ࡱ> ')&!` bjbj\\ >:>>8(DTZ n^fhhh3;$!h0$l pff ШGZ0* 0Z $$$ FdZ $  EMBED Unknown  UAMS ADMINISTRATIVE GUIDE NUMBER: 8.4.03 DATE: 04/05/96 REVISION: PAGE: 1 of 3 SECTION:CONTROLLERS OFFICEAREA:TRAVEL AND REIMBURSEMENTSUBJECT:TRAVEL ADVANCE REQUESTS REQUEST FOR TRAVEL ADVANCE Applicant___________________________________________________ Date _____________________ Department _____________________________________ Account # __________________________ Telephone __________________ Travel Dates: From __________________ To _____________________ I, _____________________ am requesting approval to travel to _________________________________ ______________________________and return. If approval is granted, I request a travel advance equal to 90% of the standard authorized daily maximum allowance for meals and lodging. _____ My trip will require me to be in travel status for 72 consecutive hours or more: or _____ My request is based on hardship as cited below: _________________________________________________________________________ __________________________________________________________________________ Applicant___________________________________________ Date_____________________________ Approval Recommended_______________________________ Date______________________________ (Department Head) Approval Recommended ______________________________ Date ______________________________ (Dean or Director) Approved___________________________________________ Date______________________________ (Controller) _________ Days at $________________ = $___________________ IA# - _____________________ Check# ___________________ Date _______________________ Issued by ____________________ I, __________________________________________, an employee of the University of Arkansas for Medical Sciences, acknowledge that I have applied for and received from the University Treasurer a travel advance in the amount of $____________________ to be used for the payment of expenses in connection with official travel to be performed by me as authorized by the UAMS under University Travel Authorization (TA) No. ___________ To be charged to Account No. ________________. I agree that this amount is to be repaid to the Treasurer from the travel reimbursement amount which would otherwise be paid me, pursuant to the above authorization upon my return from this trip, and the execution of this form is intended to be an assignment by me of that reimbursable amount to the extent of the travel advance set out above. I also agree that my reimbursement claim showing expenses incurred will be filed with the Office of Financial Services within five (5) working days after completion of this travel. In consideration of the receipt by me of these funds in advance of the expenditure thereof, I agree that (1) in the event that I fail to file a reimbursement claim and show the expenditures thereon which I actually incurred and/or (2) in the event I do not expend all of said advance for official travel on behalf of University authorized then in either of these events University may reimburse itself by withholding an equivalent amount from my subsequent payroll checks, or from other amounts which may be payable to me by the University. Payment Record $ __________________ Vol # _____________ Dated _______________ Receipt # _______________________ $ _________________________ Balance Due _____________________________________ Signature Date $ __________________ Vol # _____________ Dated _______________ Receipt # _______________________ REQUEST FOR TRAVEL ADVANCE INSTRUCTIONS GENERAL INFORMATION The Request for Travel Advance may be obtained from the Stockroom. It must be completed and forwarded to the Office of Financial Services for approval and processing. If the request is approved the applicant must sign the lower portion of the form in the Treasurer's Office. COMPLETING THE FORM (1) Applicant: Enter the name of the