Travel Request Approval Form Name* First Last Contact Number*Email* Purpose of Trip:*Expense Account Code*50101 · Media50151 · Public Relations50201 · Graphic Design50301 · Printing & Copying50401 · Video/Audio Production50501 · Prom & Marke Materials/Items50511 · Merchandise for Resale50551 · Continuing Education50601 · Conference Expenses50701 · Buddy Walk Expenses50751 · Buddy Walk-Entertainment50771 · Buddy Walk-Facility & Food50901 · Web Site Costs51001 · Telephone51021 · Email Service51101 · Postage51251 · Consultants-Government Affairs51253 · Consultants-Government AffairsR51351 · Consultants-Administrative51401 · Consultants-Other51601 · Awards/Honorariums51603 · Awards/Honor-Ed and Incl51651 · Affiliate Support51701 · Conference Assistance52001 · Board Travel52101 · Staff Travel52103 · Travel Research52121 · Travel to Congr Districts52301 · Conferences and Meetings52901 · In-Kind Expenses53001 · Salaries53051 · Severance pay53101 · Retirement Plan53201 · FICA53301 · SUI Tax53401 · Disability Insurance53451 · Life Insurance53501 · Employee Health Benefits53601 · Employee Insurance Benefits53701 · Workers Compensation53801 · Payroll Service Administration53901 · Professional Development54101 · Temporary Staff54201 · Employee Recruiting Expense54501 · Office Supplies54511 · Capital Equipment Purchases54551 · Computer Software Supplies54571 · Computer Hardware Supplies54601 · Equipment Leasing54701 · Equipment Maintenance54801 · Shipping54901 · Computer/Internet Service54951 · Software Maintenance55001 · Dues and Subscriptions55101 · Credit Card Fees55111 · Processing Fees55201 · Bank Charges55301 · Interest Expense55501 · Direct Mail Costs56001 · State Filing Fee56101 · Accounting and Audit Fees56201 · Legal Fee56301 · Insurance56401 · D&O Insurance56501 · Depreciation56801 · Miscellaneous Expense57001 · Building Maintenance57101 · Utilities57201 · Rental Expenses57501 · Event Rentals66000 · Payroll ExpensesClass Expense Code*100 Unallocated105 Media Relations106 Buddy Walk-NY109 Buddy Walk-National201 Education Materials206 Information and Referral208 O'Neill Tabani Enrichment Fund311 Public Policy312 GAC Conferences313 Buddy Walk on Washington315 Able Act501 Community Relations503 PLAY Campaign507 #DSWORKS508 C21601 Law Syndrome602 Adult Summit603 Research-General604 Roadshows - RIDF605 RIDF606 SciCAB - RIDF607 Hamilton Fund608 Weaver701 Fundraising702 Third Party Events/NDSS Your Way703 Athlete Ambassador Team705 LulaRoe706 Direct Mail707 Golf Outing708 Spring Luncheon712 Annual Benefit (Gala)714 Young Professionals Event-DC715 Young Professionals Event-NY718 CARING with Congress721 Misc Fundraising Events723 #TeamNDSS724 Charity Racing Campaign801 Administrative/General Operations802 Annual Report804 Board919 NDSS-WebsiteTravel to:*Dates*Preferred Travel Time*(Morning, Midday, Afternoon)Estimated CostTravel Type*FlightTrainOtherCar Rental*YesNoMileage Reimbursement ($0.54.5/mile)*YesNoTravel DetailsPlease provide any additional information relating to your travel.*Flight InformationDOB* TSA PreCheck /Global Entry #Please provide your TSA PreCheck # or Global Entry # number (If Applicable)Rewards #Please provide airline rewards numbers. (If Applicable)Preferred Time/Flight Options*Air Fare* Hotel Details*Hotel* Other* Car RentalCost of Car Rental* Cost of Gas* Other* Train InformationRewards #Please provide rewards number for Amtrack. (If Applicable)Preferred Time/Train Options*Train Fare* Hotel Details*Hotel* Other* Mileage ReimbursementMileage (at $.56/mile)* Other* Grand Total $0.00 Requested by:* First Last Supervisor/Approved by:* First Last Supervisor Email* Enter Email Confirm Email Additional InformationAdditional Files Drop files here or