ࡱ> @B?y ?bjbj 3{{ &vv$$$"""""#######$%b(x#M@#vv""+#,,,"v8""#,#,,r)"T)#"*)$:}"m##0$"(^()#()#D>,,$## "$( <:  Full Name of Traveler: T.A. No.: Date: Dates of Travel: From: ________________/_________________ To: ________________/___________________ Hour Date Hour Date Travel Funds: Amount Claimed: Transportation: ______________ Per diem. Location ______________________ (___days x _______): ______________ Auto Rental: ______________ Miscellaneous (List): Total Amount Claimed: ______________ (Amount Advanced) ______________ NET DUE: UOG/TRAVELER: ______________ I certify that all statements above are accurate and complete. I have attached a copy of my travel Authorization form and such documents as a necessary to justify any requests for funds beyond those initially authorized. I have submitted a Travel Report to the Administrator who authorized this travel. ------------------------------------------------------------------------ Signature of Traveler Date If additional funds are being requested: ( I approve ( I do not approve Account #_____________________________________ Signature of Authorizing Administrator: _______________________________/____________________ Name Title FOR BUSINESS OFFICE USE Funds refunded: ____________ / ____________ / $_____________ / ____________________________ Check# Date Amount Received By: Print Name REMINDERS TRAVEL CLEARENCE are required to be submitted 10 working days after return to Guam. TRAVEL ADVANCE not cleared within 10 working days will be recovered through payroll, retirement, or estate of the traveler (Reference: UOG RRPM Article VII, Section 12-C). DOCUMENTATION REQUIRED TO BE ATTACHED WITH TRAVEL CLEARANCE 1. If claiming for Per Diem: Trip report must be signed by Department Head Boarding Passes Receipts associated with official travel (if any). Items not limited to list below. Auto rental payment & agreement Gas payments Ground transportation (taxi receipt, bus receipt, train receipt, etc.) Registration receipts Note: Per Diem covers payments for meals and lodging. 2. If claiming for Actual Expenditure: Trip Report must be signed by Department Head Boarding Passes Misc. Receipts Hotel Billings/Receipt Detailed meal receipt (Note: alcohol not allowed) Auto rental payment & agreement Gas payments Ground transportation (taxi receipt, bus receipt, train receipt, etc.) Registration receipts Note: Cant claim combination of per diem and actual expenditure. UNIVERSITY OF GUAM TRAVEL CLEARANCE -.ghxy  . ? 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