FY2017CBE PRE-TRIP WORKSHEET

Name / Employee ID
Email / Phone #
Depart Date
m/d/yy / Time: / am / Return Date m/d/yy / Time / am
pm / pm
Departure City/ST
Destination City/ST / Destination 1
Destination 2
BUSINESS PURPOSE: Please include a complete description and spell out any acronyms and abbreviations. Provide hard copies ofthe required support documentation, specified below.
Meeting/Conference / Invited Speaker / Research / Other
agenda/itinerary/schedule or equivalent to show what the registration fee includes / copy of an invitation letter or email equivalent / description of research conducted and work dates / description of the business activity for each day to be reimbursed
Receiving non-OSU financial support? / Airfare / Lodging / Meals / Other
______/ Source of Support: / Estimated Amount: / $
Funding Source: UNIV
OSURF
Start Up /

org

/

fund

/

ACCOUNT

/

project

/

program

/

user def

14250

complete the section below IF Vacation time WILL be used in conjunction with travel

Business dates: / to / Vacation dates: / to
A cost comparison has been provided for airfare showing the cost variance due to the addition of vacation/personal days.

complete THE section below IF you WILL be using a personal vehicle for out-of-state travel

A cost comparison has been provided. Mileage for personal vehicles will be reimbursed as the primary mode of transportation if the cost does not exceed the least expensive airfare. Expenses including and not limited to lodging, parking, per diem, must be considered in advance of the trip when comparing the cost of auto to airfare.

complete THE section below IF YOU WOULD LIKE OSU TO PREPAY TRAVEL COSTS

OSU prepayment requested Airfare$______Hotel $______Registration $______Cash Advance $______
Submit any support documentation (registration form, flight or hotel itinerary from OSU travel agency) with your signed travel worksheet

ESTIMATED COST OF TRIP (please mark all that apply, REGARDLESS OF WHO IS PAYING, including OSU prepayments)

Airfare / $ / Registration / $ / Lodging / $ / Taxi / $ / Subway / $
Rental car / $ / Parking / $ / Tolls / $ / Bus / $ / Train / $
Visa fees / $ / Internet / $ / Personal car mileage: # of miles / x $.535 = / $
Other (describe)
______/ $ / Gasoline (rentals only) / $ / Meal Estimate
(select one and list the per diem amount) / per diem maximum $______
cost of meals / $
Visitto find per diem rates, the foreign currency conversion tool, links to OSU contracted travelrental car agencies, and much more! / Total Trip Estimate / $
Additional Information:
Approval Signature (Supervisor/Department) / Date

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