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?*

YesNo

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?*

YesNo

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?*

YesNo

Will the event you are attending provide any meals?*

YesNo

*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:

	$ 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?*

YesNo

How many hotel rooms are required for students?*

Student Name & Birthday*

Student Activity Account *

Will you need Airline tickets?*

YesNo

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?*

YesNo

Size of Vehicle:*

Car (Standard Size)Van (Student Travel)

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?*

YesNo

Please enter Mileage details:

	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?*

YesNo

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

	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 Emilee

Employee Travel Request Form

Trip Details

Hotel Information

Per Diem Rates

Airline Information

Additional Expenses

Approval