PO
Number:
ARKANSAS
TECH
UNIVERSITY
Travel
Services
203 West
0
Street
Russellville
,
AR
72801
-
2222
479-3S6-2034
479-964-0S83
ext.
3503
travel@atu.edu
Non-State Employee/Official
Guests
Reimbursement Form
This
form
is
to
be
completed
and
submitted
for
travel expenses
for
non-state employees
and
official guests.
Date
Name
Purpose
Department
In compliance with Sub-Chapter 9 of the State Travel Regulations on non-state employees
and
official guests, this letter is
authorization
for travel
reimbursement
as listed on the
attached
travel
reimbursement
form. I certify that these individuals are not being
reimbursed
from any
other source for their travel expenses. These persons have been requested to
perform official
duties or functions for Arkansas Tech University in the areas of employee
interviews,
university
sponsored
programs
,
field trips, workshops, conferences, and/or student
recruitment
Certification
of Travel By:
Date:
Re
i
mbursement
Approved
By
:
VP or Dean of School
Travel
Administrator
Date: