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					                             UCCE BUSINESS OPERATIONS CENTER
                                 Accounts Payable Request for
                                      Pre-Trip Payment
This form is to be used 1) when requesting that an advance payment be made to reimburse a traveler for a travel expense paid
in advance using a personal check or personal charge card or 2) when making a payment directly to a vendor for registration
fees.
An official receipt (or copy of registration form if applicable) from the vendor must be attached to this form. Advances must be
cleared after the event has taken place, and will be noted as a pre-trip payment in the MyTravel System.


Today's Date:                                                                              This is a request to: (check one)

                                                                                                       reimburse traveler for an expense
Name of Traveler:
                                                                                                                 already paid

                                                                                                        pay provider (hotel, conference
Employee ID #:
                                                                                                            organizer, etc) directly

Type of Advance:                                 Conference Registration

                                                 Airline Tickets

                                                 Other - Please specify:

Department Name:                                       ANR - BOCK - CE                                                COUNTY
Trip Name

Planned Trip Start Date                                         Planned Trip End Date

Trip Destination:       In State
                        Out of State
                        Foreign

Traveler Type:          Employee
                        Non-Employee


Purpose of Travel / Expense Pre-Payment:                                                             Amount:


DaFIS Account # to be charged for this advance:                                     L-
County Director Signature:

Cherie McDougald, Director, Business Operations Center


Name of Preparer:                                                                                    Phone #

Email Address of Preparer:

Phone Number of Preparer:

Send Original Request with supporting documentation to the Business Operations Center Kearney.                           BOCK 03/09/2011

				
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