Fillable Travelauthorizationformb 2016 STATE UNIVERSITY COLLEGE AT CORTLAND

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Travelauthorizationformb 2016 STATE UNIVERSITY COLLEGE AT CORTLAND

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U.S.A. forms for State University of New York at Farmingdale

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Revised 4/16
Farmingdale State College
Travel Authorization
Submit Prior To Travel
Traveler’s Name: ______________________________________ Date: __________________________________
Traveler’s Department: _________________________________ Bus. Telephone: __________________________
Date/Time Departure: ______________________ Date/Time Return:_________________________________________
To (Destination):__________________________________________________________________________________
Purpose of Travel: _______________________________________________________________________________
Coverage of Class & Other Activities
Coverage of Class will be Provided as follows:______________________________________________________________________
By (list name(s))_________________________________ or Make–Up Date______________________________________
Are charges paid by Department: Means of Transportation:
___ Yes ____ No ___ State Vehicle
If “No” stop here, get Supervisor Signature ____ Vehicle Rental, Bus, Train
If “Yes” complete the rest of the form ____ Airfare
____ Personal Vehicle*
Expense Estimate:
Type of Expense
Amount
Per Diem Rate
Payment Method
Airfare
_____ Travel Card or NET Card
Personal Vehicle Mileage,
Vehicle Rental, Bus, Train
____Travel Card or NET Card
_____ Employee Card/Cash
Lodging:
Actual rate per night x
How many nights + tax=
____ Travel Card or NET Card
_____ Employee Card/Cash
Meals
____ Travel Card or NET Card
_____ Employee Card/Cash
Other: Toll, Parking, Gas,
Conference Fee, Taxi/Subway
____ Travel Card or NET Card
_____ Employee Card/Cash
Total Est. $ _______________
Funding Limited To: _________________ Account Charged:____________________ Account Name:__________________
Funding Limited To: __________________ Account Charged: ____________________ Account Name: ___________________
Traveler’s Signature: __________________________ Supervisor’s Signature: ________________________
Dean______________________________________ Area VP: _____________________________________
Controller: __________________________________ Accounts Payable:______________________________
* Personal vehicles should only be used if destination is within a 200 mile radius of official workstation AND state vehicle is unavailable AND the
cost is less than rental vehicle.
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Travelauthorizationformb 2016 STATE UNIVERSITY COLLEGE AT CORTLAND

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Completed 20 November 2019

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