COMMUNITY COLLEGE OF ALLEGHENY COUNTY Trip Request Form Date:
Print or Type information
Traveler’s Full Name (First, Middle, Last)
Campus
Colleague ID
Street
City
State
ZIP
Destination
From
To
Purpose of Trip
Maximum Expenses Estimates
Registration Fee:
Auto miles @ per mile:
Days @ Days @ $30 per day Days @ $60 per day Days @
per day
Hotel: Meals: Meals: Student Meals:
Ground Travel, Parking etc.:
Airfare: Other Expenses: Total Estimate:
per day
Max. Amount $35.00
Indicate the amount of travel advance*: *Allow a minimum of 7 working days for processing
Acct. to be Charged Fund:
Object:
Department:
Location:
Amount:
Acct. to be Charged Fund:
Object:
Department:
Location:
Amount:
Instructions • Travelers are to make their own travel arrangements including airfare, hotel and registration. • Travel Expense Reports are due within 30 days of completion of trip. • Original receipts for expenses must accompany the Travel Expense Report and be returned to the campus Business office. • If a travel advance is indicated above, the advance will be issued no sooner than seven working days from receipt of the complete paperwork in Accounts Payable Expenses that are not Covered • Personal phone calls in excess of one per day
• First class airfare ,or seat upgrades • Cellular phone charges • Non-college related side trips • Personal expenses for spouse, etc. (Exceptions must be justified in writing)
• Car mileage in excess of airfare • Sales tax on any supply items • Overnight hotel on local conferences • Meals in excess of applicable per diem
I, the traveler, authorize the Community College of Allegheny County to deduct any advance outstanding for more than 60 days from my pay
Print Name:
Traveler’s Signature
Regional President/Vice President
Vice President Finance
College President or Provost ( Respective Direct Reports Only )
Retain a copy for your records and sen d the original to the Business/Account Office
This publication was originally created by CCAC Office of Institutional Advancement
Trip Request FRM modified -KAH-March-19
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