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Cortland County Travel Authorization Request (Conferences/Workshops/Seminars/Meetings – Refer to the Authorization to Travel Policy) Name(s) & Position Title(s): Department/Division:_ Date(s) of Travel and/or Attendance: Destination or Conference, Training, Convention: Purpose and Benefit of Attendance: Estimated Cost of Attendance: Total Cost Estimate: $ Account Current Budget Line Balance Travel $ Meals $ Lodging $ Registration $ Other $ Estimated dates and time out of the office: Will your attendance require overtime or additional hours of compensation? : Estimated Overtime or Comp Time: Is your attendance mandatory? YES / NO REQUEST: Signature of Person Requesting Date APPROVED: Signature of Department Head Date APPROVED: Director of Budget & Finance (if applicable) Date APPROVED: Chairman of Board of Legislators (if applicable) Date Conditions: AGENDA/PROGRAM MUST BE ATTACHED TO ALL TRAVEL AUTHORIZATION REQUESTS TRAVEL AUTHORIZATION REQUESTS MUST BE SUBMITTED A MINIMUM OF 7 BUSINESS DAYS PRIOR TO ATTENDANCE PLEASE REFER TO THE AUTHORIZATION TO TRAVEL POLICY FOR APPROVAL REQUIREMENTS & BE SURE TO COPY THE REQUEST TO YOUR STATUTORY COMMITTEE CHAIR IF APPLICABLE.