Department of English Request for Travel Expense Reimbursement Name When Where Attending *Nature of Presentation Title of Paper $ $ $ $ $ Probable Mode of Transportation: □ Air, Train, Bus □ Private Vehicle or Car Pool □ Rental Car Date: Expense Estimates: Transportation Lodging Meals Other Total DO NOT WRITE BELOW THIS LINE Approved By: Department Chair Amount Approved: $ Comments: *Please attach the letter accepting your conference presentation to this form.