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TRAVEL ADVANCE REQUEST FORM
§
All advances are
governed by the terms of Wesleyan’s Travel Policy at
www.wesleyan.edu/finance/financeDept/accounts/travelPolicy.html
§
Submit travel
advances 14 to 30 days prior to departure date
§
Amount of advance
cannot exceed per diem rate
§
Submit an expense
report within thirty (30) days after return from travel
TRAVELER’S
INFORMATION
Traveler’s
Name:
Department:
TRAVEL
INFORMATION
Date of
Request:
Amount
Requested
Reason for
Request:
Travel
Destination:
Departure
Date:
Return Date:
Reconciliation Due Date:
Account
Number:
CONTACT
INFORMATION
Contact
Person (if other than traveler):
Contact
Person Extension:
__________________________________________ __________________
Traveler
Signature Date
__________________________________________ ___________________
Supervisor
Signature Date
I have read and understand the
University’s Travel policies and procedures and will comply with the terms set
forth. Any and all unused Advance funds or funds used but not substantiated by
a valid and approved Expense Report must be returned to the University by the
date which is 30 days after the Return Date. By his or her signature above,
Traveler authorizes the University to deduct the amount of any such unused or
unsubstantiated funds from Traveler’s University pay.
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