Fillable Travel Authorization Travel Authorization Form Final (2) (Bradley University)

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Travel Authorization Travel Authorization Form Final (2) (Bradley University)

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The$ omission$ of$ filing$ a$ travel$ authorization$ form$ with$ the$ university$ prior$ to$ actual$ travel$ may$
exclude$ traveler$ from$ university$ insurance$ protection$ and$ will$ also$ disqualify$ any$ expense$
reimbursement$ request.$ $ )3453676' 89:' ;<<:9=;>' 98' ;?;@3AB?' 7:;=3>' 6C95>@' D3' :3?3B=3@' BE' 7C3' F:9=967G6'
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'
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Name!!__________________________________________________________________________!
!
Department!!________________________________________________!!Date!!________________!
!
Are!students!traveling!with!you?!!_______.!!If!yes,!attach!list!of!students!who!will!be!traveling.!
!
Name!of!Organization/Meeting!!_______________________________________________________!
!
Location(s)!and!Date(s)!!!!_____________________________________________________________!
!
Purpose!of!Travel!!__________________________________________________________________!
!
_________________________________________________________________________________!
!
Mode!of!Travel!!___________________________________________________________________!
! !
Estimated!Reimbursable!Expenses:! ! ! Transportation!!______________!
! ! ! ! ! ! ! Hotel!!______________________!
! ! ! ! ! ! ! Meals!!_____________________!
! ! ! !!!!!!!!!!!! ! ! ! Registration!!________________!
! ! ! ! ! ! ! Miscellaneous!!!______________!
! ! !!!!!!!!!!!! ! ! ! ! !
TOTAL!!____________________!
!
Approved!for!$________! Acct!#!________________!!!!!!!________________________________!
! ! ! ! ! ! ! !!!!!!!!!!!!!!!Department!Chair!
!
Approved!for!$!________! Acct!#!________________! _________________________________!
! ! ! ! ! ! ! Dean!
!
Approved!for!$!________! Acct!#!________________! _________________________________!
! ! ! ! ! ! ! ! Provost!and!VPAA!
Total!approved!for!reimbursement:!________________!
!
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!
________________________________________________________________!
Signature!of!Faculty/Staff!
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Travel Authorization Travel Authorization Form Final (2) (Bradley University)

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Completed 22 July 2020

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