CALIFORNIA STATE UNIVERSITY, FULLERTON TRAVEL by jaf19231

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									  CALIFORNIA STATE UNIVERSITY, FULLERTON                                     DATE                          DOCUMENT NUMBER
  TRAVEL AUTHORIZATION AND PREPAYMENT REQUEST

                                                                                                            IF REVISION, CHECK HERE


 NAME OF CSUF EMPLOYEE                                                                                                           CWID

 TITLE                                                               DEPARTMENT ID                                      DEPARTMENT

 PREPARED BY                                                              PHONE NO.                                          EMAIL

  1. PURPOSE OF TRIP




 2. TRIP DESTINATION (city/state or city/country)

 3. DEPARTURE DATE                                               TIME:                                4. RETURN DATE:                                        TIME:
 5. ESTIMATED EXPENSES
      A. CONFERENCE OR REGISTRATION FEES (Attach a copy of the registration form)                                                                                     $
                                                                                                                                                                       $
      B. PER DIEM (Meal expenses are not allowed within 25 miles of the primary workplace)
                                                                                                                                                                       $
      C. LODGING (Lodging expenses are not allowed within 25 miles of the primary workplace or the traveler's residence.)
                                                                                                                                                                       $
      D. PRIVATE VEHICLE MILEAGE                                       MILES @                PER MILE (effective 01/01/10)
                                                                                                                                                                       $
      E. RENTAL CAR             RENTAL TRUCK (Attach a justification memo)              UNIVERSITY VEHICLE (for University Police, Physical Plant, etc.)
                                                                                                                                                                       $
      F. AIRFARE

      G. MISCELLANEOUS - SHUTTLE, TAXI, TRAIN, SELF PARKING, TELEPHONE, INTERNET, BUSINESS MEALS (Directive 11 required), INCIDENTALS, ETC.                            $

      H. TOTAL ESTIMATED EXPENSES                                                                                                                                      $
  6. AUTHORIZED AMOUNT NOT TO EXCEED                                                                                                                                   $
  7. CHARGE TO                                                                                                                                          AMOUNT
     ACCOUNTS
                        Account (6)             Fund (5)          Department (5)     Program (4)     Class (5)           Project (8)
                                                                                                                                                        AMOUNT

                       Account (6)              Fund (5)          Department (5)     Program (4)     Class (5)          Project (8)

                                                                                                                                                        AMOUNT

                       Account (6)              Fund (5)          Department (5)     Program (4)     Class (5)          Project (8)

    CSUF ASC                         AMOUNT                        CSFPF                      AMOUNT                              ASI                   AMOUNT

  8. TRAVEL PREPAYMENT FOR REGISTRATION FEE (Payable to vendor on the registration form / Attach a copy of the registration form):

     PAYABLE TO                                                                                           AMOUNT                            REQUIRED DATE

  9. CHECK IF UNIVERSITY ISSUED CREDIT CARD WILL BE USED FOR TRAVEL                                       10. COMPLETED DRIVING REQUIREMENTS
      I understand that foreign travel liability insurance is required for international travel and that I should contact University Risk Management at extension 7346 to obtain this
      coverage if I am traveling internationally.

      I understand that I and any passengers in any vehicle driven on University business must wear a seat belt, and that I must report all accidents to University Police or the Office of
      University Risk Management within 48 hours. I understand that to drive on University business, I must have submitted an original "AUTHORIZATION TO OBTAIN DRIVING
      RECORDS FROM THE DEPARTMENT OF MOTOR VEHICLES" form (INF 254) to University Police, submitted a copy of the approved "AUTHORIZATION TO USE
      PRIVATELY OWNED VEHICLES ON STATE BUSINESS" form (STD 261) to Travel Operations (if driving a private vehicle) and completed University approved defensive driver
      training within the last four years.

      I agree to submit my TRAVEL EXPENSE CLAIM for this trip within 30 days from the return date and to repay the balance, if any, of unexpended travel money advanced. I
      understand that the State may deduct the amount advanced from funds payable by the State to me, including any State salary warrant(s). If my travel involves driving a State,
      private or rental vehicle, I certify that I meet the requirements set forth at http://finance.fullerton.edu/Controller/Travel/PolicyAndProcedures.aspx
  11.TRAVELER'S SIGNATURE                                                                                                      DATE

  12. APPROVAL: I am authorized to approve this travel and adequate funds are available.
      Travel Authorizations must also be approved prior to the departure date by the Division Vice President and President (regardless funding source: State, CSUF ASC, CSFPF,
      ASI, or zero dollar authorizations) if any apply:
      *    International Travel
      *    Registration Fee exceeds $500 for a conference, convention, symposium, training, workshop, business meeting, etc.
      *    More than two campus employees are attending the same conference, convention or symposium (This requirement does not apply to business meetings, training
           or workshops unless registration fees for each individual exceed $500.)


      ADMIN UNIT / DEPT CHAIR                                            DATE                          AVP / DEAN                                                          DATE


      VICE PRESIDENT / DESIGNEE                                          DATE                          PRESIDENT / DESIGNEE                                                DATE

     All Signatures must be original. Submit the approved form to Travel Operations, CP-300 prior to departure date.
     Approved TRAVEL EXPENSE CLAIM, receipts, and required documentation must be submitted to Travel Operations within 30 days of travel return date.
============================================================================================================================================
    ACCOUNTS PAYABLE/TRAVEL USE ONLY

    VENDOR #                          VOUCHER #                              CHECK #                              CHECK DATE                       CHECK AMOUNT

                                      INF 254                                          STD 261                                         DEFENSIVE DRIVER TRAINING
 Revised: 1/2010

								
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