OLD

STATE OF
OUT-OF-STATE TRAVEL REQUEST
DATE:
TO:
FROM:
SUBJECT: Justification for out-of-state travel Ref: OFM Manual 4.2.1.3.1.f
I am requesting approval for out-of-state travel
as follows:
Destination:
I will be out of state for the period:
JUSTIFICATION
Purpose of trip and how it relates to work
assignment:
Cost of
Air Travel: Cost of Lodging:
Funding Source:
Expected benefits:
Could same result be achieved another way? Yes No
---------------------------------------------------------------------------------------------------------------------------------
Approved Denied
Superintendent (or Designee):
Date:
NEW
OUT-OF-STATE TRAVEL REQUEST
Date:
To: From:
Subject:
Justification for out-of-state
travel Ref: OFM Manual 4.2.1.3.1.f
Destination: Travel
Dates:
Purpose of trip and how it relates to work assignment:
Costs (estimated): Funding Source:
Air Travel:
Lodging:
Per Diem:
Conference Registration:
Professional Development Funds
applied for? Yes No
Supervisor:
Could same result be achieved another way?
Yes No
Supervisor: Date:
Superintendent: Date: