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.
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:
VP or Dean of School
Reimbursement
Approved By:
Date:
Travel Administrator
PO Number:
Date
Purpose
Department
ARKANSAS TECH UNIVERSITY
Travel Services 479-356-2034
203 West O Street 479-964-0583 ext. 3503
Russellville, AR 72801-2222 travel@atu.edu
click to sign
signature
click to edit
click to sign
signature
click to edit