Travel Request Worksheet

Name of Person Traveling: Name of Person Traveling: First Last
Title:
CWID:
Account To Be Charged:
Description of Trip:
First Meeting Begins: First Meeting Begins: / MM / DD YYYY
Last Meeting Ends: Last Meeting Ends: / MM / DD YYYY
Please upload an agenda

Attach Files
Destination:
Estimated Departure Date & Time From OSU CHS
Estimated Return Date & Time To OSU CHS
Which Vehicle are you taking?

Which Vehicle are you taking? Motor Pool Car Personal Car, please list tag number Personal Car, please list tag number
Estimate of Mileage
Just claiming mileage to and from the airport?
Estimate of Expenses: (We need all of these fields to fill out travel request)
Name of Hotel:
Hotel Address: Hotel Address:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Price Per Night:
Number of Nights Staying:
Is hotel the conference site, or designated hotel?

Is hotel the conference site, or designated hotel? No Yes
If yes, upload the documentation

Attach Files
Local Transportation Estimated Cost (taxi, bus, shuttle):
Total Rental Car Estimated Cost:
Airfare Cost:
Prepaid by:

Prepaid by: OSU Individual

If you are paying personally, you will need to provide a quote from Concur Travel – which
shows the state contracted, allowable rate – the rate which sets the max reimbursement)
Registration fees:
Paid by:

Paid by: OSU P-Card Personal
Other Miscellaneous Expenses (explain):