This space for Travel Services and Accounting Dept. use only.
Amount Journal Entry Adjustment: _______________
Reason for Adjustment: ________________________
Travel Services Approval: _____________________Accounting Approval:________________
Agency TCard Order Request Form
Please complete and sign this form to request use of the ATU Travel card for
arrangements purchased with Agency Funds.This form is used only to request agency
funds be used when booking travel arrangements. If departmental budgets are being used
to purchase or reimburse for travel expenses, a requisition must be entered prior to travel
and this form is not to be used.
Agency Information
Agency Name:
Advisor Name:
Advisor Email:
Fund to be used for payment of this request.
Fund
Account
240200
Vendor Information
Name:
Contact Person:
Website:
Telephone Number:
Email Address:
Type of arrangements or service requested.
Rental Vehicle Airfare
Lodging Other _______________________
Entertainment Tickets
Qty:
Price:
Signature of Requestor Date
Signature of Faculty Advisor or other registered signatory Date
Submit completed form to Travel Services at address above.
click to sign
signature
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signature
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