Moving Expense Reimbursement/Allowance Request

Moving Expense Reimbursement/Allowance Request

Instructions: This form must be completed for payment/reimbursement of relocation expenses. Attach contractual agreement along with receipts (or vendor invoices) for all expenses listed for reimbursement. Effective January 1, 2018, all moving expense reimbursements and allowances are considered taxable per IRS.

For additional information, vist Administrative Practice Letter IV-H https://www.maine.edu/apls/apl-iv-h/

Submitter Email Address*

Submitter Name

Submitter Phone

Phone

Employee ID*

7 digit Empl ID

Employee's Legal Last Name*

Employee's Legal First Name*

Campus*

Select

Department*

up to 6-character HR department ID with the first letter representing the campus (A=UMA, F=UMF, K=UMFK, M=UMM, O=UM, P=USM, I=UMPI, S=Univ Svcs Reference

Total Payment*

Amount to be paid to Employee

Detailed Description

PAYMENT DISTRIBUTION DETAILS

Both the Accounting ID and corresponding chartfields must be provided.

Split Distribution

Finance Notes

Provide finance instructions for transfering budget funds, etc.

Primary Source of Funding (Fund Code Desc)*

Select

Additional Contributor Email

Enter email address of person who will be providing the financial GL chartfields distribution information.

HR Accounting ID (Combo Code) #1

GL Department Code #1

GL Account Code #1

Faculty = 50030

Salaried = 51030

GL Fund Code #1

GL Program Code #1

GL Project Code #1

GL Class Code #1

GL Operating Unit #1

Dist % #1

HR Accounting ID (Combo Code) #2

GL Department Code #2

GL Account Code #2

GL Fund Code #2

GL Program Code #2

GL Project Code #2

GL Class Code #2

GL Operating Unit #2

Dist % #2

DEPARTMENT APPROVAL EMAIL ADDRESSES

Provide the appropriate department approvers below. Make sure to provide approvers in sequential order. DO NOT add your Financial Manager or HR Partner as one of these departmental approvers since they will receive separate approval notifications.

1 - Approver: Email*

2 - Approver: Email

Additional Comments / Notes

File Upload

Attach contractual agreement along with receipts (or vendor invoices) for all expenses listed for reimbursement.

Drag and drop files here or

Payment Information

Employee payments will be included in the next regular paycheck via direct deposit if set up.
All additional pay, including reimbursements/allowances will be taxed at the supplemental tax rates.

Send me a copy of my responses

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