Rcuh Form 14 - Travel Request - 1994
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Attachment 1
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The Research Corporation of the University of Hawaii
TRAVEL REQUEST FORM
Last Name, First Name
Project Address (Dept)
Doc. No.
Position Title
Project Address (Bldg, Street)
Date
Contact Person/ Phone
Project Address
Social Security Number
Special Instructions
Address (If different from above)
Departure Date
Return Date
Itinerary
Project No.
Budget Category
Project Title
ESTIMATED TRAVEL COSTS:
TRAVEL ADVANCE
Per diem
No. of
0.00
Rate $ ________
Days _______
= $__________
Purchase Order No.
Budget Category
Amount Requested
Excess
No. of
0.00
Lodging $ ______
Days _______
= $__________
0.00
Air Fare (PO#) ______________________ = $__________
0.00
Mileage/Taxi/Car (PO#) _______________ = $__________
0.00
Conference Fee (PO# ) _______________ = $__________
0.00
Other _____________________________ = $__________
0.00
TOTAL
$ ___________
PURPOSE/ JUSTIFICATION FOR TRAVEL:
STATUS:
[ ]
RCUH employee
[ ]
Volunteer
[ ]
Other _______________
Traveler
Date
Designated University Official
Date
Principal Investigator
Date
Supervisor
Date
This travel is authorized in the above contract/ grant.
RCUH Form 14 REV 11/94
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