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AS292 (Louisiana State University)

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Louisiana State University
Office of Accounting Services
Accounts Payable & Travel
217 Thomas Boyd Hall
REQUEST FOR AUTHORIZATION TO TRAVEL AS292
Traveler Title Type
LSUID Department
Contact Phone E-mail
Account
Purpose of Travel
(City, State and/or Country is required)
Does travel include personal travel?
From:
If yes, please disclose the personal dates and/or personal travel destination(s). Travel costs may be
limited to the lesser of a lowest logical airfare or prorated amount. (See PM-13)
To:
Section A - Foreign Travel (Applies to all travel outside the 50 US States, District of Columbia, Puerto Rico, US Virgin Island, American Samoa, & Guam)
•
Are US Dept of State rates being requested?
•
Is there a US Dept of State Travel Warning or Alert for this destination?
- Please refer to the "LSU Restricted Regions List" on the AP & Travel website.
- If yes, complete additional required forms per FASOP: AS-18 "High Risk Travel to Restricted Regions".
•
Is this Faculty-led travel which includes students?
- If yes, please answer the following:
▪ Is this part of an LSU course? If yes, Course # _____________________________________
Section B - Estimated Expenses (Refer to PM-13 for rates)
Expense
Airfare Meals (Conference) Meals
Registration Fees
Lodging (Routine) Days
Mileage Lodging (Conference) Days
Meals (Per Diem) Vehicle Rental Days
Misc & Incidental Total Travel Estimate
Meals (Conference)
Lodging (Routine) * Up to 50% in excess of maximum otherwise allowed.
Vehicle Rental **
* Justification Required
** Justification Required
Unauthorized individuals should not be transported in University-owned or rental vehicles. Refer to PM-13 for exceptions to this policy.
Section D - Other Special Approvals Requested
Extension of Temporary Assignment greater than 30 days (attach itinerary/travel plans).
APPROVALS
Traveler
Dean
1
Vice Chancellor
Provost
2
Assoc VP, Acct Services
3
President & Chancellor
Notes: For International Travel , the approved AS 292 must be submitted to Risk Management prior to the travel on-line at
www.lsu.edu/riskmgt/internationaltravelregistry for emergency notification and insurance purposes.
¹ Required for "High Risk Travel" to a Restricted Region
² Required for "High Risk Foreign Travel"
3
Required for "Travel > 30 Days"; applies to meals and/or lodging reimbursements
Rev 7/15
Supervisor/Director/
Dept Head/Chair
Signature
Printed Name
Date
Please Check Yes / No
Description
Meals designated as integral part of conference (attach a copy of the
conference brochure).
This form must be completed and approved prior to making any travel reservations.
Expense
Qty
-
Departure Date Return Date
Expense
-
Amount
Section C - Additional Reimbursement Details & Required Special Approvals/Justifications
Qty
Amount
-
Miles
Days
Yes
Yes
Yes
No
No
No
No
No
Yes
Yes
Employee
Student
Travel>30 Days
Compact
Mini-van
Mid-size/Intermediate
Van
Other________________
Full Size
Yes
Yes
Yes
No
No
No
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AS292 (Louisiana State University)

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Completed 24 July 2020

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