OLD

 

 

STATE OF WASHINGTON

WASHINGTON STATE SCHOOL FOR THE BLIND

2214 E. 13th St. · Vancouver, Washington 98661-4120 · (360) 696-6321 · FAX # (360) 737-2120

 

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:                                                                                                                                                              

 

All Out of State Travel requests must be submitted for approval one month prior to travel

 

Copies:    Accounts Payable       Staff member requesting out of state travel        Supervisors file

 

 

                                                                                                                                                                       

 

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:                                                  

 

All Out of State Travel requests must be submitted for approval one month prior to travel

 

Routing:

  Supervisor (notify employee of approval/denial)

  Employee (complete A-19 for conference registration)

  Travel Coordinator (schedule airline reservations and lodging)

  Accounts Payable (pay conference registration, send final copy to employee)