Travel Request Form

Please fill out the form below to submit a travel request. Travel requests and requirements must comply with UB and University of Maryland System Travel Policies.

* Denotes a Required Field

Your Name *

Your Email *

School * School of Public and International Affairs
School of Criminal Justice
School of Health and Human Services
Dean's Office

Description of Event/Activity

Conference Name *

Start Date of Travel *

End Date of Travel *

Location of Event/Activity *

Role in the Event *

Please describe role i.e. presenting a paper, panel moderator, participating on conference planning team, etc.

Impact of Travel on Personal and Professional Development and/or Advantages to Program School or College *

This travel request is categorized as Professional Development funds allocated from the College
Service to the profession
Contractually funded (from hiring contract)
Student travel
Other

Estimated Costs

Please itemize the approximate overall costs of your travel in US dollars. If you are requesting the use of the College's purchasing card or travel agency, arrangements must be made with the Sr. Budget Analyst upon approval and prior to departure.

Conference Registration Fee

Transportation
Airfare, Train, Car rental, Personal vehicle (mileage reimbursement)

Hotel

Meals

Conference Materials

Other

Amount of Support from Other Sources
i.e. associations, grants, other university

Name of Source (if applicable)

Net Travel Funds Requested (in USD) *

College of Public Affairs

Description of Event/Activity

Estimated Costs

Schools and Colleges

Libraries

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