Blair Pre-authorization Travel Form

Your Email Address
Your Name Your Name First Last
Manager
Funding Source (COA or POET)
Name of the Conference
Name of the institution
Trip City
Trip State
Trip Country
Purpose of Trip
Departure Date Departure Date / MM / DD YYYY
Return Date Return Date / MM / DD YYYY
Estimated Total Travel Expense
Would you like to share your travel destination (conference, date, and location only) information for student recruitment use?

Would you like to share your travel destination (conference, date, and location only) information for student recruitment use? Yes No
I hereby request authorization to travel on behalf of Vanderbilt University. I have read and understand the Vanderbilt University travel policies as well as any more specific or restrictive policies established in my school or division. I understand that all expenses for this travel are required to be expensed within : Non Vanderbilt One Card Holders – within 60 days from day of the expense occurrence, Vanderbilt One Card Holders – within 30 days from the day of expense posted to the account