Moving Expense Reimbursement Request and Authorization Form

New UB employees should use this form to request reimbursement for approved expenses when transporting themselves, their families, and household goods and personal effects to their new place of residence.

Read the Moving Expense Reimbursement policy.

Download the Form

Request and Agreement for Moving Expense Reimbursement
Mobile Users

For the best experience in completing this form use a non-mobile device.

Using Firefox with PDF forms?

Make Adobe Acrobat the reader.

Completing the PDF Form

  1. Read through all pages of the document to find specific instructions if any
  2. Enter requested information into the form
  3. Print the form
  4. Get required signatures
  5. Scan a copy of the signed form for your records
  6. Send the original, completed, signed form to:         

** Must be completed and signed by appointing officer and appointee and submitted to appropriate office for reimbursement.

Need Help Completing the Form?

Lauren Fenush

Lauren Fenush

Purchasing, Procurement Services

Phone: 716-645-4526

Email: lfenush@buffalo.edu

Form Facts

Form Type: Downloadable, PDF document

Requirements: Adobe Reader

Updated: —

Owner:  Procurement Services