Form 6213-F40 - Travel Authorization
Download a blank fillable Form 6213-F40 - Travel Authorization in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form 6213-F40 - Travel Authorization with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1CAPITAL REGION ESD 113
FORM 6213-F40
TRAVEL AUTHORIZATION FORM
PRINT
(Refer to Procedure 6213-P1 Travel Expense Reimbursement)
Name
Department_
Date Travel Starts
Date of Return to Work
Destination (City, State) _____________________
Starting Location Address **_______________________
Location of Function
Purpose of Function
Instructions: This form is to be completed for all out-of-state travel, air travel, and for overnight in-state travel.
Estimate of Expenditures
Transportation Miles_______
$__________
Is an Advance Check needed? Yes ______ No ______
Airfare & related airline fees
$__________
If Yes. Amount requested
$_________________
Registration
$__________
Lodging
# of Nights_______
$__________
Are you requesting “Exception Lodging “Rates? *
Meals
$__________
Yes______ No ______
Other (Specify)
$__________
Employee Signature:
Total Estimate
$__________
_____________________________________________
0.00
* If "Exception Lodging" rates are being requested, explain why an exception to the maximum lodging amount is
necessary. (See Procedure 6213-P1)
** When travel originates at employee’s residence, mileage shall be claimed at the lessor of travel from the`
employee’s home or their official duty station.
Instructions: This section must be completed for all in-state travel for TWO OR MORE consecutive nights lodging
and all out-of-state travel.
How does this travel relate to your work assignment?
Describe the expected benefits of this travel.
Explain whether an alternative to this travel could have achieved the same result.
APPROVAL SIGNATURES
Department Supervisor:
Date:
Superintendent (out-of-state only):
Date:
Chief Financial Officer - Travel:
Date:
And
Travel Advance, if Requested:
Date:
CHECK NO.
AMOUNT
DATE
Signature of Custodian of Advance Travel Account:
Revised: 12/16/15
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business