Biology Pre-Travel Worksheet – College of Natural Sciences Forms

Requestor's Name*

First Last

Requestor's Email*

Is this travel for a current employee?*

Yes
No

Are you the traveler?*

Yes
No

What is your primary department? In other words, which CSU department were you first hired by?*

Traveler's Name*

First Last

Your CSUID#*

Traveler CSUID#*

Traveler Address*

Traveler's Email*

Your Cell Phone*

Traveler's Cell Phone*

Emergency Contact Information

Who is your emergency contact for travel?*

Who is the emergency contact for travel?*

What is their relation to you?*

What is their relation to the traveler?*

What is their phone# and/or email address?*

You are?*

Faculty
Postdoc, Research Scientist or Research Associate
Administrative Staff
Student and CSU Employee
Student Non-Employee

Traveler Is?*

Faculty
Postdoc, Research Scientist or Research Associate
Administrative Staff
Student and CSU Employee
Student Non-Employee

Traveler Is?*

Grant Participant/Collaborator
Guest Speaker
Recruit
Student Non-Employee

Which CSU Principal Investigator are you working with?*

Which project are you working on? This can be the account# or the name of the project.*

What do you and the PI expect to accomplish during your travel?*

How will your travel benefit the scope of work of this project?*

Who is your CSU host for this travel?*

Which day(s) will you be speaking at CSU?*

Are you a student recruit or an employee?*

What position are you applying for?*

Which program is your travel associated with?*

What do you expect to accomplish during your travel?*

Destination(s) – include city and state for all aspects of this business related travel*

Date of Departure*

Return Date*

Employees are covered by CSU insurance for days of business travel. Incidents occurring during personal days of travel must be covered by personal insurance. Please submit an updated e-form if dates change unexpectedly.

Will the traveler request reimbursement for incurred travel expenses?*

No reimbursement will be requested.
Yes, reimbursement will be requested.

Reason for Travel*

Will you be taking any personal days during this trip?

Yes
No

Will the traveler be taking any personal days during this trip?

Yes
No

Which days?*

Travel is*

Within Colorado
Outside of Colorado
International

Risk management requires lodging and phone number for all days of international travel. Please indicate that information below in date segments (ie, 5/1 – 5/4, address and phone# of initial lodging; 5/5 – 5/9, address and phone# of different lodging, etc.).*

Date(s)	Address	Phone Number

Who will cover for you in your absence?

Lab

Lab contact information

Teaching

Teaching contact information

Accounting & Expenses

What is the account#? Alternatively, please list the funding program or award source that will pay for this travel, and the amount of the award.*

Purpose and justification. *When using a 53- account, please include how this travel specifically relates to the sponsor’s project.*

Airfare Expenses

Airfare purchased through*

Travel Society
New Horizons
Frosch Travel
Online purchase
No airfare required

Airfare Cost*

Estimated Expenses

Lodging

Meals

estimated total

Registration

Auto Rental, Gas

Enterprise or Hertz only

Parking

Shuttle, Taxi, Tolls, etc.

Estimated expense total

Estimated mileage

# of miles

Is a cash advance needed?*

Yes
No

Is this pre-travel request being submitted at least 3 weeks prior to departure?*

Yes
No

There isn’t sufficient time to process a cash advance for your travel. Such a request must be submitted at least 3 weeks prior to the date of departure.

What amount?*