M
S
U
URRAY
TATE
NIVERSITY
TA#:
Accounting & Financial Services
Clear Form
Print Form
Travel Request Form
Date
DATE PREPARED
A&FS Approval
COMPLETE IN FULL, OBTAIN NECESSARY APPROVALS, AND RETAIN IN YOUR DEPARTMENT. A COPY OF THIS FORM MUST
TO AVOID DELAYS:
BE SUBMITTED WITH YOUR TRAVEL VOUCHER.
TRAVEL AUTHORIZATION FOR:
EMPLOYEE
STUDENT
OTHER:
PERSON REQUESTING TRAVEL
MSU DEPARTMENTAL NAME
RESIDENCE ADDRESS
MSU DEPARTMENTAL ADDRESS
MSU PHONE
CITY
STATE
ZIP CODE
BANNER ID
PHONE NUMBER
M
PURPOSE OF TRIP (Do not abbreviate organization names)
TRIP ITINERARY
DATE
DATE
DEPART FROM
RETURN TO
MM/DD/YY
MM/DD/YY
ESTIMATED COST OF TRIP (include all travel costs)
EXPENSE TYPE
ESTIMATED AMOUNT & METHOD OF PAYMENT
ESTIMATED COST
DIRECT BILL TO MSU (not
TRAVELER
List Payee for All Direct Bills
MSU Pcard
MSU MOTOR POOL
MSU Pcard)
CASH/ CREDIT
AIRFARE
0.00
MILEAGE
0.00
LODGING
0.00
MEALS
0.00
OTHER
0.00
OTHER
0.00
OTHER
0.00
OTHER
0.00
Travel Request Form is for approval only. Payment documents must be submitted separately for trip expenditures .
Total Estimated Cost of Trip:
$ 0.00
APPROVAL & ACCOUNT ALLOCATION OF TRAVEL:
CHART
FUND
ORGANIZATION
ACCOUNT
PROGRAM
TRIP ALLOCATION
$
ALL ACCOUNT
$
MANAGERS FOR
ACCOUNTS LISTED
$
MUST SIGN BELOW
$
$
$
TOTAL TRIP EXPENSE ALLOCATION:
PERSON REQUESTING TRAVEL
DATE
DEAN / VP APPROVAL
DATE
CHAIR / DIRECTOR APPROVAL
DATE
ADDITIONAL APPROVAL
DATE
(If Applicable)
PRESIDENTIAL APPROVAL
DATE
(If Applicable)
PLEASE RETAIN A COPY FOR YOUR RECORDS