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Warning Text %XTableStyleMedium2PivotStyleLight16`Request to TravelTravel AdvanceTravel Expense Front@NTravel Expense Back  ;.   ;-   ;   ;15fvf`@@aY8!CU4o"-F< Amn' }@=F< Amn' DxT?hSaK4ICҒ Ңh:hu)VZ A D:>,cAu n9YL;k4VAww};#"KR`>#IBQ'y{hj5 q%rs0shd; 7PY9S0@?,"֐,Fņ;4zq~# yPZxbȻU7FzF3RTE8@8]GatHZ }Ƴ{vr~D6> 9r.`8A^OsM–8DXgWYn4\_絪hY' df臩G3,0,:9GUOgښ{(ֹ?wܰOU*wip$?^)s]>p&T[ hh+ꧥ'zb<^☋à qet8V|O>%2֌þ<%,WzV TLS]@3PBʚpv>l1$Z;.fѝFlk/*^59  ݅nIG~fs@DQ KOx$EC}5$nd?Q& (D͈ۗ='* Nn 8ArIX$L&Hr^f3m7땯:X>~od|_A%& +!.Yj~`M,l]/Rc~5MS{Z柪ݻ:{NQuu^}|w!g Q>l~o{fO*z־ Ja{R' ׉:Bլ6l4;[lʯߐ>;!M+KtV$6Klt_!fq>b/%1"KdiƻN}@=KdiƻNt  yE}xVkSQKI/Aj( X4/ԿBQJR ܊BF%nС}MB*\z{;QL$^ 00=ѷ=4Ex|y5h/;0A1Mr>"uQ!@ɟ/Z$! d;5S”[\B'Y"'x3ZWBҪRcnF}>=t!$Z-*ڂ" 9Ԉ ^VM&dy(vj$O*w>FG\7%z!!dl>군8w%,˩DZѳ'쐂mGKbg**ĤB}$Be IVUIͣ9K[-*N+!;p2咼!mg.e/7\|Zssy?v۟Fu <x-bZ8!@Id0MXWZ4ldcᬶٰ-~j㕳x`P?07,wDRHҋM8^h#(>"= m}['~U 䓢l(][Ś~W4P@Ge3ޅ`$S= ''z'tnߘ֡|nN֒~"ˡWs s B~^KյT׃D**ذ~' QP]{xjBK$^}&$}"8~]˧n8}@= ~]˧n8 qxU;hTA=d7G"֐4Bl I4&<\H\[B.ҥHe2FH"ˋ[Q s H8]ܜR?f$3iE>H-л ?z3\m#5o>:rd[?*b{ANbu+p5XqІYN&$}q\i?$}$}"=te4M Gn&}@=te4M Gn& qxUMHQ=SgL2a B!jfAdi`!u@!LVn$Y CE7B\hᢠEAvV"-7otj {{} 9Q7-UgO9E4@SDb!: Ʈ\L }xVD;U^ń yXA=E?BX,IYji$[O>ŝ$3/ǰ#.gs.ƿ<<yĹٜYˎU:>#oYOÜ.trV[>& &m&l/:;/S!;Vbl)o&ډ!T1^윃AJgPU >p2%1K8ܞXߕz>_ҿ_>.^E"R;ٶ7FLK.eG57nUZ2bpPOIWX+7x}j-enhgf;C[~z9i b )W<]OC }wkKw.E[481շeeFgT⭜uwrS41B9\l #DBUonB#3 A@@  NICHOLLS STATE UNIVERSITY#REQUEST FOR AUTHORIZATION TO TRAVEL INSTRUCTIONS:A.B.C.1.2.3. Destination:4.5. New DocumentRevised6.State Vehicle #7.$8.9.FOAPALFund OrganizationAccountProgram10.!Name of department to be charged:11.Date:Phone #Department HeadController's OfficeTRAVEL ADVANCE9Complete this form and submit to supervisor for approval.Forward the original plus 2 copies of the signed authorization to Controller's Office at least 10 working days prior to date needed.:Attach copy of conference registration form if applicable.D.>Travel advance check must be picked up in Controller's Office.E.$Travel advance must be over $100.00.Traveler's Name:Purpose of Trip:Departure Date: Return Date:Amount of Advance:Date Advance is Needed:Traveler's SignatureSupervisor's SignaturePhone #:Controller's SignatureAcknowledgmentTRAVEL EXPENSE ACCOUNT_The statement on the reverse side must be completely filled in by the payee prior to signature.Name:Date of Claim:Address:Department Name:City:Lump-Sum Allowance Odometer: Beginning: Ending: TOTAL MILES:LodgingMealsTolls and ParkingTipsOther ExpensesTotal Reimbursable CostLess: Travel Advance Check # Balance DueCertificate of Payee_I certify that this expense account is just and true in all respects; that the distances shown were actually and necessarily traveled on the dates specified on official business only; that the expenses charged were incurred on official business of the State and none of the expenses have been paid by the State; and that the full amount is justly due.Signed by Payee Title or Position "Certificate of Head of Budget UnitI certify that the charges set forth on this expense account have been examined by me; that the services for which the charges are made were necessary and proper; and that, in my opinion, the amounts claimed are just and reasonable. Signed byNameTitleDREMARKS BY HEAD OF BUDGET