The School Board of Polk County, Florida

Document Sample
The School Board of Polk County, Florida Powered By Docstoc
					                                                    The School Board of Polk County, Florida

                           INDIVIDUAL APPLICATION FOR TEMPORARY DUTY ASSIGNMENT

                                             In County                                Out of County

Name:      Johnny Depp
Title:     Actor                                                                                SAP Personnel #                 0089
Job Location      Kathleen High School                                                       Dept./School 4 digit #             1181



Please Check One of the Following:

           Expenses to be paid from (Cost Center)                                                    ,
                                                                                                         Cost Center Manager Signature
           Overnight Stay Required?                                (yes/no)       NO

           No Expense To Be Paid

Please Check One of the Following:

           Substitute charged to (Cost Center)                                         for               Days.
                                                                                                                    Cost Center Manager Signature
           No Substitute Required

In compliance with Florida School Laws and School Board of Polk County, Florida Rules, I hereby make application for
temporary duty assignment as follows:

Dates(s)         06/15/11
Note: Overnight stay at district expense requires prior approval (School Board Policy 6Gx53-3.003)
Destination (City, State)  Orlando, FL
Purpose of Travel (Event and Purpose)
Pirates of the Carribean


Approved:                                                                        Requested by:


                                                                   /                                                                     /
Principal/Director                                                     Date                  Signature of Employee                           Date

Senior Director/Assistant Supt.                                    / Date                This form must be must be accompanied by one
                                                                                         page of support documentation and must be
                                                                                         submitted early enough to allow for processing in
                                                                                         advance of anticipated duty leave.

Director of Personnel                                              / Date                Please keep a copy of this document for your
                                                                                         records. Incomplete forms cannot be accepted.

Application for Temporary Duty Assignment must be completed when any one of the following applies:
    a substitute is required (for any reason other than illness or personal leave chargeable to sick leave)
    the event involves any expense payment
    the event involves out-of-county travel



Original: Personnel                      Copy: Finance                                                         Revised 1/5/09

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:18
posted:7/27/2012
language:
pages:1