Motlow College
Travel Authorization
Name: Official Station: Department:
Phone Number: Banner Index:
Type of Travel: In-State Out-of-State Out-of-Country Team or Group Travel
Mode of Travel: Airline Auto (Employee's Vehicle) Motor Pool Other:
If Motor Pool is selected, indicate number of vehicles.
Will vehicle will be moved before stated time of departure? No Yes If "Yes," co
mplete next section.
Date: Time: vehicle will be moved.
Where will vehicle be parked until time of departure?
Date of Departure: Time of Departure:
Place of Departure:
Destination and Purpose:
Date of Return: Time of Return:
Travel Expenses will be from -- Personal Funds Motlow Funds
Estimated Motlow Travel Expenses: Number of Miles at = $
Airfare $
Number of Days Meals & Incidentals Amount $
Rate Per Night Number of Nights Lodging Amount $
Registration $
Other (Itemize- )$
TOTAL $
Faculty should indicate any classes that will be missed:
Date: Period: Date: Period: Date: Period:
Requested by: _________________________________ Date: _______________
Signature
Approved:
______________ _______ ________________ ________ _________________ _______
Budgetary Head Date Vice President Date President Date
Business Office Use Only
Dates, Times, And Purpose
Ver. 3.5 - Date: 03/01/14
