Required:
*
Last Name:
*
First Name:
*
Current
UGA Employee?
Yes
No
Email:
*
Supervisor for approval:
-- Select a Supervisor --
Andrade, Gisele
Baldwin, Sara
Beck, Bruce
Bettinger, Pete
Borders, Bruce
Bringolf, Robert
Bussell, Patrick C.
Carroll, Gwendolyn
Carroll, John
Castleberry, Steve
Cherry, Mark
Cieszewski, Chris
Clutter, Michael
Coder, Kim
Conroy, Michael
Cooper, Bob
Covert, Sarah
Crowe, Rhett
Daniels, Richard
Dean, Jeffrey
Dickens, David
Elle, Ingvar
FACULTY
Gallaher, Donna
Green, Gary
Greene, Dale
Grossman, Gary
Harris, Thomas
Hendrick, Ronald
Hepinstall, Jeff
Higgenbothem, David L.
Holliday, Angela
Hunter, Michael
Irwin, Kristen
Izlar, Robert
Jackson, Ben
Jackson, Rhett
Jennings, Cecil
Kane, Michael
Lowe, Eric
Maerz, John
Markewitz, Daniel
McGuire, Mary Anne
Mengak, Mike
Merkle, Scott
Meyers, Joe
Miller, Craig
Miller, Karl
Moore, Rebecca
Moorhead, David
Morris, Lawrence
Murphy, Michael
Nairn, Joseph
Nibbelink, Nathan
Norris, Michelle
Ogden, (Lee) Eulalie
Osborn, David Allan
Peterson, Douglas
Peterson, James
Pritchett, Diane
Rasmussen, Todd
Ratajczak, Robert E.
Raychaudhuri, Uttiyo
Rheney, John
Sanders, Joe
Schimleck, Laurie
Schweitzer, Sara
Shelton, Jay
Sinha, Anuj
Siry, Jacek P
Sweeney, James
Tarrant, Michael
Teskey, Robert
Tsai, CJ
Tye, Robert "Tommy"
Warren, Robert
Wilde, Susan
Winn, Richard
Wood, Rosemary
Yabsley, Michael
Yearwood, Jenny
*
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
2005
2006
2007
2008
2009
2010
*
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
2005
2006
2007
2008
2009
2010
*
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
Carlson Wagonlit
Fair Winds Travel
Global Escapes
Joy of Travel
Marathon
STA
Uniglobe Accent
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: