Initial Application for Travel Funds
Estimated Expenses

Your Information

Employee Name: *

Title:

Campus-Wide ID:

E-mail Address: *


Lodging Expenses

Total Lodging Expense: $ (Do not use commas or dollar signs. Format: 10000.00)


Meals and Incidental Expenses (M&IE) Per Diem

Domestic Lodging & Per Diem Rates: Scroll down to map of US and click on state you are traveling to.
Foreign Lodging & Per Diem Rates : Scroll down to country of travel. [Look here if traveling to Alaska, Hawaii, Puerto Rico, the Northern Mariana Islands, or Possessions of the United States.]

Total Meals and Incidental Expenses (M&IE) Per Diem: $ (Do not use commas or dollar signs. Format: 10000.00)


Air Fare

Robert to arrange prepaid ticket
I will arrange ticket
I am not flying

Air Fare $ (Do not use commas or dollar signs. Format: 10000.00)
leave blank if you are not flying


Other Transportation Costs

If you are driving, please provide Car Tag #

Driving, Rental car, taxi, shuttle, etc. $

(Do not use commas or dollar signs. Format: 10000.00)
Allowable mileage rate= 0.585 per mile for travel incurred on and after July 1, 2008 through December 31, 2008.


Miscellaneous Expenses

Include any allowable miscellaneous expenses in this total, including the conference registration fee.

Total Miscellaneous Expenses $ (Do not use commas or dollar signs. Format: 10000.00)


Total Estimated Expenses

Total of all Estimated Expenses $


Conference Information

Conference Name or Reason for Travel/Research:*

Starting Date * Starting Time *
Ending Date * Ending Time
*


Destination & Travel Information

Destination of trip *
Location you will leave from *

Departure Date * Departure Time *
Return Date * Return Time *


Classes Missed

Will you be missing any classes?*

Yes
No

If yes, you must fill out the following information or the travel request will be denied by OSU.

Course Number Section Name of Instructor(s) Covering Course Dates Missed

Other Remarks

Please add any specific information regarding trip as appropriate – personal side trip, stay with friends or family, funding from other sources, etc.

Submit (emails form to Robert)

Information Needed for Travel Funds Reimbursement

In order to speed-up reimbursement for travel to conferences, save the following items and give them to Robert upon your return:

*If the agenda is several pages long, copies of the pages showing those particular items will be sufficient.  If no agenda will be provided, please see Robert Estes about what will be needed.
The Conference Agenda needs to show: