The University of Memphis
  Request for Future Year Travel Authorization
Click here for online help.
NOTES: This form is only to be used for FUTURE YEAR travel (both domestic and international). If submitted in duplicate, a copy will be returned to the department when approved. The University Of Memphis Policy UM1309 University Travel provides additional information for completing this form.
Name:
Department:
Phone:    Banner UID:
Date of Request:
Faculty/Staff   Student   Prospective Faculty/Staff    Visitor
Amount: $      Index/Account Code to be Charged:
Contact Name: Contact Phone/Email:
Complete the following for prospective faculty or visitor:
Address:
City: State:   Zip:    Country:
Mode of Travel:   Airline  Auto (employee)  Rental Car  Other:
Dates of Travel:  to      Destination:
Is travel international? (includes Hawaii & Alaska): No Yes
(Please note: Hawaii/Alaska/international travel requires President's approval below. International travel using grant funds also requires Research Support Services approval below.)
Purpose of Travel:


APPROVALS AS REQUIRED

________________________________________________________________ 
Department Head
_____________
Date
________________________________________________________________ 
Dean/Director
_____________
Date
________________________________________________________________ 
Research Support Services (required only for grant-funded international travel)
_____________
Date
________________________________________________________________ 
Vice President/Provost
_____________
Date
________________________________________________________________ 
President
_____________
Date
ACCOUNTING OFFICE USE ONLY
Availability of Funds:_________________________      Travel Purchase Order Number:_________________