Agency of Administration
Department of Finance & Management
EMPLOYEE TRAVEL AUTHORIZATION FORM
EMPLOYEE NAME
EMPLOYEE ID
DEPARTMENT
DEPARTURE DATE
POSITION TITLE
RETURN DATE
DESTINATION (City, State/Country)
BUSINESS PURPOSE (check one):
Audit-Inspection-Licensing;
Client Support;
Conference;
Construction-
Repair-Maintenance;
Economic Development;
General Expense/Other;
Legal-Law Enforcement;
Legislator;
Meeting;
Training;
EXPLANATION of TRAVEL (attach additional information as necessary):
EXPENSES
Payment Method
Est. Cost
EXPENSES
Payment Method
Est. Cost
Employee Reimb.
Employee Reimb.
Airfare
Dept. Prepaid
Lodging
Dept. Prepaid
Third-Party
Third-Party
Employee Reimb.
Employee Reimb.
Mileage (personal vehicle)
Dept. Prepaid
Meals
Dept. Prepaid
Third-Party
Third-Party
Employee Reimb.
Employee Reimb.
Rental Vehicle
Dept. Prepaid
Registration Fee
Dept. Prepaid
Third-Party
Third-Party
Employee Reimb.
Employee Reimb.
Other Transportation
Dept. Prepaid
Other Expenses
Dept. Prepaid
Third-Party
Third-Party
 Important: When applicable, complete “Authorization of Employee
TOTAL ESTIMATED COSTS
Expenses to be Paid by a Third-Party Organization” form.
EMPLOYEE CERTIFICATION
By signing below, I certify the requested travel is appropriate and necessary for conducting official State business, and
agree to comply with the Agency of Administration’s Bulletin 3.4: Employee Travel & Expense Policy.
SIGNATURE
DATE
DEPARTMENT HEAD (or Designee) AUTHORIZATION
APPROVED
DISAPPROVED
PRINTED NAME & TITLE
SIGNATURE
DATE
SECRETARY OF ADMINISTRATION AUTHORIZATION for OUT-OF-COUNTRY TRAVEL
APPROVED
DISAPPROVED
SIGNATURE
DATE
FM_EXP_TravelAuthorizationForm_001 [replaces Form AAF-10]