Authorization for Special Travel Circumstances
Destination Dates of Travel
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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:
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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
1.
Approved:
_________________________________________________________
Immediate Supervisor Date
2.
Approved:
_________________________________________________________
Vice Chancellor/Executive Dean/Dean (as appropriate) Date
3.
Verification of State Travel Regulations Applied:
_________________________________________________________
Accounts Payable Office – Travel Specialist Date
4,.
Approved
: _________________________________________________________
Chancellor Date
Form 1380/004 (7/18)
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