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Travel Authorization Form
Traveler Information
Originator's Name:
*
A value is required.
Email:
*
A value is required.
Invalid format.
Account# to be Charged:
*
A value is required.
Project:
Phone:
Are you a University of Maryland employee?
Yes
No
*
Required Field
Choose a valid value.
Continue completing and submitting this form. Once submitted, please send an email to
eborequest@umd.edu
to provide further information required to complete your travel request.
University of Maryland Employee ID #(UID):
*
A value is required.
NOTE:
This is NOT your Social Security Number
About this travel
Travel Details:
(Must indicate a reason other than 'To attend'. For example: Are you the speaker, presenter, or lecturer? What are you presenting on?)
*
A value is required.
Additional Details:
Travel Authorized By:
*
A value is required.
Authorization Email:
*
A value is required.
Invalid format.
Agency:
Globetrotter
Travel Leaders Corporate (TLC)
(Preferred)
Omega
Other
None/Self
Please make a selection.
Origination:
(City/State/Country)
(Airport code & Carrier if flying)
(Train station location & Carrier if by train)
*
A value is required.
Destinations:
(City/State/Country)
(Airport code & Carrier if flying)
(Train station location & Carrier if by train)
*
A value is required.
Departure Date:
*
A value is required.
Invalid format.
Invalid format.
Return Date:
*
A value is required.
Invalid format.
Personal Travel:
Will this trip include any personal travel?
Yes
No
*
Please make a selection.
Please indicate the date(s) of personal travel:
*
A value is required.
Estimated Expenses
Air/Rail:
$
A value is required.
Invalid format.
Vehicle Rental:
$
A value is required.
Invalid format.
Lodging/Housing:
$
A value is required.
Invalid format.
Personal Car Mileage:
$
A value is required.
Invalid fo
Meals:
$
A value is required.
Invalid format.
Conference Fee:
$
A value is required.
Invalid format.
Phone/Fax/Communication:
$
A value is required.
Invalid format.
Other Costs:
$
A value is required.
Invalid format.
Taxi/Bus/Metro:
$
A value is required.
Invalid format.
Other Costs Explanation:
Total:
$
I have read and I understand the
UMD policy on University Travel
and the
UMD Travelers' Guide Policy
*
Please Confirm