Travel Request Travel Authorization Request Traveler Name* First Middle Last (EXACTLY as it appears on your photo ID or passport)Email* UFID* 8 numbers maxMobile Phone Number*Date of Birth* MM slash DD slash YYYY Departure Date* MM slash DD slash YYYY Departure City* Destination City* Destination State (or Province)* Is the destination outside of the USA and territories?* Yes No Please choose yes to enter countryCountry / Countries*Do you need to bring a UF device?* Yes No Such as a work laptop, tablet, scientific equipment, etc UF Asset decal for device bringing?* Return Date* MM slash DD slash YYYY Business Purpose* (eg event name)Website (optional)Explain how participation at this event benefits UF*ExpensesLodging Entity* 1) Lodging Cost Total*2) Registration Fees*3) Meals*(max $36 per day)Car Rental Company* 4) Car Rental Cost Total*Airline name* 5) Airfare Cost*6) Baggage Fees*7) Airport Parking Fees*8) Taxi fees*9) Shuttle fees*10) Mass Transit Costs*11) Tolls*Personal Vehicle Mileage?* Yes No Miles*12) Mileage x $0.445*Total Expenses Price: $0.00 Lodging + Registration +Meals + Car Rental + Airfare+ Baggage + Airport Parking + Taxi + Shuttle + Mass Transit + Tolls + Mileage Funding Name* Supporting Files Upload Drop files here or Select files Max. file size: 125 MB. Are you? The traveler? A submitter for the traveler? Submitted by* Submitter's Email Additional RecipientsDo any other recipients need to be notified of this request, or be sent copies? Recipient email address Recipient email address Recipient email address Additional CommentsDepartmental ApprovalsAn email approval from the appropriate Study PI, Division Manager, or other personnel as required is sufficient in lieu of signature. (Below - for printed copy only) Signature Date This purchase supports the indicated study (or other funding source) and is allowable under any applicable contract or regulation related to the sponsor, university, or division. ____________________ ____________________ A budget check has been performed to confirm that funds from the indicated funding source are available. ____________________ ____________________ This purchase has been approved by the appropriate Study PI, Division Manager, or other personnel as required. ____________________ ____________________ Travel Request Placed By ____________________ Travel Request Date ____________________ Date Received ____________________