Travel Request and Authorization Name of Traveler: _____________________________ Date Requested: __________________ Country 1: _____________________________ Travel Date 1: ____________________ Country 2: _____________________________ Travel Date 2: ____________________ Cell Number: _______________________________ Landline _______________________________ _______________________________ _______________________________ Number: Department: Options for Travel: (Supplied by TSC) Explanation of Roaming charges Yes / No Employee Initial: ________________ Employee Signature: _______________________________ Date: _________________________ Supervisor Signature: _______________________________ Date: _________________________