_________________________________________________________________
_________________________________________________________________
__________________________________
__________________________________
___________________________
___________________________________ ___________________________
TRAVEL ADVANCE REQUEST
Procedure 602.4 Supplement 1
Date__________________________ Charge to Account 0-17000-1392
Name______________________________
Department________________________
Trip Destination and Purpose_____________________________________
Date Leaving__________________ Date Returning____________________
Expense Items: Estimated Cost:
Transportation: Rail $______________
Air (Must have Dean's approval)______________
Car ______________
Bus ______________
Per Diem Costs:
Meals: _____ days @ $___________ ______________
Lodgings:_____ days @ $___________ ______________
Misc._____________________________
TOTAL $______________
I AGREE that within 30 days after my return from my trip, and before applying for another
advance, an itemized report of this advance, using the Travel Expense Report/Voucher, with
transportation, hotel, and any other obtainable receipts attached, will be filed and sent to the
Business Office.
Signature of Applicant
Approved by:___________________________
Department Head
Dean (If necessary) Director, Business Svcs.
White - Accounts Payable
Canary - Accounting
Pink - Requester
Revised: 4/7/94
click to sign
signature
click to edit