Download PDF Packet - Agenda

Department Name
Name
Destination
Date Depart
Purpose of Trip
PR#
PO#
PR#
PO#
TRAVEL REQUEST FORM
PR# Hotel
nights @
PO# (including tax & parking)
PR# Meals
days @ $36.00
PO# Less Meals Furnished meals @ $12.00
PR# Private Auto miles @ 0.49
PO# In City Travel miles @ 0.49
PR#
PO#
PR#
PO#
*** Attach copies of brochure that verify seminar dates, location and cost. ***
Coach Air Fare
TOTAL ESTIMATED EXPENDITURES
Request for Travel/Payment must be requested at least 10 business days before earliest due date.
For all travel requests, upon returning a Travel Reimbursement Form is required within 14 business days.
Note: If reimbursement is to be requested for more than standard rate, or any item other than listed above a separate
memo giving reasons must be attached to this form.
Advances can not exceed 80% of total for Per Diem and Mileage. Advance checks are requested for:
Per Diem:
Mileage:
Hotel:
Registration:
Registration Fee
Airport Transportation
Other Expense
Return
Amount $
Amount $
Amount $
Amount $
Department No.
Date Department Head Signature
C:/MyDocuments/Forms/TRV
When:
When:
When:
When: