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: 4235196
Traveler's Name: Employee (VN):
Department: University Employee:
Account Number(s) Do Not Use
This Space
Name of Account(s) Amount
Fiscal Year

A.

B.

C.
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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