DIVISION OF SERVICES AND RESOURCES FINANCIAL SERVICES

NOTIFICATION TO TRAVEL FORM (FOR VISITORS AND NON-CARDHOLDERS ONLY)

Purpose of Form
This form is to be used if you are a visitor to the University or you are not a University Corporate Credit Card holder and you need to undertake travel on University business. This will enable your Travel Arranger to accurately book travel on your behalf. TRAVELLERS DETAILS (* denotes mandatory fields - form will not be processed if ALL mandatory fields are not completed) Travellers Name * Faculty / Division * School / Branch Email Address * Traveller Type * Name on Passport Passport Country TRAVEL DETAILS Travel Classification Conference Special Studies Leave Purpose of Travel * Field Trip Visitor / Non Staff Travel Research Other Staff Member Student Contact Phone * Other (please specify) Passport Number Passport Expiry Employee ID/Student ID No.*
Version 1.4 (c) 2008

Destination/s * Departure Date * Departure Time (approx) FLIGHTS (if insufficient space, please attach further details) Date Travelling From Date Travelling From Fare Class Return Date * Return Time (approx)

*** Please Note : In support of your Travel Request, please attach any supporting documentation e.g. conference registration, invitation etc. ***

ACCOMMODATION Hotel Name

(if insufficient space, please attach further details)

City

Date In

Date Out

RENTAL CAR

(if insufficient space, please attach further details)

Company Name Pick Up Location Drop Off Location

Type of Car Pick Up Time Drop Off Time

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The current official version of this form is maintained on the Financial Services website. If this form has been downloaded or printed, it may not be the current official version.

OTHER TRAVEL Company Name Type of Travel From

(if insufficient space, please attach further details)

Date To
(Must be signed off by Manager/Supervisor to be paid)

INCIDENTAL ALLOWANCE Approver Name Approver Signature

Do you wish to claim an incidental allowance?

No

Yes

Number of nights Approver Position Date

Country

ESTIMATED TRAVEL COSTS Cost Type Flights Accommodation Meals Taxis Car Hire Conference Registration Other (please specify) TOTAL TRAVELLER CONFIRMATION (this section must be completed) * 1. The private travel associated with this trip will be more than 30% of the total journey (refer to the FBT & Private Travel Calculator http://www.adelaide.edu. au/finance/services/taxation/privatetravel/) Yes No
<mailto:corporate.cards@adelaide edu.au> If YES, the Private Travel & FBT Guidelines have been reviewed (http://www.adelaide.edu.au/finance/services/taxation/privatetravel/).

Project Code *

Dept ID

Comments

Amount (ex GST)

Yes

No

<https://www.adelaide.edu.au/finance/docs/policy/secure/Travel_Policy_Redirect.htm?m=auth> 2. I have reviewed the University's Travel Insurance Guide (http://www.adelaide.edu.au/legalandrisk/insurance/travel/).

Yes FOR DOMESTIC TRAVEL ONLY *

No

I acknowledge that a travel diary will be completed for all domestic travel greater than 5 consective nights in duration. Refer (https://www.adelaide.edu.au/finance/docs/forms/secure/Travel_Diary_Declaration_Form.doc?m=auth) Yes FOR INTERNATIONAL TRAVEL ONLY * I acknowledge that a travel diary will be completed for all international travel. Refer (https://www.adelaide.edu.au/finance/docs/forms/secure/Travel_Diary_Declaration_Form.doc?m=auth) Yes No Level 1 - Exercise normal safety precautions Level 2 - Exercise a high degree of caution Level 3 - Reconsider your need to travel Level 4 - Do not travel Please visit the Department of Foreign Affairs (DFAT) website at http://www.smartraveller.gov.au/zw-cgi/view/Advice/Index and note the current travel advisory status for your destination country to the right. If you are travelling to more than one country note the highest status for your total journey. If your DFAT travel advice is level 3 or level 4 please complete a Request for Approval to Travel to a High Risk Destination Form located at http://www.adelaide.edu.au/finance/docs/forms/secure/UoA_High_Risk_Travel_V2.pdf Approver's Name Signature of Traveller Date Signature of Approver (supervisor / manager) Date
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No

The current official version of this form is maintained on the Financial Services website. If this form has been downloaded or printed, it may not be the current official version.