Request for Travel Authorization (RTA)

Note: A separate RTA must be filled out for each traveler

Required fields -*

 

 

*Date:

*Name:

*UT EID:

*E-mail:

*Phone:

Dates of Travel

*Depart:

(mm/dd/yy)

*Return:

(mm/dd/yy)

Is any of this trip non-business?

 

 *

yes

no

 

*If yes, dates of non-business part of trip

 

Start:

(mm/dd/yy) -

End:

(mm/dd/yy)

Are you employed by UT?

 

 *

yes

no

 

*If no, headquarters:

*Purpose of this trip: (check one or more)

 

 Attend meeting, conference, etc.

 Conduct lecture or teach course

 Perform research activities

 Participate in or officiate an event

 Recruit prospective employee or student

 Site or field visit

 Serve as an expert witness

 Present original research paper

 Fundraising

 Negotiate a contract

 Other

 

*Describe briefly the nature of your trip..

*The University will benefit because: (check one or more)

 

 Help accomplish research objectives

 Help fulfill contract provisions

 Enhance grad/undergrad curriculum

 Enhance performance of job duties

 Enhance University operations

 Enhance reputation of the University

 Raise funds for faculty/student support

 Other 

Are you Faculty? 

 *

yes

no

 

*If yes, Disposition of duties:

 No classes missed

 Duties assumed by colleagues or staff

 

 Name: 

 Duties require travel

 Duties held until return

 Other (specify) 

*Expenses:

 No Expenses to UT

 

(If you check this box, you cannot receive any reimbursement from UT sources nor charge tickets, cars, etc. to a UT account)


 Expenses to be charged to UT

 

*If expenses to UT, account(s) to be charged:

 

Account 1:

(xx-xxxx-xxxx)

Budget code 1:

Account 2:

(xx-xxxx-xxxx)

Budget code 2:

Account 3:

(xx-xxxx-xxxx)

Budget code 3:

Account 4:

(xx-xxxx-xxxx)

Budget code 4:

 

*If multiple accounts, specify division of expenses:

 

*Destination:

McDonald 

Other: specify city, state (country)

 

 

Washington, D.C.

 

    


If traveling to Washington, D.C., indicate the committees/agencies to be visited:


 

 

Visit 1

 

Date:

 

Name:


(Person traveler is going to see)

 

Organization:


 

 


Visit 2

 

Date:

 

Name:


(Person traveler is going to see)

 

Organization:


    



Purpose of visit(s):

 

 

Visit 1

Visit 2

 

 

 

Federal congressional testimony

 

 

Federal congressional visit

 

 

Agency visit (general)

 

 

Agency visit (grant follow-up)

 

 

Public interest group or professional association meeting

 

 

Other

    


Booking: Do you need Terry to book your travel?

 *

yes, direct bill (account(s) above)

 

 

yes, with personal credit card

(Must have card on file: contact Terry)

 

 

no

 

*If yes,

 

 

    

Air travel?

 *

yes

no

 

    

    *If yes,


 

 

For simple round trips

 

 

*Departure date: 

(mm/dd/yy)

 

*Departure time: 

 

AM 

PM

 

 

*Departure city: 

 

*Return date: 

(mm/dd/yy)

 

*Return flight departure time: 

 

AM 

PM

 

 

*Return airport: 

 

For multiple leg trips,
time restrictions, etc..

 

 

Describe needs: 

 

Preferred airline?

 

 

Airline: 

 

    

Rental car?

 *

yes

no

-for business travel only-

    

*If yes,

 

    

 Avis

    

 Enterprise

    

 Don't care

 

 

*Size of vehicle: 

 

    

 Match flights for car rental pick-up and drop


 

*Rental car pick-up date: 

(mm/dd/yy)

 

*Rental car pick-up time: 

 

AM 

PM

 

 

*Full address, pick-up location: 

 

*Rental car drop date: 

(mm/dd/yy)

 

*Rental car drop time: 

 

AM 

PM

 

 

*Full address, drop location: 

 

    

Personal car?

 *

yes

no

 

 

    

Hotel?

 *

yes

no

 

    

*If yes,

 

 

*Hotel location: 

 

Hotel preference (if any): 


A credit card on file or direct bill LaQuinta is required for Terry to make your reservation


 

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  Secondary email:





 

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WARNING:

UT Travelers: Starting 5/20/2013 new University policy requires use of a contracted agency to book flights. No airfare reimbursement will be given for purchases of flights with a personal credit card after 5/19/13.