Name: EMPLID#: Address: Email/Tel#: Depart Date: Return Date: AM Time: AM PM Time: m/d/yy m/d/yy PM Departure City: Destination 1: Destination City: Destination 2: BUSINESS PURPOSE: (Please include a complete description and submit support documentation as specified below. Please spell out all acronyms and abbreviations.) Meeting/Conference: Invited Speaker: Research: Other: meeting agenda/itinerary, copy of the invitation letter or email description of research description of the business activity for registration form with equivalent conducted and work dates each day to be reimbursed registration rates shown Receiving Source Estimated OSU financial Airfare Lodging Meals Other: of $ Amount: support? (describe) Support: ACCOUNT Funding Source: UNIV OSURF Start Up 14250 IF WILL TRAVEL THE Business dates: to Vacation dates: to Travel expenses such as lodging, rental car, airport parking, etc. will be pro-rated based on the provided dates. A cost comparison has been provided for airfare showing the cost variances due to the addition of vacation/personal days. IF YOU WILL A THE cost comparison has been provided showing the cost savings of driving versus flying. It should include total mileage, additional lodging, per diem, parking and gas. CHECK THE BOXES BELOW IF WOULD LIKE TO ARRANGE PAYMENT. MUST PROVIDE SUPPORTING DOCUMENTATION SO REQUEST CAN BE PROCESSED. (REGISTRATION FORM, FLIGHT / HOTEL ITINERARY FROM DESIGNATED AGENCY, ETC.) OSU prepayment requested: Airfare $_______ Hotel $_______ Registration $_______ Cash Advance $_______ ESTIMATED COST OF TRIP REGARDLESS OF WHO IS PAYING, OSU Airfare $ Taxi $ Bus $ Train $ Parking $ Visa Lodging $ Subway $ Tolls $ $ Other $ fees Registration $ Rental car $ Personal car mileage: #miles: x $.54= $ per diem Meal Type Meal Internet $ Gasoline $ reduced per diem $ (select one) estimate cost of meal Visit for information about per diem and mileage rates, the currency conversion tool, links to OSU Total Trip Estimate: $ contracted travel and rental car agencies, and much more! ADDITIONAL COMMENTS: Approval Signature Date (Supervisor/Department)
Name: EMPLID#: Address: Email/Tel#: Depart Date: m/d/yy Time: AM PM Return Date: m/d/yy Time: AM PM Departure City: Destination City: Destination 1: Destination 2: BUSINESS PURPOSE: (Please include a complete description and submit support documentation as specified below. Please spell out all acronyms and abbreviations.) Meeting/Conference: Invited Speaker: Research: Other: meeting agenda/itinerary, registration form with registration rates shown copy of the invitation letter or email equivalent description of research conducted and work dates description of the business activity for each day to be reimbursed Receiving financial support? Airfare Lodging Meals Other: (describe) Source of Support: Estimated Amount: $ Funding Source: UNIV OSURF Start Up ACCOUNT 14250 IF WILL Business dates: to Vacation dates: to Travel expenses such as lodging, rental car, airport parking, etc. will be pro-rated based on the provided dates. A cost comparison has been provided for airfare showing the cost variances due to the addition of vacation/personal days. IF WILL THE A cost comparison has been provided showing the cost savings of driving versus flying. It should include total mileage, additional lodging, per diem, parking and gas. CHECK THE BOXES BELOW IF YOU WOULD LIKE OSU TO ARRANGE PAYMENT. MUST PROVIDE SUPPORTING DOCUMENTATION SO THE REQUEST CAN BE PROCESSED. (REGISTRATION FORM, FLIGHT / HOTEL ITINERARY FROM DESIGNATED TRAVEL AGENCY, ETC.) OSU prepayment requested: Airfare $_______ Hotel $_______ Registration $_______ Cash Advance $_______ ESTIMATED COST OF TRIP REGARDLESS OF WHO IS PAYING, OSU Airfare $ Taxi $ Bus $ Train $ Parking $ Lodging $ Subway $ Tolls $ Visa fees $ Other $ Registration $ Rental car $ Personal car mileage: #miles: x $.54= $ Internet $ Gasoline $ Meal Type (select one) per diem reduced per diem cost of meal Meal estimate $ Visit for information about per diem and mileage rates, the currency conversion tool, links to OSU contracted travel and rental car agencies, and much more! Total Trip Estimate: $ ADDITIONAL COMMENTS: Approval Signature (Supervisor/Department) Date