Employee Travel Request Form

Name of Requestor

First NameLast Name

Today's Date

Email

Name of Traveler

First NameLast Name

Department

Purchase Request (PR) Number

Departure Date

Return Date

ERROR: Return Date must be AFTER Departure Date

Hidden Number of Days on Trip

Destination City

Destination State

Travel Purpose (Please explain in detail)

(ex: seminar, conference, meeting, training, licensing, professional development, etc.)

Please upload information about the event below (ex - flyer, schedule, agenda):

Will you require a Hotel room?

Check-in Date

Check-out Date

ERROR: Check-out Date must be AFTER Check-in Date

1st Hotel Preference

Name of Hotel

Street Address

CityState / Province

Postal / Zip Code

2nd Hotel Preference

Name of Hotel

Street Address

CityState / Province

Postal / Zip Code

Will you be sharing a room?

Name of person you will be sharing a room with:

*Please click the Per Diem/GSA Rates link below. Enter your destination city and state to answer the following questions*

Per Diem/GSA Rates

Daily Lodging Rate for Destination

Number of Nights

Hidden Room Rate

Hidden Room Rate Taxes

Total Estimated Hotel Expense (including taxes):

Will you be claiming Per Diem for Meals?

Will the event you are attending provide any meals?

*Please enter the individual Per Diem/GSA Rates for Breakfast, Lunch and Dinner that you are claiming for this trip*

The amounts entered below are what you are claiming for meal Per Diem reimbursement and are *NOT* provided while attending the event:

Rows	$ Rate	Number of Days	Total
Breakfast
Lunch
Dinner
Incidental Expenses

Total Estimated Individual Meal Expense:

Meals - Enter amount in column for "First & Last day of Travel"

Hidden F & L Total

Meals - Enter amount in column for "M&IE total"

Hidden Number of Full days on Trip

Hidden M&IE Total

Total Estimated Meals & Incidental (M&IE) Expense:

Will students be traveling?

How many hotel rooms are required for students?

Student Name & Birthday

Student Activity Account

Will you need Airline tickets?

Please enter Traveler information below (Required to book flights):

Name of Traveler (Name must match Government issued ID)

First NameLast Name

Date of Birth

Cell Phone Number

Gender

Please include destination Airport Code:

US Airport Codes - 3 Letter Airport Codes

What time of day do you need the flight to depart from the airport?

What time of day do you need the return flight to leave the airport?

Total Estimated Airline Expense:

Will you need a Rental Car?

Size of Vehicle:

Rental Pickup Date

Rental Return Date

ERROR: Rental Return Date must be AFTER Rental Pickup Date

Hidden Total Number of Days needed for Rental:

Total Estimated Rental Car Expense:

Total Estimated Rental Van Expense:

Will you be claiming any Mileage for a personal vehicle?

Please enter Mileage details:

Rows	Date	Departure Address	Destination Address	Miles Driven
Trip 1
Trip 2
Trip 3
Trip 4
Trip 5

Hidden Mileage Total

Total Estimated Mileage:

Will you be claiming any Additional Expenses?

Please enter Additional expenses details (ex: shuttle, parking, uber - tips are NOT included):

Rows	Expense	Cost $
1)
2)
3)
4)
5)

Total Estimated Additional Expenses:

TOTAL ESTIMATED EXPENSES

Additional Comments:

Approver

Hidden Approver Email

ELT Approval

Hidden ELT Email

Superintendent Approval

Hidden Superintendent Email

Hidden Melissa Email

Hidden Colleen Email

Hidden Anne Email

Hidden Allana Email

Employee Travel Request Form

Trip Details

Hotel Information

Per Diem Rates

Airline Information

Additional Expenses

Approval