Minnesota State Colleges & Universities
Out of State Travel Authorization
SECTION I. EMPLOYEE & TRIP INFORMATION
Name(s) of Employee(s) Taking Trip:
Purpose of Travel:
Destination Location: ________________________________
Date/s of Event: _______________ Departure Date: _______________ Return Date: _______________
Mode of Travel: Air _______ Private Automobile* _______ Motor Pool Vehicle _______ Other _______
*(Attach airfare itinerary from state’s travel agent to this form)
Was this trip pre-approved by the Unit’s Cabinet member and included in the unit’s master travel plan?
Yes
No
*If not included on the unit’s master travel plan, the Cabinet member’s signature (below) indicates approval.
SECTION II. ESTIMATED EXPENSES AND JUSTIFICATIONS
$
*** Car Rental
A rental car may be considered if business travel is required
and public transportation is clearly not adequate. If possible,
Enterprise Rent-A-Car Company should be used. Provide
justification for rental car below.
**** If 3
rd
party is paying directly and/or reimbursing expenses,
then please attach the form Request for Approval of Travel
Expenses Reimbursements by an Outside Source.
$
$
$
$
$
$
Justification: Explain in detail why trip is in best interest of MnSCU.
SECTION III. APPROVALS
Requestor/Traveler Signature
Print Name
Date
Phone
Delegated Authority
Print Name
Date
Phone
*Cabinet Authority
Print Name
Date
Phone
Chancellor Signature (required for international travel)
Date
Submit to the Business Office prior to incurring expenses. Please attach a copy of this form to the employee expense report.
2/25/2014
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