Travel Requisition Form

TRAVEL OFFICE
TRAVEL REQUISITION
T
Date:
PART I: TRAVEL DATA (All applicable items must be completed)
Department:
Employee ID No.:
Tel. No.: (Office)
(Home)
Traveler's Name:
Home Address:
Travel Advance Requested: (
Type Travel: (
(
(
Air
) Individual Travel Contact Person:
) Group
Applicable Supporting Documents Attached:
) Overseas Overseas Travel Authorization Attached:
Departure Date:
Return Date:
Train
(
(
) Yes
) Yes
(
(
TSU PO Box #
) No
) No
Departure Time:
Return Time:
Bus
Aircraft
Enterprise Rent-A-Car (class requested):
(
No. in Group
Meeting Date(s):
MODE OF TRAVEL/ACCOMMODATIONS
Commercial Rental Car
Enterprise Rent-A-Car
Personal Car
Charter Transportation Required:
-
e-mail address:
) No (Note: Semi-monthly employees only unless group travel is involved)
) Yes (
Destination:
FOAP
-
Other:
Size (No. Passengers)
) Economy (
) Compact (
) Intermediate/Standard (
) Van (
) Other:
Name and Address of Motel/Hotel:
(
) Single
Mileage: $
Meals:
(
) Double
0
$
No. of Rooms:
No. of Miles/Rate:
Taxi: $
Parking: $
Other Expenses: (specify)
No. of Nights:
Baggage: $
Lodging: $
Rental Car $
$
0
Total Amount of Requisition: $
Blanket Travel Authorization [
Single Trip Authorization
[
No. of Persons:
COST ESTIMATE INFORMATION
0.47
x
Airfare: $
$
Grant Officer Approval:
PART II
In State
Out-of-State
]
]
[
[
]
]
PURPOSE FOR TRAVEL:
I UNDERSTAND THAT A PAYROLL DEDUCTION WILL BE MADE BY THE STATE FOR A TRAVEL ADVANCE IF A CLAIM IS NOT FILED IN
A REASONABLE LENGTH OF TIME OR UPON TERMINATION OF EMPLOYMENT.
PART III: APPROVALS FOR PART I and II ONLY
Traveler's Signature:
President or Designee:
PART IV: TRAVEL EXCEPTION (Approval as required and ONLY by the President or designee)
Travel require exception to established travel policies due to :
A.
Official Resort/Convention Lodging Rates of $
plus tax per day. (attach conference brochure or info from conference website)
B.
OTHER (describe):
Approved: (President or Designee)
TSU Travel Office Use Only:
Date:
Date Airfare Faxed
Banner Ref. Number