UNIT IN EXPLANATION OF UNUSUAL ITEMS, ETC.INVOICE NUMBER .Shaded areas for Controller's Office use only.AMOUNTVAirfare (Passenger receipts & itinerary)Hour Subsistence,Territory Traveled - Show All Points VisitedMilesDateDepartArriveTraveledNo.CostParking Description Totals: F/N LIQ Encumbrance #Mon or before _______________________________________________________________.hI acknowledge receipt of check no. _____________ for the above advance and agree to settle this advance for services or otherwise.gIf not settled when due, I hereby authorize that any unsettled balance be deducted from any sum due me Date of trip/period:1320Insert N# BelowNhConferences - Conventions - Workshops (Attach Agenda or Program)*ORIGINAL RECEIPTS  *Lodging *Tolls & *Other Expenses Insert N# below:Less: CBA ChargesQTravelers must provide N# and FOAPAL below. Prepare in triplicate.;P"Signature of Recipient of Advance DESTINATION%ALL EXPENSES MUST BE ITEMIZED PER DAYTotal Cost of Trip Vehicle #:StateEOriginal receipts must be attached as required by travel regulations. NSU Ext:N#(Blanket Authorization for Routine TravelIn-State TravelOut-of-State Travel CBA Charge** Complete Travel Advance FormRegistration Fees:Airfare Costs:SECTION D: Agency Accounting EncumbranceInitialsSECTION E: Approval SignaturesTravelerDean / Director@AmountQNO REGISTRATIONS OR RESERVATIONS SHOULD BE MADE UNTIL ALL APPROVALS ARE OBTAINED.;SECTION A: General Information - Complete all information."Personal Car Mileage: Car Rental:RentalAmount: Personal Vehicle State Vehicle2SECTION B: Type of Travel (Select all that apply)Controller's Office Use OnlyI (we) certify that the sole use of the above vehicle will be official business for 鶹ý and will conform with existing travel regulations. Driver's signature indicates NiSU vehicle regulations have been read and are understood.1Check will be available for pick-up on this date.Revised 07/01/22Cost of Meals: New Document Revised  CancelLodging:  Other"Vice President (if over $1,000.00)SECTION C: Estimated Expense   lIf reason for trip is a Conference or Seminar, a brochure or agenda is required to be attached to this form.Conference / Seminar**REQUIRED DOCUMENTATION: ,Name: (attach list of additional travelers)Title:Travel Destination:#Purpose / Justification for Travel:!Name of Department to be Charged:,University Police (when using state vehicle)Time:Total Estimated Cost of Trip:>Instructions: Complete all sections pertaining to your request. Submit original plus 2 copies of signed authorization to Controller's Office with all necessary approvals at least 10 working days prior to travel. Please give additional lead time when requesting advances which involve deadlines (i.e. registrations). I_ Travel Advance**  Airfare HotelXExpense Summary -- Please complete back of form first - totals will populate to front.$Blanket Costs / Other Miscellaneous:. @ $0.725Revised 01/01/2026REVISED 01/01/2026=y ywy2zzu)||}r~~_T#], ł # 5 miLj9~Mcc PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vܥ&#Cڍ鳦í-۲9Mʨ%n&ڭ<"9@tcFƖdt">x͍P#K36-B/u_(rFE7D Anrֽ[$%skWNHێMVL}f7 8^:pݫh@qv zA)'@ouox |w {ᝃNwT|K+T}[%|B4˲\k}. e4Fi6QZ?!ˋXt޾}/߼O>0!g沵䟳ٌ@Z_ן7+:kfu)gM4\;XUP,D˙!3֠ǜv=汒ZN &IHIy,t?#=)>bg! 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