Fillable Agency Acct Trav Req (Arkansas Tech University)

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Agency Acct Trav Req (Arkansas Tech University)

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ARKANSAS TECH UNIVERSITY
AGENCY ACCOUNT TRAVEL REQUEST
Date____________
INSTRUCTIONS: This form must be completed PRIOR TO the date of travel. Obtain approval of the
Dean of School or appropriate Vice President. Send form to the Budget Office in Bryan Hall for approval.
All drivers must be listed on form. No substitute drivers without prior approval.
Department Name: _____________________________________
Agency Account Number: _____________________________________
Name of driver: __________________________ DL#____________________
Destination: __________________________
Dates of Travel: __________________________
Purpose of travel: _______________________________________________
cents per mile
Type of vehicle requested: University sedan __________ .46
8 passenger van __________ .46
12 passenger van __________ .46
29 passenger van __________ .61
48 passenger van __________ 1.75
Approximate mileage:________________________Approximate charges:_________________
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Dean of School or Vice President Signature
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Agency Acct Trav Req (Arkansas Tech University)

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Completed 21 July 2020

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