Name
Depart date
Return date
Purpose of travel
Yes No
Accommodations
Air fare or other transportation
Other
Meals
Registration fee
Total
NECC ID #
Request for Travel Authorization
Date
Estimated expenses
Request for travel advance
Funding source
Index # description
Index #
Send completed form to
Accounts Payable, B201
x3811
If yes, issue 80% of total estimated expenses (minimum advance allowed $100)
Employee's signature Authorized signature
For Accounting & Finance Use
Check #
Employee's signature
I hereby acknowledge the receipt of an advance check in the amount of $ ____________ from NECC. I promise to submit a travel expense
voucher with receipts for expenses incurred with this advance within 30 days after the travel is complete. I shall return any unused
amount from this advance.
Date issued
Total advance
Banner invoice #
Date Date
$0.00
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