Blanket Texas FY12
TEXAS A&M UNIVERSITY-KINGSVILLE
TRAVEL LEAVE REQUEST FORM
Date of Request: 9/1/11 Type of Travel: x Domestic - USA, Mexico, Canada, U. S. Possessions
Foreign - All Other Locations
I respectfully request permission to be absent from my designated headquarters from:
Date: 9/1/11 Time: 8am to Date: 12/31/11 Time: 5pm
I will miss the following classes and have arranged for them as indicated:
Class Section Hour Dates Involved How Arranged For
Destination and Purpose of Travel: Travel throughout Texas for Caesar Kleberg Wildlife Research Institute required and
research development activities.
State and Federal funds cannot be used to reimburse actual expenses in excess of published rates.
Account #s:
If Multiple Attendees: Must Complete Below:
Estimated Expenses: Y N Required Faculty / Staff Development
Transportation Y N TTVN / Audio Conference Availability
Meals Y N Onsite Conference / Training Option
Lodging
Mileage Mode of Transport: Attach Required Forms:
Other: Personal Car Agenda of Events
Other: Rental Vehicle List of Co-Travelers
University Car
Total: $0.00
TRAVELER INFORMATION
Name: SSN: XXX-XX-
Title: E-Mail:
Signature Date Traveler Contact # Alternate Contact #
DOMESTIC TRAVEL APPROVAL (Includes USA, Mexico, Canada, U. S. Possessions)
Travel involving Mexico, Canada, and U. S. Possessions require only Presidential approval prior to proposed travel dates.
Account Manager Date Provost (Mexico Only) Date
Department Head Date President (Mexico Only) Date
Dean / Division VP Date
FOREIGN TRAVEL APPROVAL PAID FROM STATE APPROPRIATED FUNDS (All Other Locations)
Requests for foreign travel must be submitted to the Chancellor’s Office at least 30 days prior to proposed travel dates.
Department Head Date Provost Date
Dean / Division VP Date President Date
Submit Original Form to:
Darrell Lynn Pray Chancellor Date
Texas A&M Kingsville
COLH 201, MSC 101 Distribution of Approved Form
Kingsville, TX 78363 Original: Copy 1: Darrell Lynn Pray Copy 2: Audra Wilkinson
(361) 593-3209 Chancellor Texas A&M Kingsville System Office of Budget & Accounting
Fax: (361) 593-3218 Fax: (979) 458-6101
Revised 04/25/08