Travel Advance Request
Please issue a check in the amount of
This check is 75% of the maximum amount allocated for this trip.
The total amount allocated is
Name of Traveler
Date (s) of Event
Will pick up in KAB 106
Mail check to above address
Authorized signature of approval
Budget Number to be charged
Note: Within one week of your return, a Travel Expense Voucher should be completed and
forwarded to the Purchasing Office (KAB 100), along with your original receipts for expenses claimed.
Any excess funds should be returned to the Cashier and a receipt for such attached to the Travel
Expense Voucher. NYS Sales Tax is not a reimbursable item. Tax Exempt Certificates are
available in the Purchasing Office.
Travel Advance Requests submitted to the Purchasing Office on Friday, Monday or Tuesday by noon
will be available on Wednesday after 3:00 p.m. and forms submitted by noon on Thursday will be
available on Friday after 3:00 p.m.
I understand I will not be reimbursed any sum over the amount originally allocated for this trip.
Signature of Traveler
d7f35f52-5087-4b0c-887e-aceb6c5423ee.xls 5/9/2011 plv