Apply for Company-Sponsored Relocation Support

Employee Full Name

Employee ID Number

Current Department/Division

Current Job Title

Current Office Location (City, Country)

Current Office Address

Current Office Type

Target Office Location (City, Country)

Target Office Address (if known)

Target Office Type

Original Hire Date with Company

Total Tenure with Company (in months)

Performance Rating in Last Review Cycle

Primary Business Justification for Relocation

Relocation Type

Current Work Arrangement

Expected Work Arrangement at Target Location

Is this relocation at the request of company management?

Have you discussed this relocation with your direct manager?

Manager Name

Preferred Relocation Start Date

Earliest Possible Start Date at Target Location

Latest Acceptable Start Date at Target Location

Timeline Flexibility

Marital/Partnership Status

Do you have a spouse/partner who will be relocating with you?

Spouse/Partner Details (Name, Current Employment, Profession)

Does your spouse/partner require employment support services at the destination?

Select all spouse/partner support services needed:

Do you have dependent children who will be relocating with you?

Dependent Children Details (Name, Age, Current School Level, Special Needs if any)

Will you require school search assistance for your children?

Select all school-related support needed:

Do you have other dependents (e.g., elderly parents, disabled family members) relocating with you?

Other Dependents Details (Relationship, Age, Special Care Requirements)

Do you have pets that will be relocated?

Pet Details (Type, Breed, Quantity, Special Requirements)

Select all family-related assistance programs you wish to enroll in:

Special Family Circumstances or Accommodations Needed

Comprehensive Relocation Expense Estimate

Do you currently own property at your origin location?

What is your plan for the property?

Do you require a housing cost differential allowance?

Please provide current housing cost vs. expected target location cost comparison

Do you anticipate needing a cost-of-living adjustment (COLA)?

Provide cost-of-living research or justification for COLA request

Will you require a gross-up on relocation benefits for tax purposes?

Explain the tax implications that necessitate gross-up

Upload supporting documentation (quotes, receipts, policy documents, housing research)

Current Citizenship(s)

Current Country(ies) of Tax Residency

Passport Number(s)

Passport Expiry Date

Do you currently hold a valid visa or work permit for the target location?

Provide visa type, expiry date, and any restrictions

Will you require new visa or work permit sponsorship for this relocation?

Anticipated visa/work permit category

Describe any known visa/immigration challenges or concerns

Will your relocation create a permanent establishment (PE) risk for the company in the destination country?

Explain the nature of the PE risk and proposed mitigation

Will you remain tax resident in your current country while working in the target location?

Explain dual tax residency situation and treaty considerations

Are you aware of any social security totalization agreements between current and target countries?

Describe social security implications and contribution plans

Do you anticipate any personal tax liabilities on relocation benefits received?

Detail the taxable benefits and estimated tax impact

Have you completed the company's mandatory tax equalization briefing?

Will you require ongoing tax preparation support for dual filing obligations?

Expected duration (in years) for tax support

Are there any export control or sanctions considerations for your role or nationality?

Describe the export control concerns and required licenses

Overall Immigration and Tax Complexity Risk Assessment (for Mobility Operations use)

Upload relevant immigration or tax documents (passport copies, visa approvals, tax residency certificates)

I confirm that all information provided in this application is accurate and complete to the best of my knowledge.

I understand that relocation assistance is contingent upon continued employment and may be subject to repayment if I voluntarily resign within 12 months of relocation completion.

I have read and agree to the company's Global Mobility Policy and accept that support is provided at the company's discretion within policy limits.

I authorize the company to share relevant personal data with third-party relocation vendors for service provision.

I commit to complying with all immigration, tax, and employment laws in both origin and destination locations.

Have you received any relocation assistance from the company in the past?

Provide details of previous relocation (date, location, amount received)

Employee Digital Signature

Employee Submission Date/Time

Hiring Manager Name

Hiring Manager Title

Hiring Manager Department

Do you confirm that this relocation is critical for business operations?

Business Case Justification (Manager to complete)

Is budget available within your department for the estimated relocation costs?

Explain budget constraints and alternative funding sources sought

Manager's Assessment of Employee Readiness for Relocation (1=Not Ready, 5=Fully Ready)

Hiring Manager Digital Signature

Manager Approval Date/Time

Mobility Operations Reviewer Name

Mobility Operations Risk Assessment Notes

Does this relocation comply with all company policies and global mobility guidelines?

Are all visa, tax, and PE risks adequately mitigated or accepted?

Final Approved Relocation Budget

Final Approval Status

Mobility Operations Digital Signature

Final Authorization Date/Time