Banner A#:
TA #:
1.
Yes. Complete Section 2.
No. Stop now. Payment is not allowable under University policy.
2. Dean/Vice President Approval
I certify that:
1.
2. It is in the University's best intereset to pay for the companion's travel expenses.
3. The presence of the companion was: (SELECT ONE)
In accordance to Policy 515.3,
Utah State University
Companion Travel Approval Form
Dates of Travel:
Name of Companion:
Name of Traveler (employee):
The presence of the companion is benefical or essential to the University for the accomplishment
of a bonafide business purpose.
Is the presence of the companion either essential or beneficial to the University for the
accomplishment of a bonafide business purpose.
Completed form and any related documents should be attached to the Travel Authorization/Travel
Reimbursement Form.
Signature of Traveler (employee)
Printed Name
Date
*Agenda, Calendar, or Schedule of Events detailing the required companion participation.
*Describe the bona fide business purpose that predominantly benefitted the University.
*Describe the significant and substantive business related functions performed by the companion.
*Describe how the presence of the companion was essential to the University.
Essential. Attach the following documents relating to companion's participation while traveling on
University related business.
Beneficial. No additional justification is required. Paid expenses will be taxable to the employee
and withholding taxes will be deducted from the next available payroll.
Signature of Dean/Vice President
Printed Name
Date
