CCRC Travel Application

TRAVELER INFORMATION

*Traveler Full Name

*Employee R Number

Ex. R00000000

*TTU Email

*Cell Phone Number

*Emergency Contact

*Emergency Contact Phone Number

TRAVEL INFORMATION

*Destination

*Departure Date

Ex. 00/00/0000

*Departure Time (Indicate AM or PM)

*Return Date

Ex. 00/00/0000

*Return Time (Indicate AM or PM)

*Mode of Travel

Commercial Air

Rental Car

Personal Car

Other

*Will vacation or other leave be used during this trip?

Yes

No

Enter leave in Raiderlink if so

If vacation or other leave is used, please indicate those leave dates below

Administrative Duties

Teaching Duties

*Travel Business Purpose Description

Please include: 1. Conference Name 2. Presentation Name 3. Benefit to CCRC 4. Benefit to the COHS 5. Benefit to TTU 6. Why is this travel necessary? 7. Conference website 8. Hotel website

*I am using a conference hotel

Yes

No

*Approved FOP(s)

*FOP Approved for Travel By:

Name of person who approved the FOP

EXPENSES

Note: Receipts must be provided for reimbursement

Airline

Hotel

Meal Per Diem

Meals

Car Rental Link

Car Rental

Taxi / Ride Share

Public Transport

Parking

Personal Mileage

Personal Car Mileage

See link above

Other Expense

*Total Estimated Amount of Expenses

*Advance Pay Requested?

Yes

No

Advance - Airline

Enter Amount

Advance - Other

Enter Amount

Total Advance Pay Amount

Captcha Verification

Center for Students in Addiction Recovery

Address

Phone

Email