JMU Travel Authorization Traveler’s Name: Contact Person: Number: Department: Department MSC: Date Prepared: Destination(s) Departure Date: Return Date: Reason for Travel: Check if Foreign National Visitor If Foreign Destination, Indicate Benefit to the Commonwealth (Check One Box below) Economic Development: Enhancing the reputation of the Commonwealth: (please explain below): Exception Requests Lodging Rate Exception Justification: (Explain): SECTION 1 : Amounts to be Prepaid Pay To Estimated Cost Air Transportation $ Conference/Registration Fee $ $ Subtotal: Section 1 Small Purchase SECTION 2 Charge Card Amounts to be Expended Travel Card Funds (Cannot Exceed $4,999.) Rental Vehicle $ $ Air Transportation $ Rail Transportation Hotel - No. Nights X Rate = Meals and Incidental Expenses Personal Vehicle Miles X Rate = Other (tolls, Phone calls, etc.) Subtotal: Section 2 $ + $ + $ = $ Total Estimated Cost Of Trip: $ Approved Department's Organization Number Travelers Signature Indicates Agreement to prepare and submit a Travel Expense SIGNATURES: Reimbursement Voucher within THIRTY days of returning from travel. Date: Date: Organization /Expenditure Authority: Date: Final Approving Authority: VP/AVP; Dean/Asst/Assoc. Dean; Or Director who reports directly to Authorization No a VP International Travel _________________________________________________ Authority: Date: _______ Senior VP of Administration & Finance Forward Original form (BEFORE TRAVELING) with all required approvals to the Office of Accounts Payable, MSC 5712. Retain a photocopy in Department Office. Revision 02/22/13
JMU Travel Authorization Traveler’s Name: Contact Person: Number: Department: Department MSC: Date Prepared: Destination(s) Departure Date: Return Date: Reason for Travel: Check if Foreign National Visitor If Foreign Destination, Indicate Benefit to the Commonwealth (Check One Box below) Economic Development: Enhancing the reputation of the Commonwealth: (please explain below): Exception Requests Lodging Rate Exception Justification: (Explain): SECTION 1 : Amounts to be Prepaid Pay To Estimated Cost Air Transportation $ Conference/Registration Fee $ Subtotal: Section 1 $ SECTION 2 Amounts to be Expended Travel Card Small Purchase Charge Card (Cannot Exceed $4,999.) Funds Rental Vehicle $ $ Air Transportation $ Rail Transportation Hotel - No. Nights X Rate = Meals and Incidental Expenses Personal Vehicle Miles X Rate = Other (tolls, Phone calls, etc.) Subtotal: Section 2 $ + $ + $ = $ Total Estimated Cost Of Trip: $ Department's Organization Number Approved SIGNATURES: Travelers Signature Indicates Agreement to prepare and submit a Travel Expense Reimbursement Voucher within THIRTY days of returning from travel. Date: Organization /Expenditure Authority: Date: Final Approving Authority: Date: International Travel Authority: VP/AVP; Dean/Asst/Assoc. Dean; Or Director who reports directly to a VP _________________________________________________ Senior VP of Administration & Finance Date: _______ Authorization No Forward Original form (BEFORE TRAVELING) with all required approvals to the Office of Accounts Payable, MSC 5712. Retain a photocopy in Department Office. Revision 02/22/13
travel_auth.docx