travel request by opn1mPE

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									                                                                                                             Travel Request
               Please estimate enough time for processing your travel request to meet conference & meeting deadlines.




                                               General Information (all information is required)
Org #                                 Division                              Date                                Application for Leave
                                                                                                                attached
Traveler (your name                                                         Home phone                       Employee ID #
on your drivers license)                                                    Cell phone
Departing                                                                   Destination
from
Departure                                                          Event Begins
Date & Time                                                        (date & time)
Return                                                             Event Ends
Date & Time                                                        (date & time)
Event & Purpose of Trip (Attach copy of event brochure or other documentation. Provide website address & event phone number.)




Event Registration = $                   (Attach completed registration form.)




                                                                       Travel
Transportation is to be made by ...                    Airline (note seating preference)           Cab/Shuttle/Bus
               FOD         Traveler
Car Pick-up Time                                                                                   Car Rental
                                                       Motor pool vehicle
Car Return Date                                                                                    Parking
                                                       Personal auto




                                                                    Lodging
Lodging is to be made by ...                       Check-in Date                              Nightly Room Rate w/ Tax
              FOD      Traveler                                                               (if making own reservations)
                                                   Check-out Date
Hotel (attach appropriate hotel information)                                                        $
                                                   Total # of Nights
                                                                                                    +                          % tax
Hotel’s                                            I will use the Internet at the hotel.
Phone                                                          yes       maybe         no           $                  Total




                                                           Additional Comments




travel_request.doc                                                                                                              Page 1 of 2
                                                                                                                    Travel Request
               Please estimate enough time for processing your travel request to meet conference & meeting deadlines.



                                                                     Per Diem
Fill in the information and CHECK THE BOX if you are requiring reimbursement for an item. University per diem rates are based on the “Federal
Meal & Incidental Per Diem Rates” that vary by city location. Federal law governs the percentage of per diem that can be paid. Per diem
reimbursements are based on departure & return times over the entire 24-hour day and prorated accordingly. Breakfast is included if the traveler
departs before or returns after 8:00a, lunch if departing before or returns after noon, dinner if departing before 5:00p or returning after 6:00p. The
maximum allowable reimbursement will be made unless otherwise noted. Payment will not be made for meals and lodging included in the registration
or supplied by the conference, host, etc.
           Date                                 Location                            Lodging             Breakfast            Lunch                Dinner




                                  Approvals (Please get appropriate signatures before submitting travel request.)
Supervisor                                                          Date     Sr. Director                                                         Date



Director                                                            Date     Assoc. Vice President                                                Date




travel_request.doc                                                                                                                         Page 2 of 2

								
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