Travel Authorization Form

If you have any questions please refer to the Travel Guide. If that does not contain the answer then please e-mail math-travel@fsu.edu.

Personal Information

Name*

Date (form completed) Test

Email (must be a complete valid address)*

Position Title*

Mailing Address

Travel Purpose and Benefit

Business Purpose of Trip*

Explanation of Benefit to University*

Funding

Department funding must follow the Travel Support Guildlines, and requires the approval of the Chair. If known, please list grant or budget information in Funding Comments.

Method of Funding*

Funding Comments

Destination Information

Departing from:

City, State*

Date*

Time*

Returning from:

City, State*

Date*

Time*

Additional stops? Explain within Destination Comments.

Destination Comments

Travel Information

Flight Information

Flight Comments

If you book your flight, please be sure to email the invoice/receipt to Priscilla Travis. This is needed for your expense report.

Car Information

I understand that I will receive $0.445 per mile, standard state mileage.

Justification is required if anything other than AVIS/Budget, Enterprise/National, Hertz, size Compact is used.

Car Comments

Will you require Uber, Lift, or other taxi services for which you wish to receive reimbursement?

Parking Information

Parking Comments

Lodging Information

Reimbursement of rooms costing over $175/night will require justification.

Hotel Name

Lodging Comments

Meal Information

Meal Comments

Conference Information

Conference Name

Conference Website

Registration Cost

Conference Comments

Submit

Department of Mathematics