CCC Tech Travel Authorization & Reimbursement Request Form

All travel must be approved and signed by the employee and appropriate administrator(s) prior to departure date. (Pre-Authorization) Upon return, please complete the bottom section of the TR, attach all receipts and documentation, and submit for processing within five working days. (Reimbursement Request) Reimbursement will be made upon completion of Travel Reimbursement Form with submission of proper receipts.

Full Name*

Employee ID Number*

Travel Authorization or Reimbursement Request*

Select or enter value

Grant Funding

Select or enter value

Amount*

TR/MER/RC Number*

TR: Enter first three letters of last name followed by first two letters of first name followed by date of departure. John Doe leaving for a trip on February 1, 2016 would enter a claim number of “DOEJO020116”.

RC: Request RC number from Accounting

Purpose For Travel/Description of RC Purchase*

Departure Date/Date of RC Purchase*

File Attachments*

Please attach TR/RC Form as: Excel file (.xlsx)

-and-

Receipts and backup documentation as: PDF (.pdf)

The max upload for this form is 10 attachments. If you have more, you may submit a zip file or email any extra to accounting@ccctechcenter.org

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