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REMEMBER ...The Accounting Office must have all receipts within 60 days after travel to ensure that you receive full reimbursement.
Today's Date: 07/05/2008
Name
Department
Title (or "n/a")
Home/Postal Address
UT-EID (No SSN!) or email accounting for help
Email
Destination(s) Visited(city,state or city,country)
Authorized absence to extend
From -1 2 3 4 5 6 7 8 9 10 11 12 / -1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / -2007 2008 2009
To -1 2 3 4 5 6 7 8 9 10 11 12 / -1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / -2007 2008 2009
Please note that "Washington DC visit" means just that. For example, you should not try to fill out this section if you have a conference in Virginia but your plane happens to land at a DC airport. If you are really uncertain whether you should complete this section, please contact the Accounting Office for guidance.
If you complete this section,you do not need to complete the "Purpose of travel" section below, but please do furnish the requested information for, at least, DC Visit1.
Date -1 2 3 4 5 6 7 8 9 10 11 12 / -1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / -2007 2008 2009
Person Visited or Type of Event
Organization
Select one or more:
Relevant details, e.g. complete conference name and title of paper, or n/a:
No Yes
If yes please provide account and expense info:
Account
Number
Title Estimated expenses
No
Yes
ATTENTION STUDENTS You need to complete two additional forms