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Travel Request Form

* Indicates Required Field
General Information
Traveler Name (as shown in Payroll System): *
Traveler Email Address: *

Traveler Contact Phone Number:

*
Purpose of Travel: *
Org Unit Funding Trip: *
Are you a Non-Resident?: * Yes No
In-State Travel approval letter on file?: * Yes No
Do you have Blanket Travel Approval for this Trip? (Out-of-State Trips Only)

*

Yes No

Fund/CCTR/Order Information

Fund: * (8 digit Fund Number)
Cost Center: * (10 numeric characters)
Order: (10 numeric characters)
SPS Funds?: * Yes No
Federal Funds?: * Yes No
Dates of Travel
Departure Date/Time: * Pick a date (Select Time first, then Date)
Return Date/Time: * Pick a date (Select Time first, then Date)
Date and Time "Official Business" begins: * Pick a date (Select Time first, then Date)
Date and Time "Official Business" ends: * Pick a date (Select Time first, then Date)
Is Personal Time Included?: * Yes No
Conference Information
Conference Website:
Member of Conference organization?: Yes No
Meals provided with registration fee?: Yes No
If Yes, which meals?
Travel Destination

* 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.

1) Departure Date/Time: Pick a date Enter locations, dates, and times below for trips with multiple business destinations.

2) Departure Date/Time: Pick a date
3) Departure Date/Time: Pick a date
4) Departure Date/Time: Pick a date
5) Departure Date/Time: Pick a date
6) Departure Date/Time: Pick a date
Does the destination have a Department of State Warning or Announcement?: * Yes No
Ground Transportation
Using personal vehicle?: * Yes No
University vehicle?: * Yes No If yes, Travel Center will prepare Form 1.
Rental vehicle?: * Yes No Special Needs?:
Shuttle to Departing Airport?: * Yes No
Shuttle at Destination Airport?: * Yes No
Lodging
# of Nights: *
# of Occupants: * Will non-employee be staying in room? * Yes No
Other

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

 

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.