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.
T#
TRAVELER EMPLOYEE ID # TODAY'S DATE COLLEGE DEPARTMENT EMPLOYEE GROUP
DESTINATION:
YES NO
YES NO
Are you attending as a representative of MCCCD?
Annual Travel Acknowledgement Completed?
DEPARTMENT
ACTIVITY:
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.
ACCT#: AMOUNT:
ACCT#: AMOUNT:
ACCT#: AMOUNT:
SELF: AMOUNT:
Personal Vehicle District Vehicle Plane
Other:
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
AIRFARE $
LODGING $
REGISTRATION FEE $
$
$
$
$
$
$
MEALS / PER DIEM
RENTAL CAR
TELECOMMUNICATION
PARKING FEES
LOCAL TRANSPORTATION
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:
APROVALS
Traveler Date:
Div/Dept. Head: Date:
Faculty Rep./Travel Rep.: Date:
Vice President: Date:
President / VC: Date:
Chancellor, if required: Date:
Fiscal: Date:
BUSINESS OFFICE USE ONLY
ACCOUNT NUMBER
AMOUNT
