1. Authorization for Special Travel Circumstances
      1. Destination        Dates of Travel
      2. sdfsd




Authorization for Special Travel Circumstances
 


Employee     Date

Title                Division/Dept



Destination              Dates of Travel
 
 
I request approval for the following special travel circumstances:
 
Check all that apply:
 

Vehicle Rental for Out-of-State Conference/Meeting Travel
Provide Justification Below:



sdfsd
 
 
 


Internet Access and/or Phone Usage Provide Justification Below:
(Internet and phone usage should not be reimbursable if service is provided by College or conference site except in unusual circumstances.)


 
 
 


Other Special Expenses as per Delgado Travel Procedures (Alternative transportation mode other than air travel, etc.) – Provide Justification Below:


 
 
 
I certify that these expenses are necessary for college operations. I am prepared to document and justify in the event of auditor’s request.
 
____________________________________________  
Employee’s Signature
 
Approved: _________________________________________________________
   Immediate Supervisor          Date
 
Approved: _________________________________________________________
   Vice Chancellor/Executive Dean/Dean (as appropriate)  Date
 
Approved: _________________________________________________________
   Assistant Vice Chancellor/Controller      Date

 
 
 
Form 1380/004 (7/16)

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