Travel Pre-Approval Authorization

Prepared By *

First Last

Date *

Email *

Traveler Information

Traveler *

First Last

Employee ID *

Traveler's Cell Phone Number *

Traveler's Email *

Destination *

Conference Name (if applicable)

Conference or Workshop Information *

Max. file size: 10 MB.

Examples: Conference flyer/agenda; email invitation to workshop.

Emergency Contact's Name *

First Last

Emergency Contact Phone Number *

Relationship with emergency contact *

Purpose of Travel *

Additional Information

Are you traveling with other employees? *

Yes
No

Please List the Employees *

Are you traveling with other students? *

Yes
No

Please List the Students *

Is it foreign travel? *

Yes
No

Was risk management informed? *

Yes
No

Trip Information

Departure Date *

Month

Day

Year

Time *

HH :

MM

AM/PM

Return Date *

Month

Day

Year

Time *

: HH

MM

AM/PM

Personal Travel *

Yes
No

Number of personal days *

Expenses *

Pcard or Reimbursement (Pick One)	Expense Type	Amount	Fund Number (4 digits)	Dept Number (5 digits)	Cost Center Number (7 digits)	Project Number (10 digits)

Expense types: Registration, Airfare, Lodging, Transportation (rental vehicle/fuel), Per Diem, Baggage, Parking, Misc

Total Reimbursed Expenses *

Please enter a number from 0 to 100000.

Total Pcard Expenses *

Please enter a number from 0 to 100000.

Supporting Documents *

Max. file size: 10 MB.

Attach any additional documentation you'd like to include below.

Please enter any additional notes you would like to add regarding your trip, funding, requests, etc: *

Travel Pre-Approval Authorization

Traveler Information

Additional Information

Trip Information

Department of Biological Sciences