LEAVE/TRAVEL REQUEST
Name_____________________________________ Date____________________
Type of Leave/Travel
o MUS Business o Annual Leave
o Professional Development (MUS authorized) o Comp Time
o Other (Specify)_________________________ o Leave Without Pay
Work Dates Affected: From:____________________ To:_______________________
For Business leave or travel only, list or attach itinerary if away more than 3 days
Purpose of Travel: _____________________________________________________
Travel Destination: _____________________________________________________
Contact Information: Hotel Name:_________________________________________
Phone Number:________________________________________
Additional Information (Complete as applicable)
Expenses
Transportation $________________
Lodging $________________
Meals $________________
Other (specify) $________________
TOTAL $________________ Charge Account Number_____________
Will you need a travel advance for the above amount? o Yes o No
(Please allow 2 weeks for processing through the payroll department. Minimum advance $100.)
_________________________________________ ____________________
Employee Signature Date
Disposition of Request
o Approved
o Not Approved
o Other (Specify)_________________________________________________
_________________________________________ ____________________
Supervisor's Signature Date