WSU Travel Request Form
Beginning    Date

Ending Date

 

Person Traveling:
Cost Centers: Number            Title

 : Amount
Destination:

Reason for trip:

 Request use of State Vehicle. If not available (vehicle reservation must be submitted and denied by motor pool personnel) you can request reimbursement for use of private vehicle at the higher mileage rate. State vehicle request form .  Request a vehicle
 Request use of private vehicle and will be reimbursed at lower mileage rate.
State policy require that  reimbursement requests be submitted within 5 working days after returning from travel.
 Estimate of reimbursable expenses
Private Vehicle Expenses:              Round Trip Miles  X $0.     = $
Fare (Air, Bus, Train): $
Taxi or rental car at destination (parking, tolls, etc): $
 Rental car justification           
Lodging: #of nights Nightly rate $
Cost $
Meals: Breakfast $ Lunch $ Dinner $
Total $
Registration (Conference) fee $ Misc $
Total $
Total Estimated Costs: Total $

Requested by   _________________________________________     Date:__________________

Authorized by  _________________________________________     Date:__________________

Funding Approved____________________________________________.

Please print, sign and give to Department Head, Dean, Advisor, and/or Supervisor for approval. Once approved please send to the business office.   If you wish to request a vehicle from the motor pool, please do so here.