University of Wisconsin-Whitewater request to be absent from campus

      UNIVERSITY OF WISCONSIN-WHITEWATER
      REQUEST TO BE ABSENT FROM CAMPUS
      Name of Requestor:

      CHECK ONE:  
        NON-BUSINESS:
      Vacation Dates:
      Leave without Pay Dates:
      Planned Sick Leave Dates:
           
        BUSINESS:
      Travel With Reimbursement for Expenses
      Travel Without Reimbursement for Expenses

      Itinerary for Business Related Absence:(Include dates/destination/purpose)

                   
      Account to be charged:   Requested By: Date:
        Org Code   Supervisor Approval: Date:
            Dean or Division Head: Date:
      Estimated Expenses:     Dean/Division Head Aproval(signature required or forwarded e-mail for travel with reimbursement for expenses.)
      Automobile: $  
      Transportation: $  
      Meals: $   This form, when approved by supervisor, provides proof that travel status was "in line of duty," and that the purpose was conducting business on behalf of the University of Wisconsin-Whitewater.
      Lodging: $  
      Registration: $  
      Other: $  
      Total: $   You are, therefore, exempt from payment of Wisconsin sales and use tax for meals and lodging under s.77.54(9a) Wisconsin Statutes. The University of Wisconsin System is issued a State Tax exempt Number, which is ES4076. You may obtain a sales and use tax exemption certificate from Financial Services.
           
           

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      Location

      Office of Administrative Affairs 
      330 Hyer Hall
      800 West Main Street
      Whitewater, WI 53190
      Phone:  262-472-1292

      54.81.134.175
      http://www.uww.edu/