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UNIVERSITA` DI PISA -- Modulistica per missioni - 16 maggio 2013
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Generality of the person in charge ver.2013-08-29
Surname and Name
Date and place of birth Tax Code
City of residence
Relationship with the university
Travel information
Place and country of travel
Purpose of the travel
Departure from in date
Return to in date
Total expected expenses of the travel
Request of additional authorizations
Conference fees, other expenses in the name and on behalf of the University: Euro (invoices addressed to the structure)
a) Own vehicle; b) other extraordinary means of transport; c) departure/arrival not in Pisa;
d) Limits for room and board costs exceeded; e) Overtime;
PART RESERVED FOR THE APPLICANT/APPOINTED PERSON
The undersigned requests authorization/accepts the assignment for the trip indicated above. The undersigned also declare:
  • to have read the travel request regulations;
  • that, if the applicant’s own transport is used, the vehicle is regularly insured, and that the Administration is relieved of any responsibility for the use of this vehicle;
  • that all information and statements contained in this request are truthful and made under their own responsibility in accordance with current legislation.
Date SIGNATURE OF APPLICANT
FUND SIGN. OF FUND HOLDER
IN CASE OF CHANGES: SIGNATURE OF THE APPLICANT FOR ACCEPTANCE
CLEARANCE AUTHORIZATION OF THE RESPONSIBLE OF STUDY COURSE (for students, where applicable)
CLEARANCE AUTHORIZATION OF THE EDUCATIONAL ORGANISATIONS (for lecturers in trips longer than 10 days)
The authorization is valid only when any needed clearance authorizations has been acquired (Art.4 c.5).
PART RESERVED FOR ADMINISTRATION
The above described travel is approved/is not approved (provide morivations in case of non approval). For trips abroad, the approval for the alternative procedure (flat-rate reimbursement) can be given if requested by the applicant in the final balance calculation of expenses.

Possible changes: __________________________________________

 

N.Fondo (tit.cat.cap...) IL RESPONSABILE DELLA STRUTTURA
 
Date  

UNIVERSITA` DI PISA
Pisa, li
Vs. Rif.
Ns. Rif.

Modify/delete signature/fund if necessary

UNIVERSITA` DI PISA
Autorizzazione/Incarico di missione
These instructions serve only as an aid to compilation and do not replace the Regulation which are the only valid reference.

The form for the travel request must be compiled by the person travelling. The signature necessary is that of the applicant or of the fund holder if different from the applicant.

a) absence of public transportation compatible with the travel times
a) the need to transport bulky materials
a) less expensive compared to ordinary means
b) extra-urban taxis due to the absence of public transport compatible with timetables
b) business class flight for long journey
b) business class flight due to the absence of less expensive fares
c) departure from the location where the applicant is for work reasons
c) arrival in a location that the applicant must reach for work reasons
c) departure from/arrival in the place of residence, cost limited to that with departure from/arrival in Pisa
c) departure from/arrival in a location where the applicant is for personal reasons, cost limited to that with departure from/arrival in Pisa
d) absence of alternative accommodation
d) need to reside at the conference venue
d) need to participate in a work lunch that exceeds specified expenses
Generality of the person in charge ver.2013-08-29
Surname and Name
Date and place of birth Tax Code
City of residence
Relationship with the university
Travel information
Place and country of travel
Purpose of the travel
Departure from in data
Return to in data
Total expected expenses of the travel
Request of additional authorizations
Conference fees, other expenses in the name and on behalf of the University: Euro (invoices addressed to the structure)
a) Own vehicle; b) other extraordinary means of transport; c) departure/arrival not in Pisa;
d) Limits for room and board costs exceeded; e) Overtime;
PART RESERVED FOR THE APPLICANT/APPOINTED PERSON
The undersigned requests authorization/accepts the assignment for the trip indicated above. The undersigned also declares:
  • to have read the travel request regulations;
  • that, if the applicant’s own transport is used, the vehicle is regularly insured, and that the Administration is relieved of any responsibility for the use of this vehicle;
  • that all information and statements contained in this request are truthful and made under their own responsibility in accordance with current legislation.
Date SIGNATURE OF THE APPLICANT
FONDO FIRMA TITOLARE FONDO
IN CASE OF CHANGES: SIGNATURE OF THE APPLICANT FOR ACCEPTANCE
CLEARANCE AUTHORIZATION OF THE RESPONSIBLE OF STUDY COURSE (for students, where applicable)
CLEARANCE AUTHORIZATION OF THE EDUCATIONAL ORGANISATIONS (for lecturers in trips longer than 10 days)
The authorization is valid only when any needed clearance authorizations has been acquired (Art.4 c.5).
PARTE RISERVATA ALL'AMMINISTRAZIONE
Si concede/nega l'autorizzazione (motivare in caso di diniego) alla effettuazione della missione con le modalita` sopra indicate. Si autorizza inoltre, per missioni all'estero, l'erogazione del trattamento alternativo (rimb. forfettario) se richiesto dall'interessato in fase di consuntivo.

