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 |  |  |  |  |  |  |  |  | Travel Request Form
 |  |  |  |  |  |  |  |  |  | Out-of-State |  |  |  | In-State
 | Applicant |  |  |  |  |  |  |  | Charge to
 |  |  | (Please print name)
 | Date of request |  |  |  |  |  | Budget # |  |  |  |  |  | Amount
 | Date(s) of Departure |  |  | Time |  |  | Budget # |  |  |  |  |  | Amount
 | Date of Return |  |  | Time |  |  | Budget # |  |  |  |  |  | Amount
 | Destination
 |  |  | (City & State or multiple locations)
 | Purpose of Travel
 | Check if: |  |  |  |  |  |  |  |  |  |  | $
 |  |  |  |  |  |  |  |  |  |  | (Student/Team Travel Only)
Estimated Cost of travel |  |  |  |  | Expense Limit
Subject to limitation |  | (Include mileage, fares, meals, lodging, fees, etc.)
Mode of Travel: |  | Private Vehicle |  | Tag#
 |  | Commerical |  |  | Air |  | Other
 |  | University Vehicle |  |  |  | Car(s) |  |  |  | Van(s) |  |  |  | Bus
 |  |  |  |  | (Indicate number of vehicles needed)
Signature of applicant is required, driver must have a valid driver's license and, if using a univerisity vehicle, must be an employee of the State of Oklahoma.
Applicant |  |  |  |  | Date |  |  |  | Dean of Appropriate School |  |  |  |  | Date
 |  |  |  |  |  |  |  |  | (required of acdemic travel)
Head of Budget Unit |  |  |  |  | Date
[NAME] (If appropriate) |  |  |  |  | Date |  |  |  | Agency's Senior Business Officers-See Instructions Below
(required of academic travel) |  |  |  |  |  |  |  |  | (Recommended 1 Month Prior To Travel Date)
Print one copy.  Please forward original to the appropriate person(s) for approval.  All out-of-state trips require approval by one of the following:  Provost, V.P. for Administration & Finance, Athletic Director or President.  Forward your request to the person your area reports to on the organizational chart.  Send approved original to the Business Affairs Office.  This must be received before a claim for reimbursement can be processed.  If using University vehicle, a photocopy of the approved request is required to be sent to the Physical Plant for vehicle assignment.  Each department may photocopy completed forms for their records as needed.
Procedures for use of a university vehicle:
1.  Deliver copy of approved request to Secretary, Physical Plant Building, for assignment of vehicle.  The Physical Plant Secretary will send the driver a copy of the request after assignment is completed.  A key will be issued at the Physical Plant Building.  Vehicles are assigned on a first come first served basis.  [NAME] for vehicle should be made at least three business days in advance.  A minimum daily rate charge will be assessed for any vehicle reserved and not used, or not cancelled 24 hours in advance.  The minimum daily rate will also be charged when the mileage rate is insufficient to cover the daily rate.  The daily rate will be $10 for university cars, and $20 for university vans.
**VAN - MAXIMUM CAPACITY: 12 PEOPLE**
2.  Upon return to campus: |  |  |  | A. | Return vehicle to Physical Plant Building
 |  |  |  | B. | Park and lock vehicle.
 |  |  |  | C. | Complete mileage report below and return vehicle key and completed copy to the
 |  |  |  |  | Physical Plant Secretary or place both in drop box in front of Phy Plant Bldg.
Ending Mileage:
Beginning Mileage:
Total Miles Driven:
Vehicle Number:
 |  |  | Vehicle #1 |  |  |  |  | Vehicle #2 |  |  |  |  |  | Vehicle #3
 |  |  |  |  |  |  | Assigned by:
 | REVISED 5/2010