travel hours request form by 0fgn9S0

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									                   Division Liaison Travel/Hours Request Form


Name of Liaison

*Address
*City/State Zip Code
*Email Address
*Telephone
*Needed if a rental car is requested
Name of Division (one per request)
Rating on Needs Sensing Interview
Requesting Hours (Yes or No)
Requesting Travel (Yes or No)
Dates of Electronic Meetings
Reason for Requesting Additional Hours      How is this request tied to the Needs Sensing
                                            Interview? How is this request building
                                            Capacity at the division level?
Reason for Requesting Additional Travel     How is this request tied to the Needs Sensing
                                            Interview? Why must travel be encumbered
                                            (in person is better is not acceptable)?
Date(s) of anticipated travel
Rental car or Personal Car                  If Personal car, why (cost effective)?
If rental car, miles and days?              Attach cost estimate from Enterprise or provide
Location of rental car.                     information requested


Approved
Hours granted in Business Ops
Rental Car Days approved

Send to: Yvonne.Holloman@doe.virginia.gov

								
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