1. Department Name
2. Department Telephone Number
3. Travel Authorization Number
4. - 5. - 6. University Fund, Org and Account numbers. If more than one account is to be used for the same TR, indicate the amount to be encumbered from each account.
7. Name of company providing transportation, such as travel agency, name of airline, bus company or railroad.
8. Class of service requested (Coach, Business, Economy).
9. Mode of transportation.
10. Point of departure.
11. Destination: indicate round trip by writing "and return."
12. Name of carrier. If several are to be utilized, state "best way."
13. Traveler's name.
14. Indicate if the TR is for more than one person. If not, indicate "0."
15. Indicate if excess baggage is authorized. If not, indicate "0."
16. City in which the TR is issued.
17. Date of issue.
18. Traveler's signature.
19. Travel approving authority's signature.
20. Travel approving authority's title.
21., 22. & 23. Do not write in these spaces. They are to be filled in by the company providing transportation service.
24. Fiscal year in which travel is encumbered.