applicant. (2) Date: Enter the date that this request is made. (3) Department: Enter the name of the department initiating the request. (4) Account #: Enter the account number to be charged for the expenses. (5) Telephone: Enter the telephone number or extension of the person initiating the request. (6) Travel Dates: From/To: Enter the date on which the travel period is to begin and the date on which the travel is to end. (7) I: Enter the name of the person making this request. (8) Travel to: Identify the city to which the employee will be traveling. (9) 72 Hours/Hardship: Check the appropriate space determining sufficient reason for making a Travel Advance Request. If the reason is due to hardship, include a brief statement of explanation. (10) Applicant/Date: Enter the signature of the applicant and the date signed. (11) Approval Recommended: Obtain the signatures of the proper Department Head and the appropriate Dean or Director before forwarding to Financial Services.     import C:\\MSOFFICE\\WINWORD\\MANUAL\\LOGO2.BMP \* mergeformat \d   INCLUDEPICTURE C:\\MSOFFICE\\WINWORD\\MANUAL\\LOGO2.BMP \* MERGEFORMAT \d  UAMS ADMINISTRATIVE GUIDE NUMBER: 8.4.03 DATE: 04/05/96 REVISION: PAGE: page 2 of 3  EMBED Unknown  UAMS ADMINISTRATIVE GUIDE NUMBER: 8.4.03 DATE: 04/05/96 REVISION: PAGE:  PAGE 2 of 3 %? < = r v C |}~%RbIZRh½~ h+6 h+5>*h+ h+>*CJh+CJEH h+CJh+5>*CJ h+CJh+5>*OJQJ h+5h+56CJhT0OJQJ#j]gH h ihT0OJQJUVh ihT0OJQJjh ihT0OJQJU1?m?kd $$If0D%4 a $$d$If$$d0&d P  $$d0$$0&d P  sn85$  @d$d%d&d'dNOPQ^@`a$d?kd $$If0D%04 0a$$d0$If?kdr $$If0D%4 a o p % & vFvFF/  @$d%d&d'dNOPQ^@`2  @d$d%d&d'dNOPQ^@`*  d$d%d&d'dNOPQ*  dL$d%d&d'dNOPQ < = j7j2  @d$d%d&d'dNOPQ^@`2  @d8$d%d&d'dNOPQ^@`/  @$d%d&d'dNOPQ^@`1  @P$d%d&d'dNOPQ^@` s t ( C F 012  @d8$d%d&d'dNOPQ^@`!"n1$  P$d%d&d'dNOPQ^`P-$ $d%d&d'dNOPQ^ `3$$ d`$d%d&d'dNOPQ^ `a$ QR~Q}~bb`7$ Pd`P$d%d&d'dNOPQ^`P1$  P$d%d&d'dNOPQ^`P4$  Pd`$d%d&d'dNOPQ^`P ~QRHIQR @^@`d$da$gh   X!"$$d0&d0P0^ $$d0^$$0&dP^$0& #$+D/ &/ @^@`h+h    UWXY!#$3456Smsjh+0J5UhT0OJQJj h ihT0OJQJU#j]gH h ihT0OJQJUVh ihT0OJQJjh ihT0OJQJUjh+5Uj. h+56CJUh+56CJjh+56CJUjh+U h+5h+*"#m @^@`$$d0&d0P0^ $$d0^$$0&dP^hT0h+ h+5hT00J5mHnHujh+0J5U h+0J5< 000@P<0/ =!"#$%  Ddb)R  S A?"?bu  DSl04Q DZ nI  DSl04PNG  IHDR~GsRGBPLTEVTT:?훚ihh755dt,ۀwDw<Pwgw |@,<wwS--xx@-w-;S8>w7wX$CwH $0ۀwDwPwgw@8H9p$ۀwИwxx@9998Hwwwww__9,ۀwxwxxxx9_wttۀwwwm\w@UAMS9H wȍww\WC9m\w@ 99hv$Q:-2C-x99 4ۀwxwDIwm\wDD: :lH9D:sD9 w pHYsod cmPPJCmp0712Hs tRNS,IDAThCYv( bޙ6ܞ>ԧ1h$! qk4vo;eW2z^iWjSvNxUw=y~=܇xJa z.цjp Sk/}{iŸ&!hL5j|\RpiL䁲!@ń9ʿ nސa!<,7{PWd˦{;0[lA*lbo M2-xfl]Â]\Aa{z T-װ \H:R[+&#e%x),fx2w)S"=={/!6#gkQiq%xGGqNcvFVkk} GSSrTJbx`=p%F8p ))=|y _I6|e S̒L|kU@Ƨ_o`3KE*bQ1{kCYKL_(L͔Cױ1ߒNlsHS)l׵k8X4[kW#cG螿|GKWV){LPBx: 'Y*ȡic7nά(Y?Mf?_^*k|򋰾Јs!h(ˀm}\ͽ|,-!o#(^{֌GZ!SƑǬ"[8޸g8E-пtܟ‹ߔΏywoymZڡ܇)~N ,Q,_]8+۩5pΟCbKhhORɋQz]h7 Tr57seb=c:mIMgtxx;?:#78ćfuɂhݜ28 \aݣRJ0F#M'h[e0!C;\U% 3s~ TPKq 7gg:c?d  L+gC[08L@ش3a  ZRV/y#sy@Qԟ2ph}"4t7|(e#z`Jϳw,Sc/sAL+Q6gwuVT|?z[5D\ V6vzFxIVV rh$xfoFN!^N]=b%FH82 y&'W^K,&(03Vrb򘜎N[K\'؉dlo_%XZ TEHs,\s-@Ky;&|=TW#}Oxq c%cby0kx[+V]:OdJƔcV`RX_D&qX8#&L ?tL?h!#zB"'kĐV|dFFM8b(GIENDB`U$$If!vh554 #v#v4 :V 554 4U$$If!vh554 #v#v4 :V 554 4c$$If!vh554 #v#v4 :V 554 / 04Dfi $C:\MSOFFICE\WINWORD\MANUAL\LOGO2.BMPB  3  LOGO2 Ddb)aaR  S A?"?bu  DSl04Q %Z nI  DSl04PNG  IHDR~GsRGBPLTEVTT:?훚ihh755dt,ۀwDw<Pwgw |@,<wwS--xx@-w-;S8>w7wX$CwH $0ۀwD  !"#$%L(+RQ-./0123456789:;<=>?ABCDEFGHIJKMNOPSUVWXYZ[\]^_`abcdefRoot Entry  FVZ*Data WordDocument >:ObjectPoolBZVZ_1214733583@96>@)BZ7EZOle CompObjuObjInfo  @96>@)#Microsoft Photo Editor 3.0 PictureMSPhotoEditor MSPhotoEd.39q Oh+'0|   , 8 D P\dltCONTENTS ,(&OlePres000 @CONTENTSV301TableT$~G`VTT:?훚ihh755dt,ۀwDw<Pwgw |@,<wwS--xx@-w-;S8>w7wX$CwH $0ۀwDwPwgw@8H9p$ۀwИwxx@9998Hwwwww__9,ۀwxwxxxx9_wttۀwwwm\w@UAMS9H wȍww\WC9m\w@ 99hv$Q:-2C-x99 4ۀwxwDIwm\wDD: :lH9D:sD9 W                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Wf  !   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