Required:
*
Last Name:
*
First Name:
*
Current
UGA Employee?
Yes
No
Email:
*
Supervisor for approval:
-- Select a Supervisor --
Baldwin, Sara
Beck, Bruce
Bettinger, Pete
Borders, Bruce
Bringolf, Robert
Carr, Evelyn
Carroll, John
Castleberry, Steve
Chamblee, John
Cherry, Mark
Cieszewski, Chris
Clutter, Michael
Coder, Kim
Conroy, Michael
Cooper, Bob
Covert, Sarah
Daniels, Richard
Dean, Jeffrey
Dickens, David
FACULTY
Gallaher, Donna
Gandhi, Kamal
Gragson, Ted
Green, Gary
Greene, Dale
Grossman, Gary
Harding, Scott
Harris, Thomas
Hepinstall, Jeff
Hernandez, Sonia
Higgenbothem, David L.
Hunter, Michael
Irwin, Kristen
Izlar, Robert
Jackson, Ben
Jackson, Rhett
Jennings, Cecil
Kane, Michael
Lowe, Eric
Maerz, John
Markewitz, Daniel
McGuire, Mary Anne
Mei, Bin
Mengak, Mike
Merkle, Scott
Meyers, Joe
Miller, Karl
Moore, Rebecca
Moorhead, David
Morris, Lawrence
Nairn, Joseph
Nibbelink, Nathan
Norris, Michelle
Ogden, (Lee) Eulalie
Osborn, David Allan
Peterson, Douglas
Poudyal, Neelam
Pritchett, Diane
Rasmussen, Todd
Ratajczak, Robert E.
Raychaudhuri, Uttiyo
Rheney, John
Schimleck, Laurie
Shelton, Jay
Sinha, Anuj
Siry, Jacek P
Sweeney, James
Tarrant, Michael
Teskey, Robert
Tsai, CJ
Warren, Robert
webperson
Wilde, Susan
Winn, Richard
Wood, Rosemary
Yabsley, Michael
Zhao, Dehai
*
Nature of official business:
*
Departure Date:
mth
1
2
3
4
5
6
7
8
9
10
11
12
day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
year
2008
2009
2010
2011
2012
2013
2014
*
Return Date:
mth
1
2
3
4
5
6
7
8
9
10
11
12
day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
year
2008
2009
2010
2011
2012
2013
2014
*
Address while absent:
City
*
State
*
County
NOTE: Fiscal Office will prepare UGA Electronic Travel Authority Form for Out of State /Foreign travel.
Means of handling classes and other business while away:
(N/A is
NOT
an acceptable answer)
Mode of travel (University Vehicle, Personal Vehicle or Airline):
*
Personal Vehicle
University Vehicle
Airline
Rental Car
Yes:
No:
Will you use UGA authorized travel agency for airline ticket purchase? (Direct Billing)
Yes
No
If yes, name of travel agency:
All Aboard: 706-354-6909
Carlson Wagonlit: 706-543-0502, 800-229-2757
Global Escapes: 706-549-1164
Joy of Travel:
joy@the-joy-of-travel.com
Orbit Travel Agency: 706-549-7009
Uniglobe: 770-487-0487, 800-359-4460
Estimated Cost:
Meals:
$
Lodging:
$
Transportation:
$
Registration:
$
Miscellaneous:
$
Total:
$
Expenses to be charged to:
Account Number:
*
Account Name:
*
Amount:
*
Account Number:
Account Name:
Amount:
Account Number:
Account Name:
Amount:
Total: