College of Education and Human Development

Travel Worksheet

Personal Information

Travel Information

Destination:
Purpose of Trip:
Others in Party:
Departure Date/Time:
Return Date/Time:
Do you plan to take a university vehicle or your own?
Lodging:
How many nights?
Will you be gone 12 hours and travel more than 300 miles?
Per diem days:
Do you need a travel advance?
If yes, by what date will you need the money?
Do you give your department representative permission to sign your travel authorization or would you like to sign it?
Please choose your department:

Please submit this form at least 5 days before you leave.

Please contact your department secretary if you have questions regarding this worksheet.

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