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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