Department of Management Services Division of Resource Management REQUESTS FOR AUTHORITY TO PAY MOVING EXPENSES AGENCY NAME: NAME OF EMPLOYEE SOCIAL SECURITY NUMBER TYPE OF APPOINTMENT Original Promotion Reassignment Demotion Reinstatement FROM TO CLASS TITLE PLACE OF WORK ANTICIPATED DATE OF MOVE: / / _______________________________ POUNDS: __________________________ ESTIMATED COST: $ 0.00_______________________________________________ JUSTIFICATION: Payment of moving expenses for this employee is in the best interest of the State of Florida for the following reasons: ACTION TAKEN: Approved Disapproved Agency Authorized Signature (Print Name) (Print Title) (Sign) Date
Department of Management Services Division of Resource Management REQUESTS FOR AUTHORITY TO PAY MOVING EXPENSES AGENCY NAME: NAME OF EMPLOYEE SOCIAL SECURITY NUMBER TYPE OF APPOINTMENT Original Promotion Reassignment Demotion Reinstatement FROM TO CLASS TITLE PLACE OF WORK ANTICIPATED DATE OF MOVE: / / _______________________________ POUNDS: __________________________ ESTIMATED COST: $ 0.00_______________________________________________ JUSTIFICATION: Payment of moving expenses for this employee is in the best interest of the State of Florida for the following reasons: ACTION TAKEN: Approved Disapproved Agency Authorized Signature (Print Name) (Print Title) (Sign) Date
REQUEST%20FOR%20AUTHORITY%20TO%20PAY_3314.docx