Fillable Printable Employee Travel Authorization Form - Vermont
Fillable Printable Employee Travel Authorization Form - Vermont
Employee Travel Authorization Form - Vermont
FM_EXP_TravelAuthorizationForm_001 [replaces Form AAF-10]
Agency of Administration
Department of Finance & Management
EMPLOYEE TRAVEL AUTHORIZATION FORM
Purpose & Use: All out-of-state/country travel with an overnight stay requires prior authorization. This form is provided
in accordance with the Agency of Administration’s Bulletin 3.4: Employee Travel & Expense Policy (refer to Travel
Authorization section). Its use is intended for employee travel requiring prior authorization but for which an on-line Travel
Authorization (VISION Expenses module) is not required, nor used; most generally this form will be required for prior
authorization of out-of-state/country travel without a cash advance. This form may be used in lieu of the on-line Travel
Authorization (TA) under the following conditions:
i. Cash Advance is not requested - all requests for a cash advance require an on-line Travel Authorization in the VISION
Expenses module;
ii. Employee’s department has authorized use of the form; the department head may require employees to use the on-line
Travel Authorization for all travel requiring prior authorization;
iii. Departments may develop and require use of a substitute form provided it captures, at a minimum, the data elements
of this form.
Note: All out-of-country travel requires prior authorization from the employee’s department and the Secretary of
Administration. For purposes of this form, out-of-country is defined as overnight travel to any destination other than
the 48 contiguous states or Washington, DC.
Instructions:
Form is intended to be completed and submitted for approval by the employee who will be traveling.
Form must be approved by the authorized individual(s) prior to any travel and/or commitment of funds; prior
authorization is required even when there is expected to be no direct cost to the State (e.g., third-party payment).
Whether approved or disapproved, the completed form should be returned (or notification provided) to the requesting
employee.
If approved, copies of the completed form and all required receipts must be retained as supporting documentation for
any associated payments and/or employee expense reimbursements.
Business Purpose (form field): Use these definitions to select the 1 category that best describes the reason for travel:
•
Audit-Inspection-Licensing: Travel & expenses related to auditing, inspecting, licensing, etc. of State regulated
entities or industries;
•
Client Support: Travel & expenses related to the care and support of individuals under State care or protection;
•
Conference: Travel & expenses to attend a conference, seminar, convention, trade show, etc.;
•
Construction-Repair-Maintenance: Travel & expenses related to the construction, repair, maintenance, etc. of
State owned, occupied or maintained assets;
•
Economic Development: Travel & expenses related to the securing of revenue, issues directly impacting
revenue, promoting economic vitality & growth, etc.;
•
General Expense (Other): Travel & expenses that do not fit any of the other definitions, including Moving
expenses, Interview expenses and Administrative Claims (re: Title 32 VSA §932a).
•
Legal-Law Enforcement: Travel & expenses related to legal proceedings, law enforcement investigations,
transporting of individuals in State custody, etc.;
•
Legislator: Restricted for Legislator use only;
•
Meeting: Travel & expenses to participate in a meeting (note: Meetings are generally less formal and smaller scale
in terms of agenda, participants and duration than Conferences);
•
Training: Travel & expenses related to receiving or delivering formal training, education or instruction;
Explanation of Travel (form field): Provide additional information (e.g., name of convention, type of training, etc.) to
enhance the approver’s evaluation of the request.
Expenses (form field): Provide an estimate of all expected allowable travel expenses and indicate whether the
expense will be (1) Reimbursed to the Employee, (2) Prepaid by the Department (direct vendor payment, charged
to P-Card, etc.) or (3) Paid by a Third-Party* (direct vendor payment, reimbursement to department, provided at no
cost/fee waived, etc.).
* Supplemental form “Authorization of Employee Expenses to be Paid by a Third-Party Organization” must be
completed and attached to the travel authorization. [Note: Supplemental form is not required when the third-party
organization is a State or Federal government entity.]
FM_EXP_TravelAuthorizationForm_001 [replaces Form AAF-10]
Agency of Administration
Department of Finance & Management
EMPLOYEE TRAVEL AUTHORIZATION FORM
EMPLOYEE NAME
EMPLOYEE ID
DEPARTMENT
DEPARTURE DATE
POSITION TITLE
RETURN DATE
DESTINATION
(City, State/Country)
BUSINESS PURPOSE
(check one): Audit-Inspection-Licensing; Client Support; Conference; Construction-
Repair-Maintenance; Economic Development; General Expense/Other; Legal-Law Enforcement;
Legislator; Meeting; Training;
Important:
When applicable, complete “Authorization of Employee
Expenses to be Paid by a Third-Party Organization” form.
EMPLOYEE CERTIFICATION
By signing below, I certify the requested travel is appropriate and necessary for conducting official State business, and
agree to comply with the Agency of Administration’s Bulletin 3.4: Employee Travel & Expense Policy.
SIGNATURE DATE
DEPARTMENT HEAD (or Designee) AUTHORIZATION
APPROVED
DISAPPROVED
PRINTED NAME & TITLE
SIGNATURE DATE
SECRETARY OF ADMINISTRATION AUTHORIZATION for OUT-OF-COUNTRY TRAVEL
APPROVED
DISAPPROVED
SIGNATURE DATE
EXPLANATION of TRAVEL (attach additional information as necessary):
EXPENSES
Payment Method Est. Cost
Airfare
Employee Reimb.
Dept. Prepaid
Third-Party
Mileage
(personal vehicle)
Employee Reimb.
Dept. Prepaid
Third-Party
Rental Vehicle
Employee Reimb.
Dept. Prepaid
Third-Party
Other Transportation
Employee Reimb.
Dept. Prepaid
Third-Party
EXPENSES
Payment Method Est. Cost
Lodging
Employee Reimb.
Dept. Prepaid
Third-Party
Meals
Employee Reimb.
Dept. Prepaid
Third-Party
Registration Fee
Employee Reimb.
Dept. Prepaid
Third-Party
Other Expenses
Employee Reimb.
Dept. Prepaid
Third-Party
TOTAL ESTIMATED COSTS
