Math 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

Traveler's Name*

First Last

Your CSUID#*

Traveler CSUID#*

Traveler Address*

Traveler's Email*

Your Cell Phone*

Traveler's Cell Phone*

You are?*

Faculty
Postdoc, Research Scientist or Research Associate
Administrative Staff
Student

Traveler Is?*

Faculty
Postdoc, Research Scientist or Research Associate
Administrative Staff
Student

Traveler Is?*

Grant Participant
Guest Speaker
Recruit

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. Should the dates change unexpectedly, employees can submit an updated e-form with justification for the changes.

How will this trip be paid for?*

No-cost to University
University Funds

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*

In state
Out of state
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

Classes to be covered:

By whom:

Accounting & Expenses

Account #*

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, Avis, Budget, Hertz only

Parking

Shuttle, Taxi, Tolls, etc.

Estimated expense total

Estimated mileage

# of miles

Is a cash advance needed?*

Yes
No

What amount?*