pulaski county arkansas | your county. your services · web viewpulaski c ounty government 201...
TRANSCRIPT
Pulaski County Government
201 South Broadway, Suite 411Little Rock, Arkansas 72201
Travel Authorization Form
I ________________________________________________________________ Full Name Dept Number
Respectfully request the county reimburse me for travel expenses:
1. Airfare____ Departure Date_______________ Return Date_________________
2. Lodging___ Check in date: ________________Check out date:____________
3. Conference Registration_____
Name of Conference:_________________ Location: ________________________
I acknowledge that a final travel expense report shall be completed and provided to the Comptroller’s office with all required receipts and supporting documents within ten (10) working days of the end of travel.
______________________________ _____________ Signature Date
___________________________________________ ______________Approved By: Elected Official/Designee Date