Registrar • School of Visual Arts
209 East 23rd Street, New York, NY 10010-3994
p212.592.2200 • f 212.592.2069
Substitute Instructor
Form
Substitute Name Substitute SVA Id#
Substitute Phone Substitute Email
Substitute Address
No. Course# Instructor Date Time Code
1
2
3
4
REASON CODES
A. Professional Development
B. Illness
C. Religious Observance
D. Death in Family
E. Jury Duty
F. Other (specify):
All forms must be signed by the Department Chair before being processed. FIRST TIME substitutes must attach a completed W-9
Form (see the back of this form, or obtain one from the Office the Registrar or your Academic Department). Return completed
forms to the Office of the Registrar.
Signature (SUBSTITUTE) Date
Signature (DEPARTMENT CHAIR) Date
Payroll or accounts payable use only GL# -6008
Hourly Rate Number of Hours = Amount Due
Use this box for code "F" only.