Form X-3A "Individual Request for Out-of-State Travel" - Maryland

What Is Form X-3A?

This is a legal form that was released by the Maryland Department of Budget and Management - a government authority operating within Maryland. Check the official instructions before completing and submitting the form.

Form Details:

  • Released on July 1, 1998;
  • The latest edition provided by the Maryland Department of Budget and Management;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form X-3A by clicking the link below or browse more documents and templates provided by the Maryland Department of Budget and Management.

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Download Form X-3A "Individual Request for Out-of-State Travel" - Maryland

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STATE OF MARYLAND
______
GAD FORM X-3A
INDIVIDUAL REQUEST FOR OUT- OF -STATE TRAVEL
AUTHORIZATION
NUMBER
_____________________________________
__________________________
AGENCY
APPN NUMBER/FUND
_____________________________________
__________________________
AGENCY PAYING FOR TRAVEL
APPN NUMBER/FUND
(IF DIFFERENT FROM ABOVE)
__________________________________
___________________
___________________________
NAME OF OFFICIAL OR EMPLOYEE
TITLE
SOCIAL SECURITY NUMBER
DESTINATION________________________________________
DATE_________________
___________________
DEPART
RETURN
PURPOSE OF TRAVEL:_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
METHOD OF TRAVEL:
STATE CAR
PRIVATE CAR
BUS
TRAIN
AIRPLANE
ESTIMATED COSTS
AIRFARE
______________________________
LODGING
______________________________
MEALS
______________________________
REGISTRATION FEES
______________________________
CAR RENTAL
______________________________
OTHER TRANSPORTATION
______________________________
OTHER
______________________________
TOTAL
______________________________
I HEREBY RECOMMEND APPROVAL FOR TRAVEL REQUESTED HEREIN, AND CERTIFY THAT APPROPRIATE FUNDS HAVE BEEN ALLOWED THEREFORE.
___________________________________________________________
____________________________
DEPARTMENT/AGENCY HEAD OR DESIGNEE
DATE
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
FOR OUT OF-COUNTRY TRAVEL TO CONVENTION, CONFERENCES , SEMINARS OR TRAINING, THE FOLLOWING MUST BE COMPLETED.
OUT-OF COUNTRY TRAVEL
APPROVED:_________________________________________________________________________ ___________________
__________________________________
SECRETARY OF DEPARTMENT OF BUDGET & MANAGEMENT
DATE
REVISED 7/98
GADX3A.DOC
STATE OF MARYLAND
______
GAD FORM X-3A
INDIVIDUAL REQUEST FOR OUT- OF -STATE TRAVEL
AUTHORIZATION
NUMBER
_____________________________________
__________________________
AGENCY
APPN NUMBER/FUND
_____________________________________
__________________________
AGENCY PAYING FOR TRAVEL
APPN NUMBER/FUND
(IF DIFFERENT FROM ABOVE)
__________________________________
___________________
___________________________
NAME OF OFFICIAL OR EMPLOYEE
TITLE
SOCIAL SECURITY NUMBER
DESTINATION________________________________________
DATE_________________
___________________
DEPART
RETURN
PURPOSE OF TRAVEL:_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
METHOD OF TRAVEL:
STATE CAR
PRIVATE CAR
BUS
TRAIN
AIRPLANE
ESTIMATED COSTS
AIRFARE
______________________________
LODGING
______________________________
MEALS
______________________________
REGISTRATION FEES
______________________________
CAR RENTAL
______________________________
OTHER TRANSPORTATION
______________________________
OTHER
______________________________
TOTAL
______________________________
I HEREBY RECOMMEND APPROVAL FOR TRAVEL REQUESTED HEREIN, AND CERTIFY THAT APPROPRIATE FUNDS HAVE BEEN ALLOWED THEREFORE.
___________________________________________________________
____________________________
DEPARTMENT/AGENCY HEAD OR DESIGNEE
DATE
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
FOR OUT OF-COUNTRY TRAVEL TO CONVENTION, CONFERENCES , SEMINARS OR TRAINING, THE FOLLOWING MUST BE COMPLETED.
OUT-OF COUNTRY TRAVEL
APPROVED:_________________________________________________________________________ ___________________
__________________________________
SECRETARY OF DEPARTMENT OF BUDGET & MANAGEMENT
DATE
REVISED 7/98
GADX3A.DOC