FISCAL YEAR 2019
BLANKET AUTHORIZATION FOR OVERNIGHT TRAVEL
Traveler Information
Employee: _______________________________________________________________
E-Mail:
_________________________________________________________________
ID Number: __________________ Phone: ___________________
Dept Name: ________________________________________________________________
Dept Contact: _____________________________ Contact Phone #__________________
I am requesting a blanket authorization for overnight travel for the period of
_____________ through __________________. Please provide specific trip details and
purpose for the blanket request in the space below.
I certify that my position requires frequent overnight travel each month to
conduct University business and I will abide by University travel policies.
_________________________________
Employee Signature (REQUIRED)
________________________
Date
_________________________________
Supervisor’s Signature (REQUIRED)
__________________________
Date
__________________________________
Dean/Vice President/Pres (REQUIRED)
__________________________
Please submit completed form to Accounts Payable ADM 316.
Date
Blanket_Travel_Authorization_Blank Form
