Travel Request

How to fill out Travel Request Form
How to print Travel Request Form

Travel Request Form

IN STATE/OUT OF STATE TRAVEL REQUEST FORM

CSU, BAKERSFIELD

Accounting Office Rev. 9/98

ITA

NAME:	SS#:	TITLE:
Request By:	Campus Phone:	Dept:

Trip date, inclusive, from:	through:
Duties taken over by:	Signature______________________________

Purpose of trip:

Destination/Itinerary (include stopovers with justification):

Mode of travel proposed: State Car Private Car Air Other

Name(s) of others from the University who will be going:

ADVANCED OF FUNDS REQUESTED FOR: (Attach verification and obtain receipts)

(A) $
(B) $
(C) $

Deliver check(s) to

I understand and agree that the above amounts(s) may be deducted in full from any funds payable by the State to me, including salary warrants, if appropriate documentation to justify expenses in accordance with CSU regulations is not filed within 30 days after completion of the trip.

_________________________________
(Signature of person taking trip)

Other estimated costs $(per diem, airfare, car rental, etc.)

I am traveling voluntarily with the understanding that only partial reimbursement will be made:
YES NO Please initial here: __________

Account Number: Department:

______________________________
Account Approval Authorization

______________________________
Dean of Department

______________________________
Vice President Approval

______________________________
President or Designee

   Paid By Check Numbers   Date   Revolving Fund

(A)__________________   ______       ____

(B)__________________   ______       ____

(C)__________________   ______       ____

How to fill out a Travel Request Form

Trip Information
1. Name: Person taking trip, their social security number and job title.
2. Requested By: person filling out the form, phone extension and department.
3. Trip dates: actual date leaving through actual return date.
4. Duties taken over by (optional): person who will fill in for person taking trip while they are gone.
5. Signature: The person taking over duties name and signature.
6. Purpose of trip: Conference, workshop, training, presentation etc.
7. Destination/Itinerary: Where you are going, including stopovers and justification.
8. Mode of travel: check the box.
9. Name(s) of others from the University who will be going: list every person who will be attending the same event.
Advance Of Funds Requested For: Attach verification and obtain receipts
1. Travel advances are for moneys required for travel that will be payable directly to an agency, i.e. registration costs or lodging. The Accounting Office must have seven (7) working days to process the request. Per diem advances are not routinely done.
2. Fill out the dollar amount needed, who the check should be made out to and what it is for (ei. registration).
3. Estimate any additional expenses that may be incurred. (Per diem, air fare, car rental etc.)
4. Sign the agreement understanding.
5. Initial if partial reimbursement will be make on agreement and initial.
Account Information and Approval
1. List the ten digit account number travel will be charged to and department.
2. Get proper authorization.
When complete send original to the Accounting Office. If Advances are being requested please attach backup.