Revised: 9/09/11(For Office Use Only)Assigned PeopleSoft Requisition Number:______
Initial Travel Request
Name:______Departure date: ______Return date:______
Destination(s) [City/State/Country]:______
Foreign travel: Please provide the name of the person(s) and institution(s)that you will be visiting and a breakdown of the dates for each visit.
Purpose of Travel: (Name of Meeting(s)/Event(s): ______
______
Personal/Vacation Date(s) if any: ______
(If any Personal/Vacation time is included, also submit a Notification of Absence form to the Biochemistry Office.)
Who will cover your work while you are away?______-A name must be noted, as required on the PeopleSoft Requisition.
List of Expenses: (Be as accurate as possible because the funds will be encumbered once this request is processed on the PeopleSoft Travel Requisition System.)
$______Airfare–Will you be using (UPT)university paid travelfor your airline tickets? __Yes __No
If yes, call one of the designated travel agencies: 1) Corporate Travel (366-1142) 2) The Alamo Travel Group (611-3461)
If you are not using UPT, you should pay with your State Issued Travel card.If you obtain a lower airfare rate than Corporate or Alamo Travel Agencies and pay with a personal credit card, you must obtain a verbal or email quote from one of these agencies. This quote needs to be noted on your travel voucher when it is submitted for reimbursement.
$______Rental Car $______Gas for Rental Car
$______Personal Car Mileage for In-City / In-State Travel. Current Texas reimbursement rate is .50¢ per mile.
$______Other Transportation: -Taxi, Shuttle or Train fare(s)
$______Lodging and Meals Per Diem for ______Days: OR ____Lodging only ____Meals only
$______Incidental Expenses such as standard hotel taxes, phone calls, internet fees, etc.
For In-State/ Out of State Travel Reimbursement Rates: please refer to the link to look up your destination.
Foreign Travel: There are no set per-diem rates.
Will your meals and lodging be included and paid on a registration package? ____Yes ____ No
$______Airport or Other Parking Fee(s) $______Baggage Fee(s)
$______Registration and/or Abstract Fee(s) -Provide a breakdown if claiming more than one fee). Prepaid with a Procurement Card? Yes/No____
Reminder: The Procurement Card can’t be used for a Registration Fee if it’s including payment for Lodging and Meals.
Expenses will be paid by: ___Grant funds – PID#______Host ___Personal funds
Will you be receiving aconsultant fee?___Yes ___No - If YES, please fill out the following form available on the UTHSCSA website.
-REQUEST FOR APPROVAL OF OUTSIDE EMPLOYMENT, CONSULTATION, OR RELATED ACTIVITIES.
Upon your Return, fill out aTravel Expense Form and Submit it with all your Original Receipts to the Biochemistry Office Staff.
All Receipts Needed: For Registration/Abstract Fees, for a (Non-UPT) Airfare, Baggage Fee(s), Taxi/Shuttle/Train Fares, Car Rental, Gas for Car Rental, Parkingfees,Meals and Itemized Hotel receipt with incidental fees such as room taxes/fees, Internet fees, etc.
______
Person Requesting Travel Principal Investigator OR Department Chairman
Authorized Signature on Project ID#