Travel Authorization and Request Form

The Division of Student Affairs has a strong focus on professional development and involvement for all of its employees.In order to promote this focus all employees are encouraged to be involved in professional societies. This involvement will provide our employees with opportunities to network, gain expertise and gain knowledge that will enhance employee professional development.

In order to ensure that our travel funds are being used in an effective manner, all employee travel requests, excluding those that are local travel and/or less than $100 total cost, are reviewed by the vice president’s office before travel is authorized.

Travel requests are prioritized based on the following:

  • The employee holds a leadership position within the professional organization.
  • The employee is presenting at the conference.
  • The employee has a need for a specific training or information in a given area that cannot be obtained at the University.
  • The employee is a participant in the conference planning committee/staff.

Please have employees complete the attached form and attach to travel requests. Please provide any and all information that will allow us to understand the importance of the travel and how it fits into the criteria above. Also include an explanation of any unusual travel costs or arrangements.

Please ensure that the immediate supervisor, the department director and associate vice president have reviewed and signed the request before forwarding to the vice president’s office for final authorization.

Name:

Dept:

ID:

THE UNIVERSITY OF AKRON

REQUEST/CERTIFICATION OF LEAVE

For all full-and part-time employees: faculty, contract professionals, and biweekly (exempt) staff (OAC 3359-11-01). Submit this form for any absence from campus: i.e., illnesses, medical appointments, professional meetings, educational classes, or other absences during regularly scheduled work times. To utilize the Family and Medical Leave Act, or if you require periods of extended leave, contact Benefits Administrationat x7092.

PURPOSE OF LEAVE WITH PAY

VACATION

SICK LEAVE (check one: personal immediate family)

PROFESSIONAL* (provide telephone contact in COMMENTS)

OTHER (provide reason for requested leave in COMMENTS)

COMMENTS

(Please provide the name and contact information for the person designated to act on your behalf while you are out)

DATE(s) / TIME / TOTAL HOURS

I certify that the dates and purpose of the leave are accurate as reported. I understand that falsification may result in disciplinary action, up to and including termination.

EMPLOYEE SIGNATURE:______DATE: ______

REQUEST FOR LEAVE: APPROVEDTRAVEL AUTHORIZATION APPROVED

DISAPPROVED DISAPPROVED

SUPERVISORS SIGNATURE:______DATE: ______

DISTRIBUTION: signed original to the Vice President/Dean for month-end reporting.

TRAVEL AUTHORIZATION

Complete this portion PRIOR to incurring any travel expenses for overnight or out-of-state professional trips. Submit actual expenses for reimbursement on the UA Travel Expense Report after the completion of travel.

Date prepared: EXPENSE ESTIMATES

For (person): PROBABLE MODE OFTransportation* $

Attending: TRANSPORTATIONLodging$

Where: air, train, busMeals$

When: private/pool vehicleRegistration$

Name of personal auto insurance carrier:

Reimbursement type: Full estimated amt. $ rental car Parking $

Partial estimated amt.$Other$

ACCOUNT CODE(S)Total$

% ??????%
%

Approved by: ______

Chair/Director/Vice PresidentDate

DISTRIBUTION: Original to the Vice President/Dean for records; copies to Chair/Director and person traveling.

The University of Akron

Division of Student Affairs

Travel Authorization Addendum

Conference/Workshop Name:
Requestor Name (please print):
Requestor holds a leadership position in the professional organization.
Requestor is presenting at the conference.
Requestor has need for specific training or information that cannot be obtained at the University.
Requestor is a participant in the conference planning committee/staff.
Briefly explain the reason for your attendance at the Conference/Workshop:
Briefly explain any unusual costs associated with this travel: