Name (As It Appears on Your Travel I.D.)

TAR Request Form

Name (as it appears on your travel I.D.):
Extension:
Z#:
Travel Authorization: / An approval e-mail was received from the supervisor and forwarded to the Secretary and the Associate Dean.
Destination:
Purpose of Travel:
Conference Title:
Departure: / Date: / (M/d/yyyy) / Time: / : A.M.P.M. / Location:
Return: / Date: / (M/d/yyyy) / Time: / : A.M.P.M. / Location:
Will you miss any classes? / Yes / No
If yes: / Date: / (M/d/yyyy) / Course#:
Coverage:
Date: / (M/d/yyyy) / Course#:
Coverage:
Date: / (M/d/yyyy) / Course#:
Coverage:
Source(s) of Funding: / E&G / Amount: / $ / Account#:
Foundation / Amount: / $ / Account#:
Grant / Amount: / $ / Account#:
Estimated Expenses: / Lodging: / $ / (include estimated tax if applicable)
Registration: / $ / Paid with P-Card? / Yes / No
Car Rental: / $ / Avis Contract Rate? / Yes / No*
Airfare: / $ / Paid with P-Card? / Yes / No**
Airport Parking: / $
Cabs/Shuttles: / $
Other: / $ / Type of Expense:
Per Diem: / $ / Leave this field blank.
Mileage: / $ / x $0.445 = / $ / Leave this field blank
Notes:
*Ask the secretary to reserve an Avis rental car using the State of Florida rates.
**If making and purchasing your own flights, please print a first page summary from Orbitz or Expedia for comparison. Airfare must be within $75 of the lowest available rate unless valid justification is provided.

\\Elway\honors\Dean's Office Operations\Forms & Templates\TAR Request Form (1).doc

Last updated 08/13/2014