"*" indicates required fields Submitter Name* First Last Submitter Email* Traveler Name* First Middle Initial Last Traveler Email* Is The Traveler A Student?*YesNoAre you traveling on WIDA funding?* Yes No WIDA Reimbursement Code* Refer to the WIDA Reimbursement Codes (https://uwprod.sharepoint.com/sites/WIDA/SitePages/WIDA-Reimbursement-Code.aspx) for the appropriate travel code. Note this code at the start of the description field of your ER. Student Travel Information If this travel authorization is for an overnight stay, students must complete a security and safety policy form in order to comply with the Clery Act.Destination* City State / Province / Region Departure Date* MM slash DD slash YYYY Return Date* MM slash DD slash YYYY Travel Type* Instate Outstate Foreign Traveler's Employer* UW Other Headquarter City*Justification*Describe the purpose of the travel/event and provide detailed explanation of who, where, when, how and why it will benefit the project and/or department.PDF of airfare itinerary, hotel confirmation, or other documentationAccepted file types: pdf, Max. file size: 2 MB. Do not upload files that contain sensitive information. Multiple files? Combine them into one PDF file prior to uploading or simply email your documents to clientservices@wcer.wisc.edu. Files will not be saved if using Save and Continue Later. If you do email documents to Client Services, put a note in the justification so we know to look for them. Funding ApprovalBypass Authorization I am both submitting and authorizing this purchase. No additional authorization is required.Split Funding (must total 100%) Funding for this purchase should be split across 2 accounts.Funding Notes Due to the Workday transition, funding string information (e.g. 133-AAL1234) has shifted to Cost Centers and Driver Worktags (e.g. Cost Center ID: CC001234 and Driver Worktag ID: PG000012345). You can use either funding string or Workday Cost Center and Driver Worktags during this transition phase. Use this crosswalk tool to start getting familiar with your new Workday IDs. Here are instructions for using the crosswalk tool. Fund #*101116131133135136144150161233Funding Information*Percentage*If the ER relates to an event run by PLACE, please delete WIDA's funding string and replace it with PLACE's funding string.Authorizer's Name*Authorizer's Email* Authorizer's SignatureSUBMITTER: Leave this field blank unless you are authorized to sign for purchases. Authorizer will be emailed a request to sign off on the purchase.Fund #*101131133135136144150161233Funding Information*Percentage*Authorizer's Name*Authorizer's Email* Authorizer's SignatureSUBMITTER: Leave this field blank unless you are authorized to sign for purchases. Authorizer will be emailed a request to sign off on the purchase.Does the Traveler have a Person Appointment under this funding?*i.e. Are they on payroll under this funding? Yes No Proof of Affiliation is required for this individual to travel under this funding. The traveler must be listed on a research paper, presentation, or website that is demonstrably affiliated with the project.PDF documentation that the traveler listed above is affiliated with the projectE.g., publication where the traveler is an authorAccepted file types: pdf, Max. file size: 400 MB. Total Funded Percentage - This field is intentionally hidden with CSS.Estimated Costs*Use the +/- to add/remove rows.Cost TypeProposed BudgetPayment Type AirfareDay Trip Meal AllowanceGas for Vehicle Rental/FleetLodging-GroupLodging-IndividualLodging-StudentMembershipsMileageParkingPer Diem - Meal and IncidentalTaxi/Subway/City Bus etc.TollsTrain/Bus/Other Long DistanceTravel Agency Service FeeTravel MiscellaneousRegistration FeeVisa/PassportVehicle RentalFleet VehiclePersonal ReimbursementUW Purchasing Card Add RemoveTotal Estimated Cost*Funding Certification* I certify that the items requested are allowable, allocable, and reasonable.Is this funding in the last six months of active status?* Yes No Cost Comparison* I understand that a cost comparison will be required for reimbursement of indirect travel and/or departing from or returning to a voluntary remote work location