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SECTION A TRAVEL AUTHORIZATION Name Last First SECTION B ESTIMATED TRIP COSTS Airfare MSU NetID Lodging Email Ground Transport Meal Per Diems / M IE Visa Type Department Program Expenses Student Related Expenses Other Dept Addr Check One US Citizen Resident Alien Graduate Faculty/Staff Departure Date Undergraduate Return Date Total Estimate Account Number s to be charged Destination s City State and Country required Purpose of Travel Check all that apply and fill out description Conference/Meeting Recruitment External Relations/Development Conference Fee Paid by ProCard Yes International Programs Team Teaching/Outreach Reimbursement Limited to Research Car Rental Yes Airfare direct billing Yes Travel Reimbursed by MSU Funds Non-MSU Funds Description Contracts Grants Signature Req d for International SECTION C MOTOR POOL - CAR USAGE Primary Driver Name s of Additional Drivers SECTION D EMERGENCY CONTACT INFORMATION - AS REQUIRED BY COLLEGES/MAJOR ADMINISTRATIVE UNITS MAU FOR INTERNATIONAL TRAVEL International travel data provided from this section should be keyed into the Travelers Database excluding MSU study abroad by personnel designated in each participating college/unit. TRAVEL AUTHORIZATION AND EMERGENCY CONTACT FORM TRAVEL RELATED TO OUTSIDE WORK FOR PAY SHOULD NOT BE AUTHORIZED BY THE UNIVERSITY This section must be completed prior to departure. Enter N/A for missing information* FOR DOMESTIC TRAVEL This section may be used for domestic travel* However the information should not be entered into the Travelers Database. 1. Emergency Contact Information spouse etc* 2nd Emergency Contact Information Phone 2. Supervising Faculty Member Information Graduate/Undergraduate Students Only 3. Destination Information First Travel Location Second Travel Location Dates Hotel/Host Address Host/Colleague Email Third Travel Location Fourth Travel Location Will the traveler be checking email while in travel status Yes-regularly Yes-periodically Yes-infrequently No SECTION E AUTHORIZATION SIGNATURES Yes Travel Authorization Motor Pool Vehicle Dean including Assoc* Assist. Dean Director Chairperson or Organization Level Budget Officer Print Name Department Contact MSU is an affirmative-action equal-opportunity employer. Enter N/A for missing information* FOR DOMESTIC TRAVEL This section may be used for domestic travel* However the information should not be entered into the Travelers Database. 1. Emergency Contact Information spouse etc* 2nd Emergency Contact Information Phone 2. Supervising Faculty Member Information Graduate/Undergraduate Students Only 3. 1. Emergency Contact Information spouse etc* 2nd Emergency Contact Information Phone 2. Supervising Faculty Member Information Graduate/Undergraduate Students Only 3. Destination Information First Travel Location Second Travel Location Dates Hotel/Host Address Host/Colleague Email Third Travel Location Fourth Travel Location Will the traveler be checking email while in travel status Yes-regularly Yes-periodically Yes-infrequently No SECTION E AUTHORIZATION SIGNATURES Yes Travel Authorization Motor Pool Vehicle Dean including Assoc* Assist.

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