Travel Checklist

Name:		Social Security #:
Is this a domestic or foreign trip?
If this is a foreign trip, you must have prior approval. - Check with Judith.
Destination:
Purpose of Trip:
If this is an observing run, please provide observing code #:
Account Number for this Trip:
Date Leaving:		Date Returning:
Advance required?     Amount: $      Cash Check
(If an advance is required, please complete a "Travel Advance Request Form" and submit it to Ferne.)
Purchase requisition required for air tickets?
Travel Agency:		Contact:
Will there be a reimbursement expected, in whole or in part, to cover the cost of this trip?
If yes, what agency/university/institute will be reimbursing, and can CIT expect a direct reimbursement?
		Direct?
If there is additional information specific to this trip, please provide:
Judith Mack Joy Painter Gita Patel Diane Fujitani Joyce Campbell Gina Armas Ferne Heyerdahl