Eventuali variazioni: __________________________________________

 

N.Fondo (tit.cat.cap...) IL RESPONSABILE DELLA STRUTTURA
 
Date  
UNIVERSITA` DI PISA
Advance for / Reimboursement of mission
These instructions serve only as an aid to compilation and do not replace the Regulation which is the only valid reference.

The reimbursement/advance payment request form must be completed by the undersigned applicant, specifying the procedures for carrying out the trip and attaching receipts and proof of expenses documentation
IMPORTANT: The proof of expenses documents must be consigned in their original form, except those available only in electronic format (for which a printed version is sufficient), and those held by another administration, for which the applicant certifies compliance with the original in accordance with Art. 19, 47, 48, 74 of Law 445/2000. The administration is obliged to accept such self-declarations, otherwise it constitutes a violation of the duties of the office (Law 445/2000, art.74 paragraph 1).

The form makes an automatic calculation of the expenses, applying, within the limits possible, the rules forseen by the Regulations and indicating variations with respect to the applicant’s request. The administration reserves the right to make manual corrections in special cases that cannot be managed automatically (e.g. trips covering more than one country in the same day).

Details

Spending limits for meals and flat-rate reimbursement for trips abroad

The limits depend on the geographical area (see table below). For the flat-rate reimbursement they are the same for all personnel, while for meals there are two classes of personnel. The university uses class 1 for ordinary/associate professors and managers and class 2 for all other personnel. The amounts and the classification of the areas are set by an inter-ministerial decree and cannot be changed by the University.
         Reimbursement   Meals
    AREA flat-rate  Cl.1 Cl.2
    ------------------------
    A     120       60   40
    B     120       60   40
    C     120       60   45
    D     125       70   60
    E     130       80   65
    F     140       85   70
    G     155       95   75
    

