DEPARTMENT OF SPANISH AND PORTUGUESE
THE UNIVERSITY OF TEXAS AT AUSTIN
1 University Station B3700 • Austin, Texas 78712-1155 • (512) 471-4936 • Fax: (512) 471-8073
http://www.utexas.edu/cola/depts/spanish/
To: All Faculty and Lecturers
From: Jill Robbins, Chair
ATTN: Please return COMPLETED form to Victoria Salguero in Benedict Hall 2.116b.
Departmental Request for Travel Authorization Form
If you are going out of town, please remember that University rules require you to fill out a Request for
Travel Authorization, whether or not the travel is to be reimbursed (see Regents Rules, Part II, Chapter 3,
Section 10). At the same time you file your RTA, you should also fill out a departmental Request for Travel
Authorization/ Disposition of Teaching Duties form (reproduced on back of page). The individuals you ask
to take over your classes during your absence must be qualified members of the instructional staff. Thank
you!!
Complete this form a minimum of 2 weeks prior to travel date. This form
requires Chair’s signature.
Departmental Request for Travel Authorization/ Disposition of Teaching Duties
Name of Faculty/ Lecturer Member:
EID:_______
Destination:
Dates of Travel: From
until
Reason/ Purpose of Trip:
Funding Source
Amount:
*
*If not Departmental funds, please provide us with a copy of the award notification letter addressed to you
(and be sure the U.T. Account # to be used is listed).
U.T. Account Number:
Estimated Expenses: Meals:
Transportation:
Lodging:
Other:
Total:
7/17/16
Purpose of Travel:
Select Nbr: _____
01 Attend meeting, conference, etc.
02 Conduct Lecture or teach course
03 Perform 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
11 Prospective employees
99 Other (explain in detail)
Explanation: (*INCLUDE PAPER TITLE*, & MEETING TITLE, if applicable)
Benefits to UT:
Select Nbr: _____
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 the University
07 Raise funds for faculty/student support
99 Other (specify)
Explanation: How will this benefit UT?
Disposition of Duties:
Select Nbr: ----_____
01 No classes missed (Explain briefly: i.e. Spring Break, No class days)
02 Duties assumed by colleagues or staff (Explain: Name of colleagues)
03 Duties require travel
04 Duties held until return
99 Other (Specify in detail)
Explanation: Who will cover classes?
The following Faculty/Lecturer agrees to meet the classes on the days listed below and acknowledges that this
does not conflict with their own duties:
Course Number
Meeting Days & Times
Signature of Faculty
Printed Name
1. ____________
___________________
_____________________
__________________
2. ____________
___________________
_____________________
__________________
7/17/16
3. ____________
___________________
Chair: _________________________________
_____________________
__________________
Date: _________________________
7/17/16