Wsu Travel Request Form
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1WSU TRAVEL REQUEST FORM
Beginning Date: ___________
Person Traveling: ___________________
Ending Date: ____________
Number
Title
Approved Funding
Cost Center: ____________
____________________
$______________
____________
____________________
$ ______________
____________
____________________
$ ______________
Destination: __________________________________________________________________
Reason for Trip: _______________________________________________________________
Request use of State Vehicle. If not available (vehicle reservation must be submitted and denied by
motor pool personnel) you can request reimbursement for use of private vehicle at the higher mileage rate.
Request use of private vehicle and will be reimbursed at lower mileage rate.
*State policy requires that reimbursement requests be submitted within 5 working days after returning from
travel.
Estimate of reimbursable expenses:
0.00
Private Vehicle Expenses: Round Trip Miles _______ X
$_______
= $_____________
Fare (Air, Bus, Train):
$_____________
(All Airfare is booked through the Business Office)
Taxi or rental car at destination (parking, tolls, etc)
$_____________
Rental car justification: __________________________________________________________
0.00
Lodging: # of nights_______
X
Nightly rate $_________
=
$____________
0.00
Meals: Breakfast $________ + Lunch $________ + Dinner $________ = $____________
Registration (Conference) fee
$____________
Miscellaneous
$____________
0.00
TOTAL ESTIMATED COSTS:
$____________
Requested by: ________________________________________
Date: ________________
Authorized by: _______________________________________
Date:_________________
Please print, sign and give to Department Head, Dean, Advisor, and/or Supervisor for approval. Once approved
please send to the Business Office.
All international travel must be approved by the Dean and President of WSU:
Dean’s Signature: ______________________________________
Date: ______________________
President’s Signature: ________________________________________
Date: ______________________
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Parent category: Business