Authorization Request for o-campus meeting/travel
(Please Print)
Name
Date of Request
Reason for Absence
Desnaon
List dates covered by this request
Request Date/Time to pick up keys
Time/Date car & keys returned
List classes to be missed or other dues for which you would normally be responsible on these dates:
Request College Vehicle:
Car(s)
Van(s)
Big Bus
No travel allowance for vehicle
Esmated Cost:
Personal Car
Miles $.575
Tag #
College Car
Miles $.575
Tag #
Meals and Lodging
Registraon Fee
Misc: Tolls, Parking, Etc.
Total
Signature
Division Head: Your approval of this request and your signature below will note agreement with
the above regarding jusficaon in terms of me and expense. Please process this request as
soon as possible so arrangements may be nalized well in advance of dates covered by request.
Department
Budget Account #
Date
Division Head
Date
Vice President or President
DOC: Travel Authorizaon 01-16-2014
Rt. 1 Box 1000Warner, OK 74469-9700
(918) 463-2931
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