Travel Authorization Form
Full Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Telephone Number
Position
Please Select
Alumni
Alumni Trustee
Assistant Secretary
Chaplain
Chapter President
Committee Chair
Committee Member
Executive Director
Media/IT Manager
Parliamentarian
President
Regional Coordinator
Secretary
Sergeant-at-Arms
Treasurer
Vice-President
Committee/Chapter
Email
example@example.com
Destination
City, state, country
Departure Date
-
Month
-
Day
Year
Date
Return Date
-
Month
-
Day
Year
Date
Travel Purpose (Please explain in details)
Seminar, conference, meeting, training, licensing, inspection, audit, etc.
Finance Details
Expense Table
Expenses
Cost ($)
Airfare
Transportation (mileage or fuel)
Hotel Accommodation
Meals (Total)
Registration Fee
Personal
Other expenses
Total Cost ($)
Heading
*If mileage reimbursement is the method of reimbursement, fuel reimbursement will not be authorized and vice versa.
Employee Signature
Date Signed
-
Month
-
Day
Year
Date
Approver's Section
Approver Name
First Name
Last Name
Job Title
Approver Signature
Date Signed
-
Month
-
Day
Year
Date
Print Form
Submit
Submit
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