UNIVERSITY OF PITTSBURGH FORM INSTRUCTION GUIDE 

FORM NUMBER:      FORM 0061

FORM TITLE:            Travel Advance Request

PROCEDURE:           05-07-01

EFFECTIVE DATE:    July 1997

PAGE (S):                   1

ENTER THE FOLLOWING INFORMATION WHERE INDICATED:

1.   Social security number of the payee.

2.   Check the appropriate box for faculty, staff, student or other.

3.   Account number(s) charged (maximum of 5 accounts).

4.   Amount charged to each account.

5.   Total amount.

6.   Full name of payee (Last, First, Middle Initial).

7.   School or department affiliation.

8.   Street address.

9.   City, State and Zip Code or Foreign Country.

10. Purpose of advance payment.

11. Travel destination.

12. Date of request (MM/DD/YY).

13. Date leaving for trip (MM/DD/YY).

14. Date returning from trip (MM/DD/YY).

15. Signature of payee, extension, and date.

16. Signature of account administrator, extension and date.

17. Type administrator's name and title.