Travel Request Form
Use this form to request an expenditure for travel for a conference, workshop, training, event, or a site visit.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Department
NHE
ANPS
Business Office
Dean's Suite
LHTI
ORS
OSAA
Other
Supervisor Email
example@example.com
Appointment Type
Please Select
Career Track
Tenure Track
Tenured
Staff
Post-Doc Fellow
Student
Other
Type of Travel
Conference Participant
Conference Presenter
Workshop/Training
Clinical Site Visit
Other
Travel Dates
Details of Trip
Site Name
Site Location
Reason for Visit
Name of Workshop or Training Program
Name of Conference
Conference/Training/Workshop URL
Description of Event
City, State
Title of Presentation
Presenting Author
Other Author
Other Author
Other Author
Other Author
Other Author
Estimated Costs
Registration
Hotel total for all nights
Travel (Airfare, Ground Transportation)
Per Diem Total
See
https://policy.fso.arizona.edu/fsm/1400/1471
for Per Diem rate info.
Total Estimated Cost
Funding Source
Grant
Startup
Department
Program
Other
Business Purpose of Trip
Supervisor Approval?
Approved
Denied
Reason
ORS Approval
Approved
Denied
ORS Approval Reason
Submit
Should be Empty: