Departmental Forms

UPDATED Dec 16 2025

Department of Pediatrics, UBC & BCCH: Educational/Academic Travel Pre-authorization Form For Out of Province Travel

Updated PHSA Travel Pre-authorization Form, and the submission and approval process.

Traveler to complete form ensuring all details are provided:
– Information on the conference/meeting (i.e. invitation, website screenshot, etc.)
– Detailed funding source (i.e. PEA, personal, exact project code, etc.)
– Estimated cost
– Approvals

Approvals required:
– Division Head
– Department Head
– BCCH CMO
– Vice President, Medical & Academic Affairs

This form must be completed by all PHSA employees prior to any PHSA Out of Province travel. Please complete one form per trip listing all anticipated expenses well before your anticipated travel date. The form should be sent to your Division Head or immediate supervisor for signature. The signed form can then be forwarded to Nilesh Rathour at the Department of Pediatrics who will ensure the remaining authorizations are obtained. Please allow up to three weeks for this. Upon the conclusion of the travel, a copy of this form must be attached to a requisition to be reimbursed up to the preapproved amount. For further guidance on PHSA travel policies please refer to the Travel and Business Expense Policy posted on the PHSA Intranet (POD).