Clear Form
VALENCIA COLLEGE
DFA-1 Rev. 03-09
IN-DISTRICT TRAVEL REPORT VOUCHER
DATE
NAME (print or type) _____________________________________
Mail Code ______________
HOME ADDRESS (If applicable)
________________________ City, State Zip code
______________________________________ Street
FROM LOCATION
TO LOCATION
REASON FOR TRAVEL
TOTALS ______________________________ SIGNATURE OF TRAVELER
V0_______________ ___________ VID # DATE
APPROVED BY: _______________________ SIGNATURE Charge to: INDEX__________ /ACCT__________
• • •
(or)
MILEAGE
0.00 ___________
TOLLS/ PARKING
$0.00 __________
-$0.00 MILEAGE X RATE = $_____________ -$0.00 TOTAL AMOUNT DUE $_____________
_________ COMPLETED BY (PRINT NAME) ________________________ DATE FUND__________ ORG__________ ACCT__________ PROG__________
Please attach a printout from Yahoo, Mapquest, Google, etc. for travel to/from non-campus locations Please include home address on the form, if traveling from or to home and claiming excess miles Submit to: Accounts Payable DTC-3