TRAVEL AUTHORIZATION FORM
All travel must be in accordance with MCCCD Travel Administrative Regulations. Use a SEPARATE FORM for each
person, except in the case of student group travel. Please attach a roster of all Travelers.
TRAVELER EMPLOYEE ID # TODAY'S DATE COLLEGE DEPARTMENT EMPLOYEE GROUP
Are you attending as a representative of MCCCD?
Annual Travel Acknowledgement Completed?
DATES (list travel dates): Which are PERSONAL (list dates if any):
NO YESIf FACULTY, will a substitute be employed?
MODE OF TRANSPORTATION TRAVEL FUNDED BY
Check all modes of transportation that will be used during the trip.
Personal Vehicle District Vehicle Plane
TRAVEL JUSTIFICATION (Please attach additional explanation if needed.)ESTIMATED COSTS (Include all anticipated costs.)
Only actual, PRE_APROVED expenditures will be reimbursed. Original paid receipts
must be submitted for reimbursement of all expenses except meals / per diem:
Req / PO# / ProCard
REGISTRATION FEE $
MEALS / PER DIEM
OTHER - specify below
TOTAL ESTIMATED COSTS
Purpose of business travel, including relevance to employee's position in the District:
Tangible benefits derived from business travel:
Div/Dept. Head: Date:
Faculty Rep./Travel Rep.: Date:
Vice President: Date:
President / VC: Date:
Chancellor, if required: Date:
BUSINESS OFFICE USE ONLY