2019
Contract Type FiledMarch 13th, 2019Pursuant to Section 202 and 204 of the State Finance Law, reimbursement is requested for moving and travel expenses for the CUNY employee below: Last Name First Name MI Suffix CUNYfirst Employee ID Address of New Residence City State Zip Code Address of Old Residence City State Zip Code Previous Employer Name (include all employers who you worked for within the past 3 years from the date of appointment, include dates worked, if more than one include on separate sheet): Address of Previous Location City State Zip Code Dates Worked: From: To: Name of Current Employer: Address of New Work Location City State Zip Code Functional Title: Payroll Title: Part Time: Full Time: Date of Appointment: Is it an Interim or Acting Appointment? Yes No Duration of Appointment: Distance in Miles (Shortest measurement along public highways): A. From old place of work to new place of work B. From old residence to new place of work If the distance in either (A) or (B) is less than 100 miles, the employe