Name of Person Traveling

Travel Arrangements Request Form

1) Name AND official UH/RCUH title of person traveling: Check one: UH RCUH Other

2) Reason/purpose for travel (please be specific):

****Please provide a brochure or flier or any information you may have in order to justify your trip (conference materials, etc.).****

3) Project name/number: 4) Travel destination city:

4) Method of payment (select one): 3rd party/other

5) Address or location of event/conference (please include a copy of brochure or other materials for the event):

6) Departure city: 7) Dates of travel: / / through / /

8) Flight preferences- (select one for each item below) a) Seating: Window

b) Departure flight: Morning ( 6-10:30am) OR… c) Time preferred to arrive in destination city (if any):

d) Returning flight: Morning (6-10:30am) OR… e) Time preferred to leave destination city (if any): Additional special requests (including any special in-flight meal requests):

9) Hotel: Number of nights: Arrival date: Departure Date: Additional requests: Note for UH Faculty (Bargaining Unit 07): Please check the hotel per diem rates at the city you will be staying in at https://secureapp2.hqda.pentagon.mil/perdiem/perdiemrates.html. If the actual hotel rates are higher than the “Max Lodging” cost listed on the site, then please submit 3 hotel quotes (same star rating) with applicable taxes for pre-approval on Excess Lodging.

10) Transportation needs:

a) Will you need a rental car? Yes

If yes, how many days?

11) Any additional information/requests?

Signature of traveler: X If you have questions, please contact Bo Keopaseut at 586-7441 or Daver Rehuher 586-8245. Please return this form to Bo or Daver.