TRAVEL REPORT MUST BE FILED WITHIN 2 WEEKS OF RETURN
WITH SUPPORTING DOCUMENTATION MUST BE ATTACHED
Complete entire form
ADDITIONAL INSTRUCTIONS ON REVERSE SIDE
PLEASE DIRECT ALL QUESTIONS CONCERNING THIS FORM TO 588-6413
ISSUE CHECK TO: DISPOSITION INSTRUCTIONS: (Check One)
Name: ___________________________________ E-Check __________(mandatory for employees and students.)
Address:__________________________________ MAIL __________
_________________________________________ PICKUP at Student Accounts ______
_________________________________________
TRIP INFORMATION:
Travel Dates: From ___________ To ___________
Destination(s): _____________________________
_________________________________________
Purpose of Trip: ____________________________
_________________________________________
Advance Amount Requested: _________________
Last Update 2/7/17
ACCOUNT NUMBER
AMOUNT
____--____________--________
____--____________--________
TOTAL CHECK AMOUNT
TRAVEL ADVANCE REQUEST
REQUIRED FOR PAYMENT
DEPT. NAME:
REQUESTOR/TRAVELER:
SIGNATURE: ___________________
PRINT NAME: __________________
PHONE EXT:
DATE: ________________________
APPROVED BY:
SIGNATURE:
PRINT NAME:
DATE:
0.00
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WHEN TO USE THIS FORM:
The Check Request Form 3 is used to request a travel advance payable to the traveler. A travel advance may be
requested not earlier than twenty (20) work days and not later than five (5) work days before date of departure.
The minimum for a travel advance request is $50.00.
WHO IS ELIGIBLE FOR A TRAVEL ADVANCE:
Only Clarke employees are eligible for a travel advance.
The Corporate Credit Card is available to all Clarke travelers, travel advances will be issued if a personal
credit card is not available for use and only when one of the following circumstances exists:
1. Employees who have applied for but not yet received a corporate credit card.
2. Employees whose application for the card has been denied.
3. Employees who are not eligible for the card.
4. Employees traveling to an international destination where the corporate credit card may not be
accepted.
Additional travel advances will not be issued to a traveler until travel expense reports have been filed with
accounts payable reconciling all previously disbursed travel advances.
INSTRUCTIONS FOR USE:
The supporting documentation justifying the need for a cash advance should be attached. This documentation
is required in addition to the description of travel written on the form.
All travel advance requests must be approved by an authorized official other than the traveler.
Travel expense reports must be submitted to accounts payable within ten (10) work days from the date of trip
return.
If University cash advances exceed the reimbursable travel expense, the balance must be returned to
accounts payable with a check made payable to Clarke University attached to the travel expense report. The
balance should be paid in U.S. currency only. Foreign currency will not be accepted.
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