The University of Memphis
  Request for Travel Authorization
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NOTES: Online requests should not use this form, but should be gained from Banner Finance Self Service. If submitted in duplicate, a copy will be returned to the department when approved. This form is only to be used for travel in the continental United States. Travel to Hawaii, Alaska, and out of the country must be processed on the form Request for International Travel (Including Hawaii and Alaska). 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    Visitor
Amount: $
Index/Account Code to be Charged:
Complete the following for prospective faculty or visitor:
Address:
City: State:   Zip:    Country:
Spouse travel authorized? No Yes (Spouse travel must have Vice Presidential approval)
Mode of Travel:   Airline  Auto (employee)  Motor Pool  Other:
Dates of Travel:  to      Destination:
Purpose of Travel:


APPROVALS AS REQUIRED

________________________________________________________________ 
Department Head
_____________
Date
________________________________________________________________ 
Dean/Director
_____________
Date
________________________________________________________________ 
Vice President
_____________
Date
________________________________________________________________ 
President
_____________
Date
ACCOUNTING OFFICE USE ONLY
Availability of Funds:_________________________      Travel Purchase Order Number:_________________