This form is to be used when full-time University employees are

FACULTY COURSE RELEASE OR RELEASE TIME FORM
This form is to be used when full-time faculty are released from their regularly assigned courses or other duties so that they may
perform grant-related work and should be submitted prior to the period for which released time is requested. This form is NOT to
be used for faculty compensation during the summer. A faculty summer contract is needed for that purpose.
University Grant
Account Number
Fund
Dept.
Program
Grant ID
Sponsor
Name
CSU ID
Grant Position
Time Period
(semester or dates)
Number of Credits
for Course Release
Dollar
Amount
Account No. to be credited where 0159
faculty being released is paid from
To be completed by Chair:
If released from a course, was someone hired as a replacement? ____ Yes ____ No
If yes, name of replacement:
Section No.
Course No.
Amount Paid
Replacement was charged to Combo Code.
Chair and Dean please note: Your signature below authorizes a budget transfer from the 0159-line to the appropriate part-time
personnel line in the amount indicated above to cover the cost of the replacement.
PI
_______________________________________________
Name (please TYPE or PRINT legibly)
_______________________________________
Signature
________________
Date
Department
Chair/Director _______________________________________________
Name (please TYPE or PRINT legibly)
_______________________________________
Signature
________________
Date
College/School
Dean
_______________________________________________
Name (please TYPE or PRINT legibly)
_______________________________________
Signature
________________
Date
_______________________________________
Signature
________________
Date
SPRS
_______________________________________________
Name (please TYPE or PRINT legibly)
For Budget Office Use Only
BTR # _____________
SPRS Routing:
Journal # _____________
Senior Accountant
Post Date _____________
Budget Office
_________________________________
Director of Budget & Financial Analysis
Provost Office
Revised December 15, 2015