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CSU Travel Authorization Form 

Instructions:

ORIGINAL TA:  Identify whether this is an original travel authorization or 

REVISED TA: a revised travel authorization.

TA NUMBER:  Assigned by the Travel Office. This number can be obtained from the Travel Office and entered on the travel authorization form.

DATE OF REQUEST:  Enter the date of the travel authorization request.

CCSU #:  Enter the traveler’s CCSU ID number.  (Do NOT use Social Security numbers).

EMPLOYEE NAME: Enter traveler’s complete name.

WORK PHONE: Enter traveler’s work telephone number.

HOME PHONE: Enter traveler’s home phone number.

TITLE: Enter the traveler’s title.

EMPLOYEE #:  Enter traveler’s employee identification number.

OFFICIAL DUTY STATION: Enter complete address of traveler’s official duty station.

COLLECTIVE BARGAINING UNIT: Check traveler’s collective bargaining unit. If you check Other, explain.

HOME/DUTY STATION: Enter the name of the town the traveler is leaving from for the trip.

TO: Enter the name of the city/state where the traveler will be going to

DEPART DATE & HOUR: Enter departure date and hour.

RETURN DATE & HOUR: Enter return date and hour.

CARRIER INFO: Enter the means of transportation and flight numbers if applicable.

OBJECT AND NECESSITY OF TRAVEL: Enter the purpose of travel (conference name)and attach any substantiating documentation. Also check the enter of activity (items 01 through 99) conference, training, research, etc.  This must be filled in

TYPE OF TRANSPORTATION: Check the appropriate means of transportation: If you are planning to travel by air or rail, identify whether your reservation was made through Central Reservations (Sanditz Business Travel Services) or an outside agency. Identify if you are traveling by personally owned vehicle and if so, check whether your insurance declaration is on file. Note: You will not be reimbursed for mileage expenses on your personally-owned vehicle if your insurance declaration is not on file with the Travel Office. Check State-Owned Car if you are traveling by state-owned vehicle and identify the names of riders if any. If you are using another means of transportation other than what is listed on the form, check Other and specify the means of transportation. Check Parking Permit Requested if a parking permit needs to be obtained for the airport.

REGISTRATION PREPAID: Check ‘yes’ if registration is prepaid by the agency. If so, the you need to provideTravel Office with the vendor’s FEIN number, and the amount to be paid to the vendor.

TRAVEL ADVANCE REQUESTED: Check ‘yes’ if an advance is necessary and enter the amount of the request. The Travel Office will complete the check number and amount received.

TOTAL COST: Complete this section itemizing all travel costs. See the CSU Travel Policies & Procedures Manual for specific information regarding per diem rates and the personal mileage rate.

ACCOUNT INFORMATION: Enter the BANNER account number to be charged and amount.

SIGNATURE SECTION: Obtain appropriate signatures.

Forward approved Travel Authorization form to the Travel Office and retain the a copy for the employee’s file. Once the Travel Authorization has been approved and a TA number obtained, contact Central Reservations (Sanditz Business Travel Services 860-346-5511) to make appropriate reservations. 

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