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Unnamed: 0 | Unnamed: 1 | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Department of Pathology | Unnamed: 6 | Unnamed: 7 | Unnamed: 8 | Unnamed: 9 | Unnamed: 10 | Unnamed: 11 | Unnamed: 12 | Unnamed: 13 | Unnamed: 14 | Unnamed: 15 | Unnamed: 16 | Unnamed: 17 | Unnamed: 18 | Unnamed: 19 | Unnamed: 20 | Unnamed: 21 | Unnamed: 22 | Unnamed: 23 | Unnamed: 24 | Unnamed: 25 | Unnamed: 26 | Unnamed: 27
 |  |  |  |  | ABSENCE / TRAVEL REQUEST
This form must be completed, approved by immediate supervisor and submitted at least four weeks prior to the scheduled absence. The chairman's approval is required for all international travel. However, this form does not guarantee travel reimbursement.
SUBMIT ORIGINAL REQUEST TO THE DEPARTMENT OF PATHOLOGY ADMINISTRATIVE OFFICE AT ONE BAYLOR PLAZA, MS: BCM315
 |  |  |  |  |  |  |  |  |  |  |  | FACULTY | STAFF |  |  |  | RESIDENT | OTHER |  | DATE RECEIVED
 | TODAY'S DATE
 | EMPLOYEE NAME |  |  |  |  |  |  |  |  |  |  | I.D. |  |  |  |  |  | [NAME]
 | CHECK ALL THAT APPLY:
 | VACATION TIME……………… |  |  |  |  |  | DATES: |  |  |  |  |  | PERSONAL TIME…….. |  |  |  |  |  | DATES:
 | PROFESSIONAL MTG……… |  |  |  |  |  | DATES: |  |  |  |  |  | OTHER…………..…...... |  |  |  |  |  | DATES:
 |  |  |  |  |  |  |  |  |  |  |  |  | OTHER  (SPECIFY FOR TIME ENTRY PURPOSES)
PROFESSIONAL MEETING INFORMATION
 | CONFERENCE NAME / PRESENTATION TITLE
 | CITY |  |  |  |  |  |  |  |  |  | STATE |  |  |  |  |  | COUNTRY
 | ESTIMATED TRIP COST |  |  |  |  |  |  |  | CHARGE SOURCE / ACCOUNT NUMBER |  |  |  |  |  |  |  | CHARGE SOURCE NAME OR  [NAME]
APPROVAL(S)
 | IMMEDIATE SUPERVISOR APPROVAL |  |  |  |  |  |  |  | DATE |  |  | CPA APPROVAL (SCHEDULING PURPOSES) |  |  |  |  |  |  |  |  | DATE
 | CHAIRMAN APPROVAL |  |  |  |  |  |  |  | DATE
TRAVEL ARRANGEMENTS
Check items below to request assistance with travel arrangements.  If you will be making your own arrangements, review the BCM travel policy prior to incurring any expenses.
 |  | CHECK ONLY IF YOU WILL MAKE YOUR OWN FLIGHT ARRANGEMENTS WITH A BCM TRAVEL AGENCY AND REQUIRE A TRIP NUMBER. |  |  |  |  |  |  |  |  |  |  |  | FOR OFFICE USE ONLY
 |  |  |  |  |  |  |  |  |  |  |  |  |  | £ UPDATE ABSENCE CALENDAR
 |  |  |  |  |  |  |  |  |  |  |  |  |  | £ RECORD EXPENSE (LOG IN P.D.)
 | CHECK ONLY IF YOU NEED ASSITANCE MAKING ARRANGEMENTS: |  |  |  |  |  |  |  |  |  |  |  |  | £ CONFIRM FUNDS AVAILABILITY
 |  | FLIGHT ARRANGEMENTS |  |  |  |  |  |  |  |  |  |  |  | FLIGHT |  |  |  | TRIP #:
 |  | DEPARTURE DATE |  |  |  |  |  |  |  | TIME: |  |  |  | VENDOR:
 |  | RETURN DATE |  |  |  |  |  |  |  | TIME: |  |  |  | AIRFARE:
 |  | FREQUENT FLYER #: |  |  |  |  |  |  |  |  |  |  |  | CONFIRMATION #:
 |  | NOTES: |  |  |  |  |  |  |  |  |  |  |  | DATE COMPLETED: |  |  |  |  |  |  | BY:
 |  | REGISTRATION |  |  |  |  |  |  |  |  |  |  |  | REGISTRATION
 |  | The complete registration form must be submitted at least 2 weeks before deadline.  The Dept. of Pathology will not pay or reimburse late registration fees. |  |  |  |  |  |  |  |  |  |  |  | METHOD OF PYMNT:
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DOCUMENT #:
 |  | REGISTRATION FEE: |  |  |  |  |  |  |  | DEADLINE: |  |  |  | DATE COMPLETED: |  |  |  |  |  |  | BY:
 |  | HOTEL |  |  |  |  |  |  |  |  |  |  |  | HOTEL
 |  | PROVIDE YOUR CREDIT INFORMATION TO COMPLETE RESERVATIONS |  |  |  |  |  |  |  |  |  |  |  | NAME:
 |  | OPTION 1: |  |  |  |  |  |  |  | PHONE |  |  |  | PHONE #:
 |  | OPTION 2: |  |  |  |  |  |  |  | PHONE |  |  |  | CONFIRMATION #:
 |  | REQUESTS: |  |  |  |  |  |  |  |  |  |  |  | DATE COMPLETED: |  |  |  |  |  |  | BY:
 |  | OTHER: |  |  |  |  |  |  |  |  |  |  |  | OTHER:
 |  |  |  |  |  |  |  |  |  |  |  |  |  | METHOD OF PYMNT:
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DOCUMENT #:
 |  |  |  |  |  |  |  |  |  |  |  |  |  | DATE COMPLETED: |  |  |  |  |  |  | BY:
Department of Pathology ▪ One Baylor Plaza ▪ Mail Station: BCM 315 ▪ Houston, Texas 77030 Phone: [PHONE] ▪ Fax: [PHONE]
BCM VACATION POLICY
 | FACULTY:  All faculty members are eligible to take eleven (11) working days of paid vacation on the first day of the seventh (7th) month following their month of employment. No vacation hours can be taken prior to the completion of the first six (6) months of service.
 | STAFF:  Salaried staff employees are eligible for one week (5 work days) of paid vacation on the first day of the seventh (7th) month following the month of employment. After six (6) months of employment, additional hours accrue, this is based on full-time employment.
 | For more information on the BCM Vacation policy go to http://intranet.bcm.edu/index.cfm?fuseaction=Policies.Policies&area=02&expand=8