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REQUEST FOR CAMPUS ABSENCE
BASIC INFORMATION
Subject
Procedure
Name *
NetId *
E-mail *
Phone
ABSENCE INFORMATION
Type *
University Traval
Consulting
Illness
Personal
Date *
to
Decription of absence/purpose of travel *
0/1000
Destination(You can add more) Add
Expenses will be reimbursed by the university
Yes
No
Total estimated cost university($)
Account(s) to be charged Add
Airline ticket requested(office use only)
Yes
No
ER(#)
AMT($)
ABSENCE INFORMATION
(For Instructors Only)Will there be a classroom absence?
Yes
No
Course&Section
Date&Time
Arrangements

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