JMU



JMUJames Madison UniversityTravel AuthorizationTraveler’s Name: FORMTEXT ?????Contact Person: FORMTEXT ?????Phone Number: FORMTEXT ?????Department: FORMTEXT ?????Department MSC: FORMTEXT ?????Date Prepared: FORMTEXT ?????Destination(s) FORMTEXT ?????Departure Date: FORMTEXT ?????Return Date: FORMTEXT ?????Reason for Travel: FORMTEXT ?????Check if Foreign National Visitor FORMCHECKBOX FORMTEXT ?????If Foreign Destination, Indicate Benefit to the Commonwealth (Check One Box below)Economic Development: FORMCHECKBOX Enhancing the reputation of the Commonwealth: FORMCHECKBOX Other (please explain below): FORMCHECKBOX FORMTEXT ?????Exception RequestsLodging Rate Exception Justification: FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Other (Explain): FORMTEXT ?????SECTION 1 : Amounts to be PrepaidPay ToEstimated CostAir Transportation FORMTEXT ?????$ FORMTEXT ????? Conference/Registration Fee FORMTEXT ?????$ FORMTEXT ?????Subtotal: Section 1 $ FORMTEXT ?????SECTION 2 Amounts to be ExpendedTravel CardSmall PurchaseCharge Card(Cannot Exceed $4,999.)Other FundsRental Vehicle$ FORMTEXT ????? $ FORMTEXT ?????Air Transportation FORMTEXT ????? $ FORMTEXT ????? FORMTEXT ?????Rail Transportation FORMTEXT ????? FORMTEXT ?????Hotel - No. Nights FORMTEXT ?????X Rate FORMTEXT ?????= FORMTEXT ????? FORMTEXT ?????Meals and Incidental Expenses FORMTEXT ????? FORMTEXT ?????Personal Vehicle Miles FORMTEXT ????? X Rate FORMTEXT ?????= FORMTEXT ????? FORMTEXT ?????Other (tolls, Phone calls, etc.) FORMTEXT ????? FORMTEXT ?????Subtotal: Section 2$ FORMTEXT ????? +$ FORMTEXT ?????+ $ FORMTEXT ?????=$ FORMTEXT ?????Total Estimated Cost Of Trip:$ FORMTEXT ?????Department's Organization Number FORMTEXT ?????ApprovedSIGNATURES:Travelers Signature Indicates Agreement to prepare and submit a Travel Expense Reimbursement Voucher within THIRTY days of returning from travel.Traveler:Date: FORMTEXT ?????Organization /Expenditure Authority:Date: FORMTEXT ?????Final Approving Authority:Date: FORMTEXT ????? International Travel Authority:VP/AVP; Dean/Asst/Assoc. Dean; Or Director who reports directly to a VP_________________________________________________Senior VP of Administration & FinanceDate: FORMTEXT ?????_______Authorization NoForward Original form (BEFORE TRAVELING) with all required approvals to the Office ofAccounts Payable, MSC 5712. Retain a photocopy in Department Office. Revision 02/22/13 ................
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