TA Form 52312
Travel Authorization – Non Employee
Date: __________________ Division/Department: _______________________________
Full Traveler Name: ___________________________________ Student ID: _________________
(As appears on passport or Drivers License)
Address: ____________ ______________________ ___
City / ST / ZIP _____________________________________
Travel Description:
Destination
Depart Date Return Date City State Country
Travel Purpose: _________________________________________________________________
_________________________________________________________________
Required for Candidate Travel Only
Title of Presentation: ___________________________________ Open Position:
Faculty
Position for Consideration:
Senior Administrator
Transportation Preferences
Preferred Carrier Seating
(Aisle/Window) Preferred Departure Time Preferred Return Time
Estimated Cost
Lodging $ ___________
Airfare or other
Common Carrier $ ___________
(Not To Exceed)
Meals $ ___________ Personal Auto:
Miles ________
Registration $ ___________ Rate ________
Cost $ ___________
Misc/Other $ ___________
Rental Car $ ___________
Total $ ________________
Account Distribution:
Fund Dept Id Program Class
Project*
Amount
Ln 1
Ln 2
* Requires approval of Sponsored Operations
Approving Official
________________________ __________________________ _________________
Print Name Signature Date
Research & Sponsored Projects ______________________________ ___________________
(If Required) Signature Date
Required for Candidate Travel Only Approving Dean/Vice President
________________________ _____________________________ ___________________
Signature Print Name Date
In State Out of State
Student Foreign
Group/Other: (Write name below)
____________________________
