The University of Georgia-Athens, Georgia 30602
Request for Authority to Travel on Official University Business
(For out of State travel only)
NOTICE: Please notify the Accounts Payable Department in writing if this authority has been encumbered and then is not exercised.
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Authority No: 1129293

Traveler's Name:

Social Security No: XXX-XX-

Department:

University Employee:

Account Number(s)

Do Not Use
This Space

Name of Account(s)

Amount

Fiscal Year

ITEMIZED ESTIMATE OF COSTS
Meals:
Lodging:
Transportation:
Other (explain):

*Reimbursement to traveler cannot exceed amount allowable under University Travel Regulations.

Time of Departure:
Mode of Travel:

Nature of Official Business:

Please provide detailed justification for the travel:

Dates to be absent from campus:

Address while absent:

Means of handling classes and other business while absent:

Indicate below if traveler wants air travel expense charged directly to the University

Name of authorized travel agency:

Dept. Contact:

Email:

Phone:

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