Request to Travel In-state for UMaine Extension Staff

Please complete this form. A copy will automatically be submitted via email to your immediate supervisor for approval. Your supervisor is responsible for then submitting the form to the appropriate Program Administrator or Dean for their review and approval.
  • (physical address with number, road, town in Maine)
  • Name of Business (Please indicate "Farm" or "Home" if there is no business name)Contact Person 
  • (physical address with number, road, town in Maine)
  • Date Format: MM slash DD slash YYYY
  • In-state travel will only be permitted if all other options are not feasible.
  • You must agree to all terms.
  • Please type your First and Last Name