form

Travel Request Approval Form

Name of person making request: Date:
Department:
Purpose of trip:
Justification :
Organization sponsoring event:
metting : Role at meeting/conference:
Destination:
Date of departure: Date of return:
Classes and/or University responsibilities to be covered and by whom:

Estimated expenses:

             
            
            1.Transportation (plane, personal car, etc.)

            2.Lodging 
 
            3.Per diem

            4.Registration Fees

            5.Miscellaneous (parking, etc.)

            6.Total

Source of funding: Department Collage Other
Account type: State % Foundation %
Requestor's signature Date
Approval recommendation: Approved Disapproved

Division Vice President's approval is required for travel exceeding a one-way distance of more than 100 miles and/or an overnight stay

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