Authorization for Travel Submit to the Appointing Authority Designee at least 10 days prior to anticipated departure date. Division: Name(s) and Title(s) of Employee(s) Making Trip: **Complete the back of this form if travel expenses will be paid directly or reimbursed to an employee by a third party.** Name of Event: Location of Event: Date(s) and Time(s) of Event: Date of Request: Departure Date: Return Date: Air Private Automobile Rail Mode of Travel: Bus Motor Pool Vehicle Other Itemized cost of trip: Justification for trip (explain in detail): --why trip is in best interests of the state --what reports and/or workshops will be generated as a result of FARE (round trip) the trip LODGING nights @ per night MEALS days @ per day (specify) TOTAL ESTIMATED COST $0.00 RECOMMENDED BY: APPROVED IN THE AMOUNT OF _____________________________ __________ $__________________________________________ Supervisor Date ______________________________ ___________ _____________________________ __________ Agency Head Date Accounting Manager Date FI-00152-05 (07/10) Page 2 of form
Authorization for Travel Submit to the Appointing Authority Designee at least 10 days prior to anticipated departure date. Division: Name(s) and Title(s) of Employee(s) Making Trip: **Complete the back of this form if travel expenses will be paid directly or reimbursed to an employee by a third party.** Name of Event: Location of Event: Date(s) and Time(s) of Event: Date of Request: Departure Date: Return Date: Mode of Travel: Air Private Automobile Rail Bus Motor Pool Vehicle Other Itemized cost of trip: Justification for trip (explain in detail): --why trip is in best interests of the state --what reports and/or workshops will be generated as a result of the trip FARE (round trip) LODGING nights @ per night MEALS days @ per day (specify) TOTAL ESTIMATED COST $0.00 RECOMMENDED BY: _____________________________ __________ Supervisor Date _____________________________ __________ Accounting Manager Date APPROVED IN THE AMOUNT OF $__________________________________________ ______________________________ ___________ Agency Head Date FI-00152-05 (07/10) Page 2 of form