BSU/NTC Travel Request and Authorization Form
Employee Name _________________________
Estimated Expenses
Department
_________________________
Transportation $___________
Campus Phone # _________
Box # ________
Lodging
$___________
Meals
$___________
Account #
___________ Amt. _______
Registration
$___________
___________ Amt. _______
Other
$___________
___________ Amt. _______
Total
$___________
Location of Activity/Event:
__________________________________________________________________
Name of Activity/Event:
___________________________________________________________________
Attach documentation of the conference, meeting, or other activity, including the dates (e.g. conference web
page, email confirming a presentation or performance, or a description of who you will be meeting with, and what
activities you will be engaged in). The Travel Request will not be approved without this information
Departure Date: ____________
Departure Time: _____________
Return Date:
_____________
Return Time: _____________
Note: Advanced, written approval by an administrator with appropriate delegated authority is required for all out-of-state travel.
Please submit your travel request at least a week in advance of your trip so the necessary signatures can be obtained. Funds disbursed
by the College or University cannot be used for payment of expenses incurred during a portion of a trip that does not involve conducting
College/University Business. (System Procedure 5.19.3) Additional acknowledgement form needed for all international travel.
Personal Car
BSU Vehicle
NTC Vehicle
Enterprise Rental Car
National Rental Car
Air
BSU Vehicle Requested: (Indicate how many of each)
Number of Persons Traveling in Vehicle
(including driver) ________
____ Passenger Van (seats 12) ____ Suburban (seats 8) ____ Mini-Van (seats 7) ___ Equipment Trailer
All Drivers must be listed
Employee/Student ID #
________________________________
___________
List of students and other
________________________________
___________
passengers must be attached
________________________________
___________
Note: All drivers must be approved annually to drive College/University vehicles. If approval is not obtained prior to the pick up date,
the requestor will be prohibited from driving a College/University vehicle. Questions about approval, call 2859. System Procedure
5.19.3 states that “personal guests, including spouses, are not allowed to travel in a state-owned, rented, or leased vehicle.” For
vehicles rented following airplane travel to another location, justification needs to be provided stating the reason a rental car was
used instead of commercial transportation, such as a taxi, shuttle service, etc.
Complete this section if your travel is during regular work days and requires modification of your work schedule.
As per my collective bargaining agreement/compensation plan, I request a revision of my regular work schedule to travel as
documented on this Travel Authorization form. The following arrangements are being made to cover my duties during my
travel away from campus: ____________________________________________________________________________________
___________________________________________________________________________________________________________
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