Travel Approval Request - Csu, Chico
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1Travel Request
ACCOUNTS PAYABLE
KENDALL HALL ROOM 208
Approval
CALIFORNIA STATE UNIVERSITY CHICO
CHICO, CA 95929-0243
FINANCIAL SERVICES
Required for all
530-898-6426
CSU, Chico State Funded
Employee Travel
This form must be completed prior to any University related travel. Please fill out form in its entirety and obtain necessary approval.
For detailed information on CSU travel policies, please consult the CSU Travel Policies and Procedures located at .
TRAveleR INfORmATION
Employee ID Number:
Employee Name:
Campus Dept and ZIP:
Contact/Preparer & Ext.:
Name of Other State Employee(s) or Student(s) also traveling:
TRIp INfORmATION
Travel Type:
International Travel (30 day pre-approval required)
In State
Out of State
Team Travel
Travel Dates (to/from):
Personal Travel Dates if Any:
Destination:
Purpose of Travel, including role and why travel is mission critical. If Faculty under VPAA traveling during AY please
explain how classes will be covered in your absence:
clAIm INfORmATION: fORm Of pAymeNT/ReImbURSemeNT
Travel Claim to be Filed
BTA or CRBTA
No expenses/No claim to file
Foundation funded—Partial (please send a copy of this form to Foundation in lieu of completing their travel request)
TOTAl eSTImATed expeNSeS
(please complete if any expenses will be incurred)
*Subject to $275 room
rate p/night lodging
Transportation:
Registration/Tuition
limit.
vp/provost/president
0.00
•
Private Car
(# of miles ______ )
Lodging (*rate p/night _____ )
Approval: If requesting
full reimbursement,
•
Rental Car
(National/Enterprise)
Meals
attach justification for
room rate.
Initials: ___________
•
Air
Other
$0.00
•
Bus/Rail/Shuttle/Taxi
Total:
STATe cHARTfIeld (maximum reimbursement amount authorized)
Account
Fund
Dept. ID
Program (Optional)
Class (Optional)
Amount
Account
Fund
Dept. ID
Program (Optional)
Class (Optional)
Amount
AUTHORIZATION
Traveler:
SIGNATURE
PRINT NAME
DATE
Appropriate Admin/Chair:
SIGNATURE
PRINT NAME
DATE
Dean/Associate Vice President:
SIGNATURE
PRINT NAME
DATE
Provost/Vice President:
SIGNATURE
PRINT NAME
DATE
President:
SIGNATURE
PRINT NAME
DATE
(international travel only)
(Office Use Only) TRV# ______________
DDT Verification: Y/N (Date Employee Notified: _____________)
AP: Travel Request Approval
Updated January 2016
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