JUSTIFICATION TO INCUR WEEKEND TRAVEL

NAME: ___________________________________ TITLE: ___________________________________

COST CENTER NAME: _____________________ COST CENTER NO.: ________________________

TITLE OF TRAINING/MEETING: _________________________________________________________

TRAVEL DATES: INCLUDING EXCLUDING

WEEKEND TRAVEL WEEKEND TRAVEL

FR: __________, 20___ FR: __________, 20___

TO: __________, 20___ TO: __________, 20___

TRAVEL ESTIMATED COST ESTIMATED COST

INCLUDING WEEKEND EXCLUDING WEEKEND
TRAVEL______________ TRAVEL_______________ VARIANCE (+/-)

PER DIEM $_____________________ $______________________ $______________

MILEAGE ______________________ _______________________ _______________
AIRFARE ______________________ _______________________ _______________
SUB-TOTAL $_____________________ $______________________ $______________

OVERTIME $_____________________ _________N/A___________ _______________

TOTAL COST $_____________________ $______________________ $______________

THE ESTIMATED COST OF THE ABOVE TRIP, IF WEEKEND TRAVEL IS APPROVED:

WILL RESULT IN A NET SAVINGS OF: $______________

WILL RESULT IN AN INCREASED COST OF: $______________

I AM ELIGIBLE FOR OVERTIME: YES NO

__________________________________________________ DATE: _______________

EMPLOYEE

THIS FORM MUST BE SUBMITTED WITH THE OUT-OF-STATE TRAVEL

AUTHORIZATION.

SIGNATURES/APPROVAL OF WEEKEND TRAVEL:

______________________________________________________ APPROVED DATE: __________________

SUPERVISOR DISAPPROVED

______________________________________________________ APPROVED DATE: __________________

BUREAU CHIEF DISAPPROVED

______________________________________________________ APPROVED DATE: __________________

FINANCIAL MANAGEMENT BUREAU DISAPPROVED

______________________________________________________ APPROVED DATE: __________________

DIVISION DIRECTOR DISAPPROVED

______________________________________________________ APPROVED DATE: __________________

SECRETARY DISAPPROVED

*WEEKEND TRAVEL (WITH A SATURDAY NIGHT STAY OVER) WILL BE GRANTED ONLY WHEN THERE
IS A SAVINGS TO THE DEPARTMENT ON THE TOTAL TRIP ESTIMATE.

WKNDTVL.MCA