BREVARD COLLEGE STAFF TRAVEL REQUEST FORM Name_________________________________
Department_____________________________
Travel date(s)___________________________
Destination_____________________________
Purpose of trip________________________________________________________________________ Advance? yes
no Date due_____________ Amount advanced_________ Check no.___________
NOTE: Applicant must submit request for an advance to the Office of Finance by 12:00 p.m. Wednesday, in order for a check to be cut on Friday of that same week. If a check is advanced, all receipts must be attached to the check stub and returned to the Office of Finance within 5 days of applicant’s return. EXPENDITURES
Amount Requested
Amount Spent
Travel by College car _____ miles
_______________
_______________
Travel by personal car_____ miles @ $0.28
_______________
_______________
Other transportation______________
_______________
_______________
Parking / tolls
_______________
_______________
Meals_____ @ __________
_______________
_______________
Lodging_____ nights @ __________
_______________
_______________
______________________________
_______________
_______________
______________________________
_______________
_______________
______________________________
_______________
_______________
Total expenses:
_______________
_______________
Miscellaneous:
(Note: Registration fee must be processed through the Purchasing Department) Amount owed to applicant (in excess of advance, or as reimbursement):
_______________
Amount owed to Brevard College (if expenses are less than amount advanced): _______________ SIGNATURES OF APPROVAL Applicant ______________________________________________________
Date: ______________
Department/Division Head _________________________________________
Date: ______________
ACCOUNT TO BE CHARGED: _____________________________________ I hereby authorize Brevard College to withhold from my paycheck the amount of any unauthorized charges or expenditures not supported by appropriate documentation, as determined by the College, for which I have received a cash advance: ___________________________________________________________ Date: ________________ Employee signature/authorization
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