WVTMP 1.0
STATE OF WEST VIRGINIA
TRAVEL AUTHORIZATION
Original-Submitted for payment – Copy 1-Travel Management Office
Copy 2-Spending Unit – Copy 3-Spending Unit
Traveler
Traveler’s Title
Department
Division
Section
Contact
Telephone Number
Travel Category
Site/Client visit Conference attendance Special mission
Informational meeting Training attendance Candidate travel
Speech/Presentation Recruiting Relocation
Statement of
Purpose
Statement of Justification
Requested By:
Traveler’s Signature & Printed Name Date
Approved By:
Immediate Supervisor’s Signature & Printed Name Date
Approved By:
Unit Vice President’s Signature & Printed Name Date
Approved By:
Date
As Required:
Date
Request # FY
Request Date YR
Account Type(s): Account Number(s):
General Revenue
Special Revenue
Federal Revenue
Other
DATE TIME CITY/STATE
Estimated Co
sts (Complete all that Apply)
Direct Billed ➀
Reimburse
d
Transportation
Commercia
l Air Carrier ➁
Charter Aircraft
Rail Service
Commercial Vehicle Rental ➁
Personal Vehicle mi.@
Taxi/Ground Transportation
Other Transportation Rental Vehicle
Parking
Registration
Lodging➂ $
Per night
Facility Name
Meals
Othe
Othe
Subtotal Estimated Expenses
$ $
Total
$
Days @ $ per day $
Registration $
Cash Advance Total $
TMO
1. All direct billed expenses require the advance approval of the Travel Management Office.
2. State Contracted Travel Agency Must Be Used. 3. Board & Lodging Voucher Required.
Other
Chief Financial Officer’s Signature & Printed Name
(Required for Travel with Overnight Accommodations)
Travel Management Office Signature & Printed Name
Traveler must submit the original form containing original signatures to the Office of the
Chief Financial Officer. Scanned copies are not acceptable.
Officer.
West Virginia Council for Community and Technical College
Southern West Virginia Community and Technical College