UAA/KENAI PENINSULA COLLEGE
TRAVEL AUTHORIZATION FORM TA
Traveler’s Name:
No
Dept. Name:
US Citizen or Permanent Resident? Yes
Is Traveler a UAA Employee? Yes No
City Departing From:
Employee ID #
City Traveling To:
Purpose of Trip (No Acronyms):
Date/Time Departing:
Date/Time Returning:
Date/Time Starting Business:
Date/Time Ending Business:
Please attach Air and Conference Itineraries
Personal Leave:
Estimated Costs Amount Payment Type/Notes:
Transportation Costs
Additional Transport Costs
Lodging
Meals Per Diem
Taxi/Shuttle
Car Rental
Parking/Gas
Register
Other
TOTAL Estimated Costs:
Accounting Information
Fund Org Acct Amount
Yes
CAR RENTAL:
Banner Entry
Total to enter in Banner:
Entered into Banner by:
r:
Date entered into Banne
$
No Justification:
Advance Requested: Yes No Justification:
Lodging> 1.5 x standard cost:
Justification:
Other:
BY SIGNING BELOW, I, the traveler, understand that if renting a car, I must obtain the most economical rate, larger than midsize needs pre-
approval and insurance costs will not be reimbursed. If requesting an advance, I understand that it must be cleared within 30 days or it may be
withheld from my paycheck, and I must submit a Travel Expense Report with 15 days of return.
Traveler’s Signature: Date:
Approved (Supervisor/Dept. Head)
:
Date
Approved (Budget Authority): Date:
:
Approved (Dean/Director if Out-of-State):
:
Date
Grants & Contracts Date:
ANY REVISIONS to name, date, location; notify Travel Office.
Any cost increases > $50,00 must submit a TA revision form.
:
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click to sign
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click to sign
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