Air Travel Authorization
(ATA)
This form should be filled out and signed by the Traveler and the Account Approver.
It should then
be r
outed to the Travel Coordinator in Procurement and Contract Services
by the 20th of the month with the
Air Card Reconciliation and Expense Report.
TRAVELER
INFORMATION
(to
be
filled
out
by
Traveler
or
Card
Administrator)
Traveler
Status:
Employee
Prospective
Employee
Other*:
*Must provide additional documentation to Procurement Services
Traveler Name Travelers Phoenix Supplier
Contact Procurement Office for
Assistance
Traveler
Department
INFORMATION
IF
TRAVELER
IS
NOT
A
CURRENT
UNIVERSITY
EMPLOYEE
(to
be
filled
out
by
Card
Administrator)
Street Address:
City:
State:
Zip
Code
:
FLIGHT
INFORMATION
(to
be
filled
out
by
Traveler
or
Card
Administ rator)
Airfare: One‐Way
Round‐Trip
Destination:
Dates
of
Travel:
Travel
Purpose:
TRAVELER
AND
DEPARTMENTAL
APPROVAL
Traveler Signature Date Account Number to be
Charged
Account Approver
Name (Printed) Account Approver Signature Date
Research & Sponsored Programs
Name (Printed) Research & Sponsored Programs Signature Date
(FOR GRANT ACCOUNTS
ONLY)
Procurement and Contract Services
P
.O. Box 425439 / Bralley Annex
Denton,
TX
762045439
P: (940)
8983812
F: (940)
898‐3519
Rev: 10
/16