Fillable Travel Request Form Permanent Resident US Citizen Foreign (New Mexico Institute of Mining & Technology)

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Travel Request Form Permanent Resident US Citizen Foreign (New Mexico Institute of Mining & Technology)

On average this form takes 34 minutes to complete

The Travel Request Form Permanent Resident US Citizen Foreign (New Mexico Institute of Mining & Technology) form is 2 pages long and contains:

  • 8 signatures
  • 38 check-boxes
  • 87 other fields

Country of origin: US
File type: PDF

U.S.A. forms for New Mexico Institute of Mining & Technology

BROWSE NEW MEXICO INSTITUTE OF MINING & TECHNOLOGY FORMS

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Name: Banner ID #: US Citizen Permanent Resident Foreign National
Travel Departure Point (Where did you begin your trip?):
Destination:
Date of Departure: Date of Return:
Department or Grant/Contract:
Contact (Name and Email):
Index*:
Account: Activity:
*If multiple indexes are needed attach a separate page providing how the travel should be distributed.
Provide the reason for the trip and demonstrate that the travel is necessary
Prepayments (Payments to be made prior to travel)
Pre-paid by Traveler (provide receipt)
Registration (provide invoice)
Vendor Name
Airfare Paid by NMIMT
Advance
up to 90% of Approved Travel Less prepayments and reimbursements
NMT Purchasing Card (Original receipts must be submitted to Purchasing. A copy should be included with the travel.)
Airfare
Registration
Hotel
Ground Transportation/Parking
Additional Information
(Check if applicable)
Hotel (actual amount will be claimed)
State Travel
State Per Diem Rate per day
State Mileage Rate $0.575 per mile
Federal Travel (provide documentation from www.GSA.gov)
Federal Per Diem Rate per day
Federal Mileage Rate per mile
The requestor and approving authorities certify that the above constitutes NMIMT business related Travel.
Request Approvals
Date
Requestor
Date
Dept. Division Head or P.I.
Date
Vice President (required for actual lodging)
Date
NMT President (required for international travel)
FOR BUSINESS OFFICE/SPONSORED PROJECTS ADMIN. USE ONLY
Date
Accountant Approval Federal Per Diem Federal Mileage
Travel Request
Travel Number
Form
See Form Instructions
Total Estimate:
Dept Concur
Signature/Initials:
Vehicle Use
Official
Vehicle #
Private
US Citizen
Permanent Resident
Foreign National
Travel Departure Point (Where did you begin your trip?):
(actual amount, or as limited by GSA)
$0.535
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Name: Banner ID #:
Travel Departure Point (Where did you begin your trip?):
Destination:
Date of Departure: Date of Return:
Time of Departure:
Time of Return:
Department:
Contact (Name and Email):
*If multiple indexes note under special instructions or attach a memo providing how the travel should be distributed.
NMT Per Diem Hours
Federal Per Diem
Hotel (less any personal/other services such as movies, room services, etc)
Plane Personal Purchase
Private @ $0.88 per air mile
Auto Official N/A
Private NMT Rate @ $0.32 per mile
Private Federal @ per mile
Private local at destination @ per mile
Odometer: Beginning Ending
Other Transportation: (specify)
Taxi
Shuttle Car Rental
Registration Prepaid Paid by Traveler
Miscellaneous: (list)
Total Cos
t
Subtract Prepayment(s), NMIMT P-Card Payments & Advances
Total amount to be reimbursed
Special Instructions: Remit To:
Reimbursement Approvals
Date
Requestor
Date
Dept. Division Head or P.I.
Date
Vice President
Date
NMT President
FOR BUSINESS OFFICE USE ONLY
Date:
FOAP:
See Form Instructions
Fuel
Mark the end box after the amount if NMIMT P-Card was used for the travel payment. IF NMIMT P-Card was used original receipts must be submitted to
Purchasing. A copy should be included with the travel.
NMIMT
P-Card
I hereby certify that the above travel has been completed for the stated purpose; that the above itemized account is just and true in all respects,
and that the amount claimed is due and payable.
Amount of Payment:
For Payment:
NMIMT Purchase
Rate Per Day
Rate Per Day
Days
Days
Index*: Account: Activity
:
Travel Reimbursement
Travel Numbe
r
Voucher
Dept Concur
Signature/Initials:
Miles
Vehicle #
$0.575
$0.535
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
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Travel Request Form Permanent Resident US Citizen Foreign (New Mexico Institute of Mining & Technology)

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Completed 24 August 2020

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