Travel Authorization Request » Department of Aging & Geriatric Research » College of Medicine

Traveler Name*
First Middle Last
(EXACTLY as it appears on your photo ID or passport)
Email*
UFID*

8 numbers max
Mobile 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 country
Country / 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*
Expenses
Lodging 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

Max. file size: 125 MB.
Are you?
- The traveler?
- A submitter for the traveler?
Submitted by*
Submitter's Email
Additional Recipients
Do any other recipients need to be notified of this request, or be sent copies?
Recipient email address
Recipient email address
Recipient email address
Additional Comments
Departmental Approvals
An 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	____________________

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Expenses

Additional Recipients

Departmental Approvals