CSU Travel Authorization Form
CSUFRS-30

Instructions:

ORIGINAL TA:  Identify whether this is an original travel authorization or 

REVISED TA: a revised travel authorization.

TA NUMBER:  Assigned by the Travel Office. This number can be obtained from the Travel Office and entered on the travel authorization form.

DATE OF REQUEST:  Enter the date of the travel authorization request.

CCSU #:  Enter the traveler’s CCSU ID number.

EMPLOYEE NAME: Enter traveler’s complete name.

WORK PHONE: Enter traveler’s work telephone number.

HOME PHONE: Enter traveler’s home phone number.

TITLE: Enter the traveler’s title.

EMPLOYEE #:  Enter traveler’s employee identification number.

AARP MEMBER: Check ‘yes’ or ‘no’ if the employee is a member of AARP.

OFFICIAL DUTY STATION: Enter complete address of traveler’s official duty station.

SENIOR CITIZEN: Check ‘yes’ or ‘no’ if the employee is a senior citizen.

COLLECTIVE BARGAINING UNIT: Check traveler’s collective bargaining unit. If you check Other, explain.

HOME/DUTY STATION: Enter the name of the town the traveler is leaving from for the trip.

TO: Enter the name of the city/state where the traveler will be going to

DEPART DATE & HOUR: Enter departure date and hour.

RETURN DATE & HOUR: Enter return date and hour.

CARRIER INFO: Enter the means of transportation and flight numbers if applicable.

OBJECT AND NECESSITY OF TRAVEL: Enter the purpose of travel and attach any substantiating documentation. Also check the enter of activity (items 01 through 99) conference, training, research, etc.

TYPE OF TRANSPORTATION: Check the appropriate means of transportation: If you are planning to travel by air or rail, identify whether your reservation was made through Central Reservations (Sanditz Business Travel Services) or an outside agency. Identify if you are traveling by personally owned vehicle and if so, check whether your insurance declaration is on file. Note: You will not be reimbursed for mileage expenses on your personally-owned vehicle if your insurance declaration is not on file with the Travel Office. Check State-Owned Car if you are traveling by state-owned vehicle and identify the names of riders if any. If you are using another means of transportation other than what is listed on the form, check Other and specify the means of transportation. Check Parking Permit Requested if a parking permit needs to be obtained for the airport.

REGISTRATION PREPAID: Check ‘yes’ if registration is prepaid by the agency. If so, the Travel Office will supply the vendor’s FEIN number, amount and check number.

TRAVEL ADVANCE REQUESTED: Check ‘yes’ if an advance is necessary and enter the amount of the request. The Travel Office will complete the check number and amount received.

TOTAL COST: Complete this section itemizing all travel costs. See the CSU Travel Policies & Procedures Manual for specific information regarding per diem rates and the personal mileage rate.

ACCOUNT INFORMATION: Enter the FRS account number to be charged and amount.

SIGNATURE SECTION: Obtain appropriate signatures.

Forward approved Travel Authorization form to the Travel Office and retain the a copy for the employee’s file. Once the Travel Authorization has been approved and a TA number obtained, contact Central Reservations (Sanditz Business Travel Services 1-800-447-3381) to make appropriate reservations. NOTE: If the individual ticket transaction exceeds $1,000, the Sanditz Business Travel Services will require a purchase order. Therefore, be sure to inquire about the ticket price first and then contact your purchasing department to obtain a purchase order number if necessary.