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The University of Texas at Austin

Request for Travel Authorization

REMEMBER ...The Accounting Office must have all receipts within 60 days after travel to ensure that you receive full reimbursement.

Today's Date: 11/08/2009

Name

Department

Title (or "n/a")

Home/Postal Address

UT-EID (No SSN!)

Email

Destination(s) Visited
(city,state or city,country)

Authorized absence to extend

From / /

To / /

For Washington DC Visits Only
Purpose

  • 41 Federal Congressional Testimony
  • 42 Federal Congressional Visit
  • 43 Agency Visit (general)
  • 44 Agency Visit (grant followup)
  • 45 Public Interest Grp or Prof Assoc Mtg
  • 98 Other (specify below)

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.

DC Visit 1

Date / /

Person Visited or Type of Event

Organization

DC Visit 2

Date / /

Person Visited or Type of Event

Organization

DC Visit 3

Date / /

Person Visited or Type of Event

Organization

Purpose of travel

Select one or more:

  • 01 Attend meeting, conference, etc.
  • 02 Conduct lecture or teach course
  • 03 Perform research activities
  • 04 Participate or officiate in an event
  • 05 Recruit prospective employee or student
  • 06 Site or field visit
  • 07 Serve as expert witness
  • 08 Present original research paper
  • 09 Fund raising
  • 10 Negotiate a contract
  • 11 Personal business
  • 99 Other

Relevant details, e.g. complete conference name and title of paper, or n/a:

Benefit to UT

Select one or more:

  • 01 Help accomplish research objectives
  • 02 Help fulfill contract provisions
  • 03 Enhance graduate/undergraduate curriculum
  • 04 Enhance performance of job duties
  • 05 Enhance University operations
  • 06 Enhance reputation of the University
  • 07 Raise funds for faculty/student support
  • 99 Other (specify below)

Disposition of duties while absent

Select one or more:

  • 01 No classes missed
  • 02 Duties assumed by colleagues or staff (specify)
  • 03 Duties require travel (specify)
  • 04 Duties held until return (specify duties)
  • 99 Other (specify below)

Will there be any cost to the University?

No Yes

If yes please provide account and expense info:

Account

Number

Title Estimated expenses

  • Meals
  • Lodging
  • Transportation
  • Registration
  • Other
Will you be requesting a Faculty Travel Grant?

No

Yes

ATTENTION STUDENTS You need to complete two additional forms