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Travel Authorization Form
Travel Authorization Form
TRAVEL RELATED TO OUTSIDE WORK FOR PAY SHOULD NOT BE AUTHORIZED BY THE UNIVERSITY SECTION A: TRAVEL AUTHORIZATION Name:
(Last) (First) (ZPID or MSU NetID#)
This section must be completed prior to departure.
SECTION B: ESTIMATED TRIP COSTS Airfare Lodging Ground Transport Meal Per Diems / M&IE Program Expenses Student Related Expenses Other
Email:
Visa Type
FISHERIES & WILDLIFE NATURAL RESOURCES BUILDING, 480 WILSON ROAD, ROOM 13 US Citizen
Faculty/Staff
Other
Total Estimate $
Account Number(s) to be charged: Purpose of Travel (Check all that apply and fill out description): XX Conference/Meeting International Programs External Relations/Development Teaching/Outreach Research Recruitment Team Other
Conference Fee Paid by ProCard: Yes Car Rental: Yes Airfare direct billing : Yes
Travel Reimbursed by: MSU Funds Description: 2014 Midwest TWS Student Conclave
XX
Non-MSU Funds
SECTION C: MOTOR POOL - CAR USAGE This section is to be filled out when authorizing traveler to use a Motor Pool Vehicle. Name(s) of Additional Drivers: 1) 2) 3) 4) Primary Driver:
SECTION D: EMERGENCY CONTACT INFORMATION - (AS REQUIRED BY COLLEGES/MAJOR ADMINISTRATIVE UNITS (MAU)) FOR INTERNATIONAL TRAVEL: International travel data provided from this section should be keyed into the Travelers Database (excluding MSU study abroad) by personnel designated in each participating college/unit. Enter "N/A" for missing information. FOR DOMESTIC TRAVEL: This section may be used for domestic travel. However, the information should not be entered into the Travelers Database. 1. Emergency Contact Information (spouse, etc.) Name 2nd Emergency Contact Information Name 2. Supervising Faculty Member Information (Graduate/Undergraduate Students Only) Name 3. Destination Information First Travel Location: Dates: 04/11/14 - 04/13/14 Hotel/Host: Bay Cliff Health Camp, Big Bay, MI Address: 4175 Baycliff Dr, Big Bay, MI 49808 Phone: (906) 345-9314 Host/Colleague Email: Second Travel Location: Dates: Hotel/Host: Address: Phone: Host/Colleague Email: Phone Email Phone Email
Phone
Third Travel Location: Dates: Hotel/Host: Address: Phone: Host/Colleague Email: Will the traveler be checking email while in travel status? SECTION E: AUTHORIZATION SIGNATURES Yes Travel Authorization: Motor Pool Vehicle: No Yes-regularly XX Yes-periodically
Fourth Travel Location: Dates: Hotel/Host: Address: Phone: Host/Colleague Email: Yes-infrequently No
Dean (including Assoc. & Assist. Dean), Director, Chairperson, or Organization Level Budget Officer
Print Name
Date