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
