IC Logo

 

Travel Authorization Form


All travel must be in compliance with the College's Travel Policy.

The Travel Authorization Form is used to plan and authorize travel and to verify that funds are available.

Instructions:

  • Complete and submit to your Authorized Approver at least 2 weeks prior to domestic travel and 8 weeks prior to international travel
  • Provide the approved Travel Authorization Form to your Departmental Coordinator
  • Provide a copy to Travel Services if traveling internationally
  • Within ten business days of completion of travel, submit an approved Expense Report Form with supporting documentation, to Travel Services for review/processing.

* Indicates required field
TRAVELER CONTACT INFORMATION
Name *   
Department *   
Email *   
Home address *   
Home/cell phone *   
Campus address *   
Campus phone *   
TRIP INFORMATION

Date of departure *

  

Date of return *

   

Destination(s) *
   Include Country,City, State

   Domestic     International - please submit a final copy of this form to Travel Services
  

Trip purpose *

  

Number of Travelers *

   Indicate the number of each:
   Faculty     Staff     Student(s)  

Full names of
additional travelers *
   Enter N/A if traveling alone

   
FUNDING SOURCES AND AMOUNTS

 

    Check here if trip does not require Ithaca College funds

Maximum funding
authorized

$

Parnassus
account number(s)
and dollar amount(s) *

 

  
      Example:
      01.06.50.999.7413.000.00000 -- $2,000;
      03.02.50.999.7413.000.29000 -- $1,000

External funding sources
and amounts

  
      Example:
      ROTC -- $500
ANTICIPATED EXPENSES   Itemized receipts are required for all expenses

Registration

$   

Airfare

$

Lodging

$ per night for nights = $ Indicate tax exempt status when making reservations

Meals

$ per day for   days   = $

College vehicle
    Sedan/Hybrid $38 daily
    Minivan $45 daily

$ Vehicle Request Form link will appear after this form is submitted

Personal vehicle -
estimated mileage
   (miles x $.565)

$ Personal vehicle insurance applies. Ithaca College reimburses up to 180 miles per trip.

Ground Transportation
   (Bus, Taxi, Shuttle, Train, etc)

$ Enterprise Rent-A-Car & reservation instructions

Other Costs (describe)

$

 

$

TOTAL:  
$
CASH ADVANCE REQUEST
Amount requested
   Limited to international and student group travel. Contact Travel Services for more information.
$
 
  * I acknowledge that in order to comply with IRS regulations, I will reconcile my College travel expenses on an Expense Report Form within 60 days of completion of travel. In the event that an Expense Report Form is not submitted to Travel Services within the 60 day time frame, any college paid expenses will be treated as my personal income. These funds will be subject to required payroll tax withholding and reported on my W-2 Form. College related travel expenses incurred using personal funds will be ineligible for reimbursement after 60 days.

 

this page maintained by Jennifer Landon: last updated on March 28, 2013