Travel Authorization Form
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1CLEAR DATA
UNIVERSITY OF NORTHERN BRITISH COLUMBIA
TRAVEL AUTHORIZATION FORM
Name:
_____________________________
Department: ___________________________
Print Name
Purpose of Travel:
(Convention, Meeting, Research etc)
Convention, Meeting etc…: :____________________________________________________________
Destination:
City:
Dates: ____________to ____________
Leaving Campus On: _____________________ Return On: _____________________
MM/DD/YYYY
MM/DD/YYYY
Additional Department/University Employees Attending
(use additional sheet if more than 2 university employees
are attending)
1._______________________________
2.______________________________________
Expenses:
Fund / Org / Acct / Prog / Actv / Loc
Currency
Cost
1. Airfare
______ /______/_____/_____/______/______
______
$__________
2. Accommodation ______ /______/_____/_____/______/______
______
$__________
3. Car rental
______ /______/_____/_____/______/______
______
$__________
4. Registration
______ /______/_____/_____/______/______
______
$__________
5. Per Diem
______ /______/_____/_____/______/______
______
$__________
6. Other (taxi etc)
______ /______/_____/_____/______/______
______
$__________
TOTAL
If you are using more than one fund/org/account, please fill in the breakdown details below:
Fund
Org
Acct
Prog
Actv
Loc
Amount
Employee:
_______________________
_________________________
Date: _____________
Print Name
Signature
MM/DD/YY
Supervisor
_______________________
_________________________
Date: ______________
Print Name
Signature
MM/DD/YY
Budget Holder: _______________________
___________________
Date: ______________
Print Name
Signature
MM/DD/YY
Attach or forward copy to web requisition if Purchasing is expensing any of the above items or issuing a
purchase order.
Attach copy to Mastercard reconciliation if any expenses are charged to your credit card.
Attach copy to travel claim or travel advance requisition when submitting to Finance.
*Note * this form is also to be used if paying for a non UNBC employee’s travel costs
TICKETS CANNOT BE ISSUED WITHOUT A COMPLETED COPY OF THIS FORM BEING SENT TO RED TAG.
Travel Authority Form Revised – 28 May 2014
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Parent category: Business