Domestic Travel Authorization Form printable pdf download

Domestic Travel Authorization Form

the University Corporation, San Francisco State

Clear Form

P.O. Box 320160

San Francisco, CA 94132

Fax: 415.841.5001

DOMESTIC TRAVEL AUTHORIZATION

Complete this form & submit it to the appropriate administrator for approval prior to making travel

arrangements

Upon making Connexxus reservation, enter TRIP RECORD LOCATOR below in space provided.

Attach this completed & approved form with either Request for Travel Advance or Travel Claim & Expense

Report

Check(s) for travel advance or reimbursement of travel costs will not be made without prior approval via

this form.

TRAVELER’S NAME: ____________________________________

UIN:_________________________

TRAVELER’S NAME: ____________________________________

UIN:_________________________

TRAVELER’S NAME: ____________________________________

UIN:_________________________

TRAVELER’S NAME: ____________________________________

UIN:_________________________

PURPOSE OF TRIP:________________________________________________________________________

DESTINATION: __________________________

MODE OF TRAVEL: _______________________

DEPARTURE DATE: _____ / _____ / _____

RETURN DATE: _____ / _____ / _____

SCHEDULED WORK/MTG/CONFERENCE BEGINS:

AND ENDS:

DATE: __ / __ / __

T IME: ___ A.M./P.M.

DATE: __ / __ / __

TIME: ___ A.M./P.M.

I request authorization to travel, as documented above.

Signature of Traveler: ______________________________________

Date: _____ / _____ / _____

In approving this travel request, I certify that if a motor vehicle is used, the employee has completed a defensive

driving class and has a current defensive driver card.

AUTHORIZATION OF DEAN OR APPROPRIATE VP:

Name: ________________________

Signature: ________________________

Date: ____ / ____ / ____

CONNEXXUS TRIP RECORD LOCATOR (REQUIRED) : ________________________________

Domestic Travel Authorization Form