Date:

Requested By:

E-mail: (use format name@udel.edu)

Department for Supervisor Code:

This is a request for a:

New Supervisor
Replacement of the Supervisor or Alternates
Replacement of the Final Approver or Alternates
Replacement of the Chair or Alternates
Replacement of the Dean/VP or Alternates

If replacement, please provide the name of the supervisor being replaced:

Please provide the previous supervisor's three digit code:

Comments:

	Name	Employee ID	Signature Authority
Supervisor			Select oneYesNo
1st Alternate			Select oneYesNo
2nd Alternate			Select oneYesNo
Final Approver			Select oneYesNo
Final Appr 1st Alternate			Select oneYesNo
Final Appr 2nd Alternate			Select oneYesNo
Chair			Select oneYesNo
Chair 1st Alternate			Select oneYesNo
Chair 2nd Alternate			Select oneYesNo
Dean/VP			Select oneYesNo
Dean/VP 1st Alternate			Select oneYesNo
Dean/VP 2nd Alternate			Select oneYesNo

Please delete the following Supervisor Code:

Reason for deleting code: