Travel Request Form - Nps Page 2

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TRAVEL OFFICE: 831 656-2041 Fax: -7632
SATO: 831 372-5232 Fax: -4682
Rental Car
YES
NO
Rental car pickup location
Size (Compact is standard)*
Pickup date/time
Return date/time
*Anything other than compact requires justification in Remarks/Additions/Justifications.
POV Mileage
Not Authorized
Authorized Residence to Terminal
Authorized Residence to TDY
= = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = =
Dept. POC: Name:____________________________ Phone # ____________________ Email ______________________
LOA
Job order 1:__________________________Job order 2:_____________________
Cross-Org/Fund Cite
Remarks/Additions/Justifications/Leave/Special Instructions:
ALL SIGNATURES ARE REQUIRED FOR STUDENT TRAVEL BEFORE DATA IS ENTERED INTO DTS
Signature
Printed Name
Actual Lodging Authorized (Dept. Head initials ______)
____________________________ Date:__________ Prof/PI
__________________________________
____________________________ Date:__________ SPFA
_________________________________
____________________________ Date: _________ Program Off. _________________________________
____________________________ Date: _________ Security Mgr*. _________________________________
*Security Manager only required for foreign nationals visitng NPS campus.
= = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = =
I certify that the information given above is accurate. I agree to the terms and conditions set forth in this document
as well as the policies governing official travel covered under the federal travel regulations including the JTR.
Traveler Signature _____________________________________
Date________________
NPS Travel Request—09-01-2015

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