Request for Travel Authorization
Middle Tennessee State University, Murfreesboro

TA no.

(Business Office Use Only)
Submit this approved form to the Business Office BEFORE travel begins in accordance with MTSU Policy I:01:02, section II. The Business Office will return a copy to the activity or department head. Reference your TA number assigned by the Business Office on your Claim for Travel Expenses form.
Name Date of request Department Destination Check one: Faculty Phone no. Account no. Departure date Administrative/Classified Student Social Security no. P.O.Box Object code Return date Team/Student Group Other

Purpose of Travel

a. University Business Description b. Conference, workshop, or seminar

Estimate of Expenses

Reimbursable Expenses Method of Transportation Personal car Airfare Rental Car Other Lodging Number of nights @ If conference, workshop, or seminar, please attach related brochure documenting hotel rates to your "Claim for Travel Expenses." Meals Number of days @ $ $ Mileage Miles @ $ $ $ $ $
Registration fee Other reimbursable expense:
$ $ Total Reimbursable Expenses: University Paid Expenses Registration fee (attached completed registration form and mailing instructions) Airfare (specify travel agency: Total University Paid Expenses Total Estimated Travel Expenses Group Travel Only Advance requested? Yes No Amount? Date needed Office Use Only: Advance account no.: Signature of requester (must be original) Approving authority
Activity or Department Head Dean, Vice President, or President (as required)

$ $ $ $

All-Points

Town and Country

Wright Travel)

0.00 0.00

Instructions for Completing the Request for Travel Authorization

Section 1:

This is a general information section. Type or print your name, social security number, the date of the request, on-campus phone number, on-campus P.O. box number, department, account number, travel object code, destination, departure and return dates in the appropriate blanks. Also check one box that best describes your position with the University.

Section 2:

Place an X in the space that best describes the travel purpose. Type (a) is for travel which is necessary for the proper execution of official University business or in justifiable pursuit of an institutions educational and research objectives. Type (b) for travel to conferences, workshops, seminars, or meetings of a professional nature which will increase the attending employees usefulness to the University.

Section 3:

The Estimate of Expenses consists of reimbursable expenses and University-paid expenses. Reimbursable expenses are those paid directly by the traveler and include transportation, lodging, meals, registration fees, and other miscellaneous travel expenses. Indicate in the appropriate spaces your best estimate of these expenses. University-paid expenses include registration fees and airfare billed through one of the three university-contracted travel agencies. Consult MTSU Policy No. IV:02:01, Section 3.b., for current per mile cost when using motor pool vehicles. If you prefer to have the University pay your registration fees, you must attach a completed registration form including any mailing instructions. A travel advance may be requested when an employee is traveling with a group of students and the employee is responsible for disbursement of all funds for the trip.

Section 4:

Sign the form and obtain required approvals.

Travel Object Codes

Individual In-State Business - Faculty Individual In-State Business - Administrative/Classified Individual In-State Professional - Faculty Individual In-State Professional - Administrative/Classified Individual Out-of-State Business - Faculty Individual Out-of-State Business - Administrative/Classified Individual Out-of-State Professional - Faculty Individual Out-of-State Professional - Administrative/Classified Individual Out-of-Country Business - Faculty Individual Out-of-Country Business - Administrative/Classified Individual Out-of-Country Professional - Faculty Individual Out-of-Country Professional - Administrative/Classified Group/Team Travel In-State Group/Team Travel Out-of-State Group/Team Travel Out-of-Country Visitor In-State Visitor Out-of-State Visitor Out-of-Country

Please refer to MTSU Policy IV:04:30 for a complete listing of travel object codes and descriptions.
A Tennessee Board of Regents Institution
MTSU is an equal opportunity, non-racially identifiable, educational institution that does not discriminate against individuals with disabilities.

FA048-397