EDINBORO UNIVERSITY OF PENNSYLVANIA REQUEST FOR TRAVEL FORM IN-STATE TRAVEL OUT-OF-STATE TRAVEL (Vice-President Approval Required) Please provide detailed information and justification including a copy of the conference announcement or other appropriate documentation. The original document with original signatures must be on file with the Travel Clerk prior to departure. Please allow time for approvals. TRAVELER’S NAME: DEPARTMENT: PHONE #: SAP Per No: COST CENTER: Travel Classification: A.M. Recruitment Administrative Professional Other- _______________ P.M. Mode of Transportation: Destination: (City, State) Purpose of trip and justification: Professional Travel Expected Outcomes: Your role in the activity: Anticipated follow-up: Estimated COST Authorized COST Transportation $ $ Lodging $ $ Subsistence $ $ Conference Fee $ $ Miscellaneous $ $ TOTAL $ $ Not to Exceed State Mandated Maximums Traveler Date Dean/Director Date Department Head Date Vice President Date TRAVEL CLERK USE: T.A.# Rv. 8/6/15 Routing: Send original signed copy (with any attachments) to Accounting