College or School
Department of
Requisition Number
Date
Adjustments
Adjusted Balance
This Requisition
Bal. Carried Forward
DEPARTMENTAL TRAVEL REQUISITION
Submitted by
Nature of Proposed Travel:
Purpose:
Type of Travel: (Check one)
Description of Job Relation
Number Previously Attended in current Fiscal Year
Place:
Method of Travel:
Air Travel Approval Form
Mileage
Miles @
*Estimate *Actual
Fare
Lodging
Meals
Number of Nights
Number of Days
@
@
Registration Fee
Miscellaneous Reimbursable Expense
Cookeville, Tennessee
Balance from
last Requisition
TOTAL ESTIMATED EXPENSE
Total Actual Expense for Which Reimbursement is Requested
Less: Travel Advance
Amount of Reimbursement
If two or more employees are traveling together list other names:
*Adjust for difference on next requisition:
SIGNED
Claimant
ACTION:
APPROVED:
APPROVED:
APPROVED:
APPROVED:
Department Chairperson/Director
Dean or Administrative Officer
Vice President for Business and Fiscal Affairs
President or Provost
Date
Date
Date
Date
Advance
Registration
Date
Car Rental
Date
Travel Advance
Date
Reimbursement
Date
TTU 065-723-86
Dates:
In State
Out of State
Out of Country
Job Performance
(a)
(b) Professional meeting or Conference
(other than presenter or officer)
Yes
No
University Car
Personal Car
Plane
Bus
Other
(specify)
Number of Days
@
COAS
Index
Fund
Organization
Account
Program
Activity
TNUMBER