SAN DIEGO CITY COLLEGE
PRE-AUTHORIZATION FOR TRAVEL OR ABSENCE FROM CAMPUS
INSTRUCTIONS: Please complete this form PRIOR to travel and BEFORE any funds are spent. Once you have received permission to travel, you may
complete the online Travel Authorization. All reimbursements will be made upon submission of the online Travel Expense Form following the trip with all
receipts attached. Complete this form in its entirety. If you are requesting an advance, please enter the amount in the ADVANCE REQUESTED section.
D. Destination City & State _____________________________________________________________________________________
E. Date Conference/ Event Begins ___________ Ends __________ / Time Begins __________ Time Ends ____________
F. Departure Date _____________ Return Date ____________ / Departure Time ____________ Return Time ______________
G. Brief Description & Reason for Trip ___________________________________________________________________________
H. If the Travel is to be reimbursed from sources other than SDCCD Funds, indicate source (ex. Grant, Conference, Personal):
________________________________________________________________________________________________________
ESTIMATED FUNDS REQUESTED
A. LODGING & MEALS Single Room Rate & Meals. Meals are based on your departure and arrival time.
☐ Traveler to Pay (Reimbursable) ☐ Check Request to Vendor (Complete Online Once Approved)
NIGHTS:
___________ Nights @ $__________
$______________
MEALS: Breakfast ($10) ___________ Lunch ($15) ___________ Dinner ($21) ___________
$______________
B. TRANSPORTATION:
☐ Traveler to Pay (Reimbursable) ☐ Check Request to Vendor (Complete Online Once Approved)
☐ Airplane ☐ Car Rental ☐ Bus/Van ☐ Car, Estimated Miles (D.O.T.) ___________ @ $0.58per mile $______________
If driving, driver’s name & passengers: _____________________________________________________
Please reference San Diego Community College District Policy AP 6310.1 for detailed information on the travel
policies and procedures. Click Here for more information.
C. REGISTRATION:
☐ Traveler to Pay (Reimbursable) ☐ Check Request to Vendor (Complete Online Once Approved) No Registration
$______________
D. MISCELLANEOUS:
☐ Traveler to Pay (Reimbursable) ☐ Check Request to Vendor (Complete Online Once Approved)
List all other expenses (ex. car rental, taxi, etc. Receipts required for items over $5.00):
____________________________________________________________________________________
$
__
___
_________
E. SUBTRACT: Meals included in registration fees:
Full Breakfast ($10) ___________ Lunch ($15) ___________ Dinner ($21) ___________
($_____________)
TOTAL ESTIMATED COSTS*
$_____________
FORM COMPLETED BY (TYPE NAME): _______________________________
ADVANCE REQUESTED: $______________
CHARGE TO:
Line 1: FD _______ Dept ________ Prod ___________ Obj ________ Amount $___________ Bud. Mgr. Sign __________________
Line 2: FD _______ Dept ________ Prod ___________ Obj ________ Amount $___________ Bud. Mgr. Sign ___________________
Traveler’s signature indicates that he/she is aware of the travel policies of San Diego City College and understands that this authorization is granted
subject to conformity with said policies. To the best of traveler’s knowledge, costs reflect the most economical and efficient means of travel.
________________________________________
________________________________________
________________
Date
Signature of Traveler**
Traveler Printed Name
_______________________________________
Approved by Department Chair (FACULTY ONLY)
Rev. 02-2019
TRAVELER & TRIP INFORMATION
A. Traveler’s Name (type last name, first name, middle name) ___________________________________________ Traveler’s EID# ______________
B. Department ___________________________ Position Title ____________________________ ☐ Contract ☐ Adjunct
C. Organization Hosting Event _____________________________ Work Ext.________________ Substitute Needed? ☐ Yes ☐ No
***Travel must be considered with Education Code 87032 & District Policy 8960.2 as revised.
APPROVED
☐ Yes ☐ No
_______________________________________
Department Chair Printed Name (FACULTY ONLY)
☐
Yes ☐ No
☐ Yes
☐
No
_______________________________________
Dean / Program Manager / Supervisor Signature
_______________________________________
Dean / Program Manager / Supervisor Printed Name
________________
Date
________________
Date
______________________________________T
Travel Committee Signature (IF APPLICABLE)
________________
Date
_______________________________________
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PLEASE ATTACH ALL SUPPORTING DOCUMENTATION TO THIS FORM PRIOR TO REQUESTING APPROVAL
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