SOP 406.04-att-3: Request for Out of State Travel Form
Summary
Key Topics
- out-of-state travel
- travel request
- travel approval
- travel authorization
- transportation costs
- subsistence
- mileage reimbursement
- state vehicle
- commercial travel
- travel justification
- travel itinerary
- travel budget
- employee travel
Full Text
SOP 406.04
Attachment 3
08/30/22
DEPARTMENT OF CORRECTIONS
REQUEST FOR OUT-OF-STATE TRAVEL FORM
NAME OF EMPLOYEE
JUSTIFICATION OF TRAVEL: (Attach Supporting Documents)
ESTIMATED COST OF TRIP:
A. TRANSPORTATION
1. Mileage (Prior approval must be obtained)
2. State Car (Prior approval must be obtained)
3. COMMERCIAL (Plane_____ Train_____ Other____)
B. SUBSISTENCE
C. REGISTRATION FEES
D. OTHER TRAVEL COST (Explain or itemize)
TOTAL COST $
BUDGET # ___________________ Employee Signature_______________________
PROPOSED ITINERARY
DATE Itinerary
APPROVED/DISAPPROVED________________________________/_________________
SUPERVISOR/APPOINTING AUTHORITY DATE
APPROVED/DISAPPROVED________________________________/________________
REGIONAL OR DIVISION DIRECTOR DATE
APPROVED/DISAPPROVED________________________________/________________
COMMISSIONER OR DESIGNEE DATE
Original: Accounting
Copies: Originators
Retention Schedule: Upon completion, this form shall be maintained for the current year, plus five (5) prior years at
the Facility level, and for five (5) years following the end of the fiscal year at Central Office.