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Request for Travel Advance
Please Note: The Business Office requires one full week to issue check.
Allow up to 10 business days for processing in Accounts Payable
TA #:
see
instructions
HANDLING METHOD:
choose one
Mail
Pick Up
EFT
AV Courier
BUSINESS UNIT:
choose one
BKCMP
BKASI
EMP
BKFDN
BKSTU
BKSPA
Vendor#:
PAYABLE TO:
DATE:
ADDRESS:
AMOUNT:
DATE(S) OF TRAVEL:
DESTINATION:
DEPARTMENT:
EXTENSION:
APPROVED BY:
EXTENSION:
Signature: ____________________________________________________
DELIVER CHECK TO:
" I hereby certify that the above travel advance is necessary to defray my anticipated reimbursable expenses while traveling on business for the State of California away from my designated headquarters. I understand and agree that this amount may be deducted in full from any and all funds payable by the State to me, including any salary warrant(s) issued to me by the State Controller, following receipt of the amount requested."
Fund:
Department:
Account:
Program:
Project:
Class:
CLAIMANT:
CSUB ID#:
Claimant Signature:
__________________________________
DATE SIGNED:
For Business Office Use Only
Paid
by Check No. _________________
Approved By: ___________________
Date: _______________________
Processing time up to 10 working days
NOTE: Make sure values on form are correct as
VALUES ARE CLEARED BEFORE PRINTING AND FORM IS REFRESHED!
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