Travel & Conference Purchase Order Request

The folowing form is a TRAVEL AND CONFERENCE PO REQUEST.

If your request does not involve traveling expenses for a conference please see our Purchase Order Request here.

Before you begin, review the form to be sure that you have all the required information and necessary attachments. The attachments that are added here will be forwarded to AP and will not have to be printed or resubmitted to the business office again for reimbursements.

Requests must be reasonalble and in the scope of your department and or work with the District.

Please reach out to Maryssa Lopez [email protected] for any questions or clarification.

FIRST AND LAST NAME *

Answer required for "FIRST AND LAST NAME "

EXTENSION *

Answer required for "EXTENSION "

DEPARTMENT/FUND TO BE CHARGED*

Who should be responsible for this expense or is there a special grant/fund this may fall under?

Answer required for "DEPARTMENT/FUND TO BE CHARGED"

HAS THIS REQUEST BEEN DISCUSSED/APPROVED BY THE DEPARTMENT HEAD?*

Answer required for "HAS THIS REQUEST BEEN DISCUSSED/APPROVED BY THE DEPARTMENT HEAD?"

Yes Discussed, and they are in approval of my request.

Yes Discussed, but inconclusive or have not yet given me an answer and I would like the business office to discuss with my department head.

WHO IS THE DEPARTMENT HEAD FOR THIS PURCHASE?*

Answer required for "WHO IS THE DEPARTMENT HEAD FOR THIS PURCHASE?"

NAME OF EVENT/CONFERENCE *

Title as advertised by host

Answer required for "NAME OF EVENT/CONFERENCE "

DESCRIPTION OF THE EVENT/CONFERENCE AND YOUR INTEREST IN ATTENDING*

What will the event or conference be promoting and how does it relate to your scope of work?

Answer required for "DESCRIPTION OF THE EVENT/CONFERENCE AND YOUR INTEREST IN ATTENDING"

PLEASE ATTACH THE FLYER AND AGENDA FOR THE EVENT. CAN ALSO BE EMAIL THREAD OR SCREENSHOT. *

Attachments made here will not have to be printed and submitted with your AP reimbursement. (yellow sheet)

Answer required for "PLEASE ATTACH THE FLYER AND AGENDA FOR THE EVENT. CAN ALSO BE EMAIL THREAD OR SCREENSHOT. "

Choose a file or drag it here.

IF MULTI DAY EVENT, WHICH WILL YOU ATTEND?

Answer required for "IF MULTI DAY EVENT, WHICH WILL YOU ATTEND?"

Sun

Mon

Tue

Wed

Thurs

Fri

Sat

FORM OF TRANSPORTATION*

How will you get to the event? The most cost affective choice will be approved if requesting a flight. Mileage rate is .67cents per mile.

Answer required for "FORM OF TRANSPORTATION"

THE FOLLOWING WILL BE ASKING FOR LINE ITEM COSTS, PLEASE GIVE A SPECIFIC DOLLAR AMOUNT IF THE ITEM IS NEEDED.

REGISTRATION $$*

Answer required for "REGISTRATION $$"

HOW WILL REGISTRATION FOR THE EVENT BE PAID FOR? VENDORS WHO ACCEPT PO'S WILL BE PAID DIRECTLY. *

District credit card purchases are made by the cardholders on your behalf and available if the vendor does not accept purchase orders.

Answer required for "HOW WILL REGISTRATION FOR THE EVENT BE PAID FOR? VENDORS WHO ACCEPT PO'S WILL BE PAID DIRECTLY. "

HOTEL PARKING $

Answer required for "HOTEL PARKING $"

RIDE SERVICES

UBER, LIFT, TAXI (receipts will be required)(only applicable if flight was taken)

Answer required for "RIDE SERVICES"

HOTEL/LODGE

please give a total for all days necessary for the event. Discretion will be used for days that are before or after the event has taken place.

Answer required for "HOTEL/LODGE"

I understand that it is my own responsibility to place my order, make my reservations, activate my membership, or register for an event etc. unless agreed upon otherwise. *

Answer required for "I understand that it is my own responsibility to place my order, make my reservations, activate my membership, or register for an event etc. unless agreed upon otherwise. "

Yes, I understand.

I understand that this is only a request for the Business Office to create my request and not a guarantee of an approved purchase order. By placing this request the Business Office will create my purchase order and route it for approval. The Business Office cannot guarantee the time frame of approval. I will not make any reservations or place any order until I have an approved purchase order number. Purchases made prior to this are subject to denial for reimbursement.

Signature*

Signature Required

Confirmation email*

Answer required for "Confirmation email"

Please fix the highlighted areas below before submitting.

Travel & Conference Purchase Order Request