TRAVELOR INFORMATION

UTEID


your email address


First Name


Middle Name


Last Name


Title


Faculty Supervisor


Your Office Phone


TRAVEL INFORMATION

Destination (ex: Dallas, TX)


Beginning Travel Date (ex. 00/01/05)


Time Leaving (ex: 07:01 am)


Ending Travel Date (ex: 00/00/05)


Time Returning (ex: 07:01 pm)


LIST OF PURPOSE FOR TRAVEL

Select from list:
Please make your selection 01-Attending Meeting, conference 02-Conduct lectures or teach course 03-Research activities 04-Participate or officiate in an event 05-Recruit prospective employee or student 06-Site or field visit 07-Serve as expert witness 08-Present original research paper 09-Fundraising 10-Negotiate a contract

Please enter name of conference (no abbreviations), paper, title of lecture or course, specify research, name of event, name of person, name of site, description of case, name of paper, name of fundraiser, purpose of contract (as appropriate)


Other Purpose


LIST OF BENEFITS TO UT (select from list)
Please make your selection 01-Help accomplish research objectives 02-Help fulfill contract provisions 03-Enhance grad/undergrad curriculum 04-Enhance performance of job duties 05-Enhance University operations 06-Enhance reputation of university 07-Raise funds for faculty/student support

Other


LIST OF DISPOSTION OF DUTIES (select from list)
Please make your selection 01-No classes missed 02-Duties assumed by colleagues or staff 03-Duties require travel 04-Duties held until return

Other


Washington, D.C. Travel Only (select from list)
Please make your selection 41-Federal congressional testimony 42-Federal congressional visit 43-Agency visit (general) 44-Agency visit (grant follow-up) 45-Raise funds for faculty/student support

Other


Primary Committees/Offices/Agencies/Organizations to be visited. (Include all dates, names of people you are visiting, and organization names.)


ARE YOU CENTRALLY BILLING?

airfare, amount:


Account Information
check box if no cost to UT

Account Number(s) to be used

Account 1


Account 2


Account 3


Account 4


Account 5

The University travel office is located at http://www.utexas.edu/services/travel/newfees.html

University Travelers can use: Navigant, 459-8203.