Category: Benefits Title: Relocation Expense Authorization & Payment Form Type: For RF Employees   Format: Adobe Acrobat (PDF)1 Microsoft Word/Excel Form: Size: 10 KBytes 41 KBytes Form Date: 05/01 05/01 Related Link: Special Notes: Instructions and Examples: The Relocation Expense Authorization and Payment form must be completed according to the policy and procedure described in IRS Requirements for Reimbursement of Moving Expenses. Complete the form as follows: Amount: Enter total dollar amount of reimbursement. Tax Classification Amount: Enter the dollar amount of each expense, in the qualified or non-qualified column. Payment To: Detail the amount paid to the employee or third party. Total: Enter the total for each column. Combined totals for each column must equal the total amount reimbursed. Documentation Required: The following table lists the type of documentation required for each type of qualified moving expense. Attach the appropriate documentation to this form. Qualified Expense Documentation Required Packing Authorized certificate of packing Moving Canceled check or original receipt from mover AND itemized invoice Shipping Receipted bill of lading Storage Cancelled check or original receipt AND itemized invoice Mileage Shortest highway route (IRS standards) at current IRS reimbursement rate for moving expenses ( note: This rate should not be confused with the corporate travel reimbursement rate for mileage) Meals and Other Expenses Original Receipts Revision History:

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