Classification of foreign countries

The classification is taken from the interministerial decree of March 23, 2011, and is in alphabetical order. For some countries there are differentiations depending on the city. The most common destinations are highlighted.
AREAList of countries
A Afghanistan Australia Botswana Bulgaria Burundi Cipro Comore Eritrea Etiopia Gibuti Grecia Iran Mata Mozambico Nauru Rep. Papua Nuova Guinea Portogallo Romania Ruanda Siria Somalia Spagna Uganda Ungheria Zimbabwe
B Angola Armenia Azerbaigian Bangladesh Bielorussia Canada Cile Cina Costa_Rica Cuba Egitto Estonia Figi Finlandia Finlandia-Helsinki Georgia Giamaica Guatemala Honduras India Iraq Irlanda Islanda Kazakistan Kenia Kirbati Kirghizistan Lesotho Lettonia Lituania Madagascar Malawi Maldive Maurizio Messico Moldavia Namibia Nepal Nuova_Caledonia Nuova_Zelanda Pakistan Polonia Princ.Monaco Rep.Ceca Rep.Sudafricana Russia-Fed.Russa Salomone Sanca Seicelle Slovacchia Spagna-Madrid Sri_Lanka Swaziland Tajikistan Tanzania Tonga Tukmenistan Tuvalu Ucraina Uruguay Uzbekistan Vanatu Zamia
C Albania Argentina Bahama Barbados Belize Benin Bhutan Birmania Bolivia Bosnia_Erzegovina Cambogia Cina_Taiwan Colombia Corea_del_Nord Corea_del_Sud Croazia Danimarca Dominica Ecuador El_Salvador Filippine Francia Giordania Gran_Bretagna/UK Grenada Haiti Hong_Kong Indonesia Israele Liberia Macedonia Malaysia Marocco Mongolia Nicaragua Norvegia Panama Paraguay Peru` Rep.Dominicana Russia-Mosca Saint-Lucia Saint-Vincente_e_Grenadine Serbia_e_Montenegro Singapore Slovenia Sudan Svezia Thailandia Tunisia Turchia
D Algeria Belgio Brasile Burkina Camerun Capo_Verde Ciad Congo Congo_(ex_Zaire) Costa_d'Avorio Francia-Parigi Gabon Gambia Ghana Gran_Bretagnar/UK-Londra Guinea Guinea_Bissau Guinea_Equatoriale Guyana Laos Libia Lussemburgo Mali Mauritania Niger Nigeria Rep.Centrafricana Sao-Tome`_e_Principe Senegal Sierra_Leone Suriname Togo Trinidad_e_Tobago Venezuela Vietnam
E Arabia_Saudita Austria Bahrein Belgio-Bruxelles Emirati_Arabi_Uniti Giappone Kuwait Oman Quatar Stati_Uniti/USA Yemen
F Germania Paesi-Bassi Stati_Uniti/USA-New_York Stati_Uniti/USA-Washington
G Austria-Vienna Germania-Berlino Germania-Bonn Giappone-Tokio Libano Liechtenstein Svizzera Svizzera-Berna Svizzera-Ginevra
DESCRIPTION OF THE MISSION ver.2013-08-29
Applicant Classe
Terms of payment  
City Fund
Departure from date hour
Rientro a data hour
Own vehicle:
plate number, model
km Cost
km ACI
Itinerary Totale
In relation to this work trip, the undersigned requests the reimbursement of related expenses by attaching the expenses report and number of proofs of expenses as foreseen by the Regulations. The undersigned also declares:
  • that the trip took place in the manner indicated above;
  • to have effectively participated in the activities involved in the trip assignment;
  • that any variations with respect to the official approval comply with the provisions of the Regulations, Art. 11 paragraph 3;
  • that all trip expenses for which reimbursement is requested have been incurred by the applicant, who is the sole beneficiary thereof;
  • that for proof of expenses held by another administration, copies of documents are provided with a self-declaration of affidavit, pursuant to Law 445/2000 art.19,47,48,74. (On the copy indicate "I declare that this document conforms to the original, held at ... Date / Signature").
  • that for documents available only in electronic format, the enclosed copies comply with the original documents issued by the supplier of the goods/services;
  • that the remaining proofs of expenses attached are original;
  • that for the amounts for which reimbursement is requested, a similar request to another administration has not been and will not be presented;
  • in case of flat-rate reimbursement, to be fully eligible to receive reimbursement as foreseen by the regulations;
Finally, the undersigned declares that to be fully aware of the legal consequences of making false statements, which are punishable by law according to the Italian penal code and special laws regarding this matter.
Date Signature
SUMMARY OF EXPENDITURE DATA (click to update)
MISSION: request: ________ Euro, reimboursable: ________ Euro, of which subject to tax ________ Euro.
OTHER EXPENSES: ________ Euro. Advance received: ________ Euro.
PARTE RISERVATA ALL'AMMINISTRAZIONE
N.FONDO (tit.cap. cat...) FIRMA RESP.FONDO
FIRMA RESP. STRUTTURA FIRMA SEGR. AMM.VO

Strumenti: Cambi Ufficiali Calcolatrice:
 
DETAILED LIST OF MISSION EXPENSES
N.Doc. Type Date Days Euro Area Description A
OTHER EXPENSES SUSTAINED IN THE NAME AND ON BEHALF OF THE UNIVERSITY

These are conference fees and/or other expenses (hiring of meeting rooms, purchase of goods and services, etc.) authorized according to the Regulations and with invoice made out to the University. These are expenses incurred in the name and on behalf of the University, and are fully reimbursed, regardless of the method (item-by-item or lump-sum) of the trip reimbursement.

N.Doc. Type Date Euro Description A