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* Indicates Required Field
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| General Information |
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| Traveler Name (as shown in Payroll System): |
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| Traveler Email Address: |
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Traveler Contact Phone Number:
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| Purpose of Travel: |
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| Org Unit Funding Trip: |
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| Are you a Non-Resident?: |
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Yes No |
| In-State Travel approval letter on file?: |
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Yes No |
| Do you have Blanket Travel Approval for this Trip? (Out-of-State Trips Only) |
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Yes No |
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Fund/CCTR/Order Information
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| Fund: |
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(8 digit Fund Number) |
| Cost Center: |
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(10 numeric characters) |
| Order: |
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(10 numeric characters) |
| SPS Funds?: |
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Yes No |
| Federal Funds?: |
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Yes No |
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| Dates of Travel |
| Departure Date/Time: |
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(Select Time first, then Date) |
| Return Date/Time: |
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(Select Time first, then Date) |
| Date and Time "Official Business" begins: |
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(Select Time first, then Date) |
| Date and Time "Official Business" ends: |
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(Select Time first, then Date) |
| Is Personal Time Included?: |
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Yes No |
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| Conference Information |
| Conference Website: |
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| Member of Conference organization?: |
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Yes No |
| Meals provided with registration fee?: |
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Yes No If Yes, which meals? |
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| Travel Destination |
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* Enter location and tab over to enter dates and times needed to go to each business destination. * When entering the date and time, select time first, then the date.
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1) Departure Date/Time: Enter locations, dates, and times below for trips with multiple business destinations.
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2) Departure Date/Time: |
3) Departure Date/Time: |
4) Departure Date/Time: |
5) Departure Date/Time: |
6) Departure Date/Time: |
| Does the destination have a Department of State Warning or Announcement?: |
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Yes No |
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| Ground Transportation |
| Using personal vehicle?: |
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Yes No |
| University vehicle?: |
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Yes No If yes, Travel Center will prepare Form 1. |
| Rental vehicle?: |
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Yes No Special Needs?: |
| Shuttle to Departing Airport?: |
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Yes No |
| Shuttle at Destination Airport?: |
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Yes No |
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| Lodging |
| # of Nights: |
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| # of Occupants: |
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Will non-employee be staying in room? * Yes No |
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| Other |
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What services would you like us to provide? (Put a checkbox beside each item).
Airfare Hotel Registration Fee University Vehicle (Transportation Form 1) Shuttle Rental Car
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Enter any other information you feel we need to know before making your travel arrangements. Also list the names of other University staff traveling to same business destination.
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