School of Nursing - Authorization for Travel

School of Nursing Authorization for Travel Form

If you will be requesting a University vehicle please fill out the Vehicle Request Form.

If you will have students accompanying you on trip you must fill out the Student Travel Notice and turn into the School of Nursing office.

A separate form is required for each trip from one geographic location to another. If you are making a multi-leg trip, please submit multiple forms, one for each leg of the trip. Thank you.

Items with an * indicate a required field.

First Name *
Last Name *
Purpose of Trip *
Destination *
Leaving From *
Leave Date *
Leave Time *
Arrive Date *
Arrive Time *
Returning To *
Departing Date *
Return Date *
Departing Time *
Return Time *
Transportation *

If you selected personal vehicle of another Ball State employee please provide name(s) of person(s) accompanying you or if you selected Other as your type of transportation please specify.
I am requesting reimbursement for this trip in accordance with regulations for authorized travel as described in the Travel Regulations and Procedures Manual. *	Yes No
I am receiving expense reimbursement from another source that is not BSU. *	Yes No

If you are receiving expense reimbursement from another source that is not BSU, please specify source.
I am estimating the total cost of this trip to be *
Registration Cost *
Transportation Cost *
Hotel Cost *
Other Costs (specify) *