Travel Authorization Form - APTE

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Travel Authorization Form - APTE Powered By Docstoc
					      UNIVERSITY OF ALASKA ANCHORAGE
    SAMPLE
         TRAVEL AUTHORIZATION FORM
                                                                                TA        (Number assigned by Travel Dept.)


Traveler's Name                                                    Dept. Name:
Check if traveler is a non employee:                               Dept. Contact:

SSN or UAA ID:                                                     Dept. Telephone:

Home Address:                                                      E-mail Contact:

                                                                   Travel From:

Email Address:                                                     Travel To:

Purpose of Trip:                                                   Date & Time Business Begins:

                                                                   Date & Time Business Ends:

Date Leaving:                                                      Dates of Vacation: N / A
Date Returning:                                                    TR Requested:               Yes           No

Note:        Documentation must be attached which                  Travel Agency:       N/A
clearly supports dates & times of university business.
                                                                   Agent's Name & Phone #:           N/A
                                                                   TR Number:         N/A
                     Account Numbers                                            Estimated Costs                         Amount
   Fund            Org    Acct      Amount                    Transport Costs
                                                              Lodging      (         ) Days at $ (                ) $        -
                                                              Meals        (         ) Days at $ (                ) $        -
                                                              Registration Fees (Attach Reg Form Copy)              $        -
                   Accounting Services                        Car Rental                                            $        -
Fund Approval:                         Date:                  Other                                                 $        -
TA Review:                             Date:                                 Total Estimated Cost                   $        -

                                                Reimbursement Allowances
                         Standard                                Exceptions (Requires Explanation)
                                                              Standard Lodging
Meals & Incidental Expenses                                   Actual 1.5> Than Standard Lodging Per Diem
Actual Lodging Expenses (Receipts Required)                   Lower Than Standard Lodging or Meal Per Diem         $
Exception Explanation:


Car Rental Requested (Check one)     Yes          No     I understand I must request the discount rate offered to government
agencies and obtain the most economical rate available and that insurance costs will not be reimbursed.
Additional Notes and Information:


I will ensure that an expense report, with required documentation, is submitted within 15 days after the travel has been
completed.
Traveler's Signature                                                                                 Date:
Approved (Supervisor or Dept. Head):                                                                 Date:
Approved (Dean or Director):                                                                         Date:
                                            Required for out-of-state travel and exceptions.
        If for any reason the travel as requested above is changed, a revised request should be submitted immediately.
                      No TA copy will be returned to you. Encumbrance information available in Banner
                       SUBMIT ORIGINAL TO ACCOUNTS PAYABLE AND TRAVEL (FAXED COPY IS ACCEPTABLE)

				
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posted:8/12/2011
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