PR 23-24 Pre-Travel
Email *
First & Last Name *
Purpose of Travel
Dates Traveling *
(e.g., 3/22/22 - 3/24/22)
Hotel
Include city and hotel name (street name, if you know it)
Estimated Hotel Cost (Number of nights x Daily Lodging Rate)
Travel From 
location starting (e.g., home or campus name)
Travel To
location going to (list all locations)
Estimated Mileage Cost (Miles traveled x .67) x2 if round trip *
Estimated Meal Cost 75% (First and Last Day x Per Diem Rate)
Estimated Meal Cost 100% (Full Days x Per Diem Rate)
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