Mobility Lump Sum Election Form
Mobility Lump Sum Election Form
Elect a lump sum relocation benefit in lieu of itemized reimbursement for an upcoming move.
A lump sum is a one-time pre-tax payment in lieu of itemized reimbursement. Once elected, you cannot switch to itemized reimbursement for this move.
Employee name *
Your answer
New role title *
Your answer
Origin location *
Your answer
Destination location *
Your answer
Distance of move (miles)
Family size relocating
Election
+ 6 more questions
About this template
Elect a lump sum relocation benefit in lieu of itemized reimbursement for an upcoming move.
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