RCUH Policies and Procedures
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Research Corporation of the University of Hawaii Relocation Allowance
Receipt, Acknowledgement and Agreement Statement
I, __________________ acknowledge receipt of Check No. _____________ for the amount of $_____________ for relocation expenses incurred. I also understand and agree to reimburse the RCUH for the full amount if I am not able to complete a full year of service at the new location.
Receipt, Acknowledgement and Agreement Statement
I, __________________ acknowledge receipt of Check No. _____________ for the amount of $_____________ for relocation expenses incurred. I also understand and agree to reimburse the RCUH for the full amount if I am not able to complete a full year of service at the new location.
Signature of Appointee
Date
Approving Authority
Signature of Approving Authority
Date
Fiscal Officer
Signature of Fiscal Officer
Date
Form 17-B (02/01/03)