Travel Authorization Form
(Please provide all information requested)
Type of Travel:
(please check one)
__Conference __Training __Education
__Athletics __Recruitment
__Research __
Presentation
__Other (Explain) _______________________
Travel Purpose (Required):
Are you a program presenter or officer? _____ Yes _____ No
Is training required for licensing purposes related to employment? ______ Yes _____ No
List your other Professional Development and/or Conferences funded by VSCC this fiscal year (July 1 thru June30):
Contributing to our core values as a community of learners, how will you share the knowledge you gain?
_____Present to department/division/convocation
_____Integrate into planning and operations
_____Share with appropriate campus personnel
Please describe your plan and who will be included: (attach word document if more space is needed):
Name
Destination (City, State)
Banner ID (V#)
Travel Start Date
Department
Travel Start Time
Phone Number
Travel End Date
Email
Travel End Time
Travel will take place
Check One: _____In-State _____Out-of-State _____Out-of-Country
Classes Missed and Plan for Coverage (Faculty Only):
Estimated Total Travel Expenses
Vehicle Mileage*
$
Airfare
$
Meals
$
Parking Fees
$
Registration Fees
$
Taxi/Cab Fees
$
Lodging
$
Other Expenses
$
Explanation for Other Expenses:
Do you plan to use a VSCC Vehicle* during this trip? Yes No
*If state vehicle is used, claimant is not reimbursed for mileage. Reservation of state vehicle can be made online as a
Plant Ops Service Request.
NOTE: The College will only reimburse for the most cost effective mode of travel (flying versus driving). Additionally, the
College will not reimburse the traveler for the cost associated with rental cars (including hotel parking, and gasoline
purchases) under normal circumstances. Should special circumstances exist, permission must be granted by the Vice
President for Business and Finance before rental is made.
Account Code Information: COA: __ Vol State __ Foundation
FOAP
Fund _________ Organization _________ Account _________ Program _________
or
Index Index ____________ Account _____________
or
TBR ________________
Person’s name at TBR that should receive bill______________________________
Note: Please attach all information regarding this travel request (conference info, per
diem info, mileage info, hotel info, airfare info). Please route in signature order.
Date: _____________
Date: _____________
Requested By: ______________________________________________
Dean/Supervisor: _________________________
Vice President, Division:
___________________________________
___
______________________
Date: _____________
VP, Business and Finance: ___________________________________ Date: _____________
President (if necessary):
____________________________________
Date: _____________
Please follow all guidelines set forth in VSCC General Travel Policy IV:01:01.
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