Business Travel Authorization Form

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I.
Business Travel Authorization Form
(please submit this form in duplicate, a photocopy suffices)
From the supervisor to the approving entity/human resources
Important Notice: For insurance purposes the business travel authorization
department
form needs to be submitted well enough in advance of the business trip.
1
without
with
Business travel
reimbursement for travel expenses
Business travel
reimbursement for travel expenses
2
Surname, Name
Home address
Email
3
Division/Department
Telephone number
Remuneration bracket
4
Travel destination
Please note the information regarding business trips abroad and the possible implications for social security on our website (see A1 Bescheinigung)
5
Purpose of business trip (please name a reason for your trip and always attach invitations and programs)
6
Further participants of the trip (please submit separate applications for approval)
7
Beginning of business trip/absence
Business
Expected end of
year
beginning
expected end
business trip/absence
day/
day/
day/
Daily
day/
time
from
time
time
time
to
month
month
month
return
month
home
home
yes
office
office
no
8
Is the business trip in any way associated with private holiday travel?
no
yes
from
to
9
Planned means of transport
train
1st class
2nd class
I own a Bahncard (BC) from Deutsche Bahn:
BC 25
BC 50
BC 100
1st class
2nd class
Job-Ticket
other public transport (e.g. bus, tram)
airplane
:
(please name reasons for travel by plane within Germany or to neighbouring countries)
personal vehicle
no approved reasons
reasons (please check the appropriate box)
travel with colleagues (please name fellow travelers)
travel destination cannot be reached by means of public transport
severly handicapped
other reasons:
I will travel by car together with
official car
bicycle
rental car/taxi (please name a reason):
10
I receive external funding and/or allowance
yes
no
I receive honorarium
yes
no
External funds and free board and lodging will count against travel expense
reimbursements. I will list these details on the travel expense report.
I hereby confirm the accuracy of the information provided above.
date/signature of applicant
II. Endorsement by the president, dean, professor, superintendent
Approval is granted for the requested business trip.
reimbursement of eligible expenses according to the LRKG (travel cost act of Baden-Württemberg) or other directives. It has been confirmed
that the purpose of the trip is solely related to business.
% reimbursement of eligible costs according to the LRKG (e.g. congresses, seminars, lectures).
max. reimbursement of
no reimbursement of travel expenses
Reimbursement from : Kostenstelle/PSP-Element:
Fonds:
(enter codes according to budget plan)
date/signature of president/vice president/dean/professor
III. Approval with the following stipulations set by the university administration
Reimbursement of travel costs according to the LRKG or other directives
grant of ______€
______% reimbursement
No reimbursement as external funds were granted.
Reimbursement with the following stipulations:
only transport costs will be reimbursed
means of transport as requested with the following restrictions:
only/no daily allowance
train
1st class
2nd class
Bahncard
only/no allowance for lodging
max. reimbursement amounts to the costs of the most inexpensive ticket
reimbursement as of/to office
personal vehicle: reasons
approved
not approved
reimbursement is to be claimed
airplane
economy class
with the organizers of the event
not be approved.
Business trip will
Reasons:
date/signature

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