Request for a Planned Absence
Department of Medical Physics, UW-SMPH
Faculty and staff are required to notify their departments in advance of absences that will take them away from their classes or other regular duties at the University. Faculty Policies and Procedures requires that prior permission be received from the chancellor or the dean for planned absences. The Medical School Dean has delegated the responsibility for approval of absences to departmental Chairs.
For purposes of accountability to the University and State and to provide protection to the extent possible for SMPH faculty, students, and staff who engage in global health activities, it is important that all faculty and staff members file the following form with the department Chair in advance of foreseeable absences.
For students and post-docs, your travel authorization form presented to the department's travel coordinator Beth Bierman and signed by your advisor will serve as your official business travel authorization document. You may wish to retain a copy for your records.
You may also download a PDF version of the form, which can be filled out and delivered to the department chair.
Please out the following and click "submit" at the end when you are done.