Travel Authorization Form

* Authorization is required for all University-related travel

Department: English Graduate Department

Date of Request

Year/Month/Day

Name of Traveler:

Destination(s) :

Dates of Travel:

Year/Month/Day

Return Date:

Year/Month/Day

Purpose of Travel:

Proof of Presentation: please upload the page from the conference booklet detailing your presentation, or other proof of attendance.

How are your duties being covered during your absence?

Does this request include any personal time? If so, please list dates:

Outside Funding Are you applying any additional funding outside the department to this trip?

Attach outside funding letters/emails in a single file:

Reimbursement Option:

Registration Fees:

Airfare:

Lodging:

Rental Car: *Enterprise or National Only

Meals:

Mileage/ Gas:

Map Upload:

Insurance: *required for international travel $16.95/week

Other: *parking, taxis, baggage, etc.

Other Attachments:

Additional Comments:

Total Requested:

Email:

Electronic Signature & Student ID:

Please verify that you are human.

Department of English