Revised 1/17
TravelAuthorization
SubmitPriorToTravel
Travel
er’sName:______________________________________ Date:____________________________________________
Traveler’sDepartment:_________________________________ Bus.Telephone:____________________________________
Date/TimeDeparture:__________________________________ Date/TimeReturn:___________________________________
To(Destination):_____________________________________________________________________________________________________
***ALLINTERNATIONALDESTINATIONSAREREQUIREDTOBEAPPROVEDBYTHEPRESIDENT’SOFFICE****
PurposeofTravel:___________________________________________________________________________________________________
CoverageofClass&OtherActivities
CoverageofClasswillbeProvidedasfollows:_____________________________________________________________________________
By(listname(s))____________________________________ or
ArechargespaidbyDepartment:
___Yes____No
If“No”stophere,getSupervisor’sSignature
If“Yes”completetherestoftheform
Make–UpDate______________________________________
MeansofTransportation:
____StateVehicle
____VehicleRental,Bus,Train(circle)
____Airfare
____PersonalVehicle*
ExpenseEstimate:
TypeofExpense Amount PerDiemRate PaymentMethod
Airfare _____TravelCardorNETCard
PersonalVehicleMileage,
VehicleRental,Bus,Train
(circle)
_____TravelCardorNETCard
_____EmployeeCard/Cash
Lodging:
Actualratepernightx
Howmanynights+tax=
_____TravelCardorNETCard
_____EmployeeCard/Cash
Meals _____TravelCardorNETCard
_____EmployeeCard/Cash
Other:Toll,Parking,Gas,
ConferenceFee,Taxi/Subway
_____TravelCardorNETCard
_____EmployeeCard/Cash
TotalEst.$_______________
FundingLimitedTo:_________________ AccountCharged:____________________AccountName:__________________
FundingLimitedTo:__________________ AccountCharged:____________________AccountName:___________________
Traveler’sSignature:__________________________ Supervisor’sSignature:_________________________________
Dean________________________________________ President:____________________________________________
AreaVP:_____________________________________ Controller:____________________________________________
AccountsPayable/TravelOffice:______________________________
*Apersonalvehiclemaybeusedwhenarentalorcommoncarrier/statecarisnotavailable,iscosteffective,orisotherwiseappropriateforajustifiablereason.
When choosingapersonalvehiclewhenacommoncarrier/statecarorrentalISmore costeffective,reimbursementislimited.