HTML Preview Business Travel Form page number 1.


I. Business Travel Authorization Form
(please submit this form in duplicate, a photocopy suffices)
From the supervisor to the approving entity/human
resources department
Important Notice: For insurance purposes the business travel authorization form needs
to be submitted well enough in advance of the business trip.
1
Business travel with reimbursement for
travel expenses
Business travel without reimbursement for
travel expenses
The trip partly has a business purpose
(e.g. congresses, seminars, trade fairs etc.)
2
Surname, Name
Home address
Remuneration bracket
3
Division/Department
Telephone number
E-mail
4
Travel destination
5
Purpose of business trip (please name a reason for your trip and always attach invitations and programs)
External funds Yes No Project:
6
Further participants of the trip (please submit separate applications for approval)
7
Beginning of business trip/absence
Expected end of
year
beginning
expected end
business trip/absence
day/
month
time
from
day/
month
time
day/
month
time
day/
month
time
to
Daily
return
home
office
home
office
yes
no
8
Is the business trip in any way associated with private holiday travel? no yes from to
9
Planned means of transport
train 1st class 2nd class I own a Bahncard (BC) from Deutsche Bahn: BC 25 BC 50 BC 100
1st class 2nd class Job-Ticket
other public transport (e.g. bus, tram)
airplane (please name reasons for travel by plane within Germany or to neighbouring countries):
personal vehicle no approved reasons approved reasons (please check the appropriate box)
travel with colleagues (please name fellow travelers)
travel destination cannot be reached by means of public transport
severely handicapped
other reasons:
I will travel by car together with official car bicycle
rental car/taxi (please name a reason):
10
I receive external funding and/or allowance yes no
I receive honorarium yes no
External funds and free board and lodging will count against travel expense
reimbursements. I will list these details on the travel expense report.
I hereby confirm the accuracy of the information provided above.
date/signature of applicant
II. Endorsement by the president, dean, professor, superintendent
Approval is granted for the requested business trip.
reimbursement of eligible expenses according to the LRKG (travel cost act of Baden-Württemberg) or other directives. It has been confirmed
that the purpose of the trip is solely related to business.
% reimbursement of eligible costs according to the LRKG (e.g. congresses, seminars, lectures).
max. reimbursement of
no reimbursement of travel expenses
Reimbursement from : Kapitel Titel BS
(enter codes according to budget plan)
date/signature of president/vice president/dean/professor
III. Approval with the following stipulations set by the university administration
Reimbursement of travel costs according to the LRKG or other directives
______% reimbursement grant of ______€ No reimbursement as external funds were granted.
Reimbursement with the following stipulations:
only transport costs will be reimbursed means of transport as requested with the following restrictions:
only/no daily allowance train 1st class 2nd class Bahncard
only/no allowance for lodging max. reimbursement amounts to the costs of the most inexpensive ticket
reimbursement as of/to office personal vehicle: reasons approved not approved
reimbursement is to be claimed airplane economy class
with the organizers of the event
Business trip will not be approved. Reasons:
date/signature
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