Coastal Carolina Community College
Travel Authorization
GL Code:
In-State
Out-of-State
I. REQUEST FOR TRAVEL
Name:
Department & Title:
Departure Date & Time:
Destination (City/State):
Purpose (Attach documentation, i.e., agenda, letter, etc.):
II. ESTIMATED EXPENSES (Itemize -lodging, meals, registration, etc.)
Registration Fee:
Payable to:
Lodging:
+
X
=
$0.00
Rooming with:
(Rate per day)
(Amount of tax per day)
(No. of Days)
(Lodging Total)
Private Car/Miles:
$0.00
Mode of transportation:
(No. of Miles)
(Total)
(i.e. POV, Institution vehicle, Riding with (Name of driver))
Airfare:
Meals:
Breakfast
1
Lunch
1
Dinner
1
Total:
$39.40
(Quantity)
Other Amount:
Other explanation:
In-State Expenses:
Lodging: $75.10 Breakfast: $8.60 Lunch: $11.30 Dinner: $19.50
Total Estimated Expenses:
Out-of-State Expenses:
Lodging: $88.70 Breakfast: $8.60 Lunch: $11.30 Dinner: $22.20
$39.40
III. REQUEST FOR ADVANCES: (Include all expenses to be advanced on your behalf.)
(Advance must be greater than $50.
All excess advances must be repaid
Amount
Payee
Purpose
Date Needed
at the time the employee is reimbursed
for actual travel expenses.)
Amount
Payee
Purpose
Date Needed
Amount
Payee
Purpose
Date Needed
IV. APPROVAL/SIGNATURES:
Traveler certifies that any mileage claimed will be for official institutional travel and will take place in a vehicle properly licensed and insured as
required by law.
Traveler
Date
Supervisor’s Approval
Date
Director/Division Chair Approval
Date
Comptroller’s Approval
Date
Vice President’s Approval
Date
President’s Approval
Date
A Reconciliation of Travel Expenses form, together with the original Travel
Revised:
07/01/2019
Authorization and related receipts, must be submitted within 10 calendar days of return date.