Test – PT Travel Request » Department of Physical Therapy » College of Public Health and Health Professions

Travel Authorization Request

Choose One:(Required)

I am the traveler

I am submitting this travel request on behalf of the traveler

Submitter Information

Name of Submitter(Required)

First Last

Email of Submitter(Required)

Traveler Information

Name of Traveler(Required)

First Last

UFID(Required)

Traveler's Email(Required)

Traveler's Department(Required)

Note - students should indicate which department their PI/funding source is associated with.

Trip Information

Reason for Travel:(Required)

Destination, description of meeting, conference, etc.

Business Purpose(Required)

Describe how this trip benefits the University.

Is this trip being combined with personal leave (before or after the start of the business travel)?(Required)

Yes - Before

Yes - After

Yes - Before & After

Departure Location(Required)

City State / Province / Region Country

Destination Location(Required)

City State / Province / Region Country

Departure Date(Required)

Departure Time (approximate)(Required)

Start Date of Professional Travel(Required)

Since you combined this trip with personal leave, please enter the date that your professional leave begins.

Time(Required)

Since you combined this trip with personal leave, please enter the approximate time that your professional leave begins.

Start Date of Personal Travel(Required)

Since you combined this trip with personal leave, please enter the date that your personal leave begins.

Time(Required)

Since you combined this trip with personal leave, please enter the approximate time that your personal leave begins.

Return Date(Required)

Return Time (approximate)(Required)

Are you taking any UF equipment (incluidng UF laptop) with you while you travel?(Required)

Yes

List the equipment traveling with you and include the UF property decal or serial number.(Required)

Description of Equipment

Decal/Serial Number

Conference/Travel Program(Required)

Upload a copy of the conference program (official program prefered, unofficial accepted), announcement, email correspondence, invitation, or other documentation that outlines the the trip.

Max. file size: 125 MB.

Funding Source(s)

Funding Source(s)(Required)

Please choose all that apply:

Grant or Project (sponsored research)

T32 Training Grant

Other UF Funds (startup, IDC, professional funds)

Department funds (*Your department may request that you upload documentation of approval to use these funds)

Personal Funds

Reimbursed or covered by non-UF entity

Description of Funds(Required)

Use the space below to describe which accounts you will use. If expenses should be split, describe the approximate split.

Examples include:

”[PI Name] R01”
”Split travel between [PI name] DoD award and Florida Health award.”
”Charge $400 to my NMPT travel award, the rest will be paid from [PI’s name] R01.”
”The host will be paying for my travel, no funding needed.”
”Use up my professional development funds, then put the remaining on my IDC account.”
”This trip will be covered by the department, see attached approval from the Department Chair.”
”Use up my professional development funds, I will cover the remaining costs with personal funds.”

Is the Traveler the PI of this award?(Required)

Yes

Name of PI

PI Approval for use of grant funds(Required)

Max. file size: 125 MB.

Upload a copy of the email where the PI approved the use of grant funds (including estimated amount) for this trip.

Approval for use of department funds

Upload documentation of approval to use department funds if available. This may be an email exchange between you and the Department Chair, communications from the department staff, etc. (Note: Some departments may require this - look out for communications from your department regarding their specific requirements)

Max. file size: 125 MB.

Estimated Expenses

Choose all anticipated pre-paid expenses:(Required)

Airfare

Car Rental

Registration Fees

Lodging

Not Applicable - no pre-paid expenses are anticipated

Choose all anticipated expenses for reimbursement:(Required)

Gas (rental vehicle only)

Mileage (private vehicle only)

Meal Reimbursement

Taxi/Shuttle

Parking

Miscellanous (Tolls, baggage, etc.)

Not Applicable - No additional expenses are anticipated

Airfare

Enter Airfare notes

Estimated Cost of Airfare(Required)

Flight Details (Preferences for airline, time, departure/arrival airport, frequent flyer number or known traveler ID, if applicable)

Optional: Upload PDF of preferred flight itinerary

Max. file size: 125 MB.

Car Rental

Note - car rentals are limited to the state contract with AVIS/Budget and should be booked through the department. Please keep this in mind when listing preferred pickup/drop off locations.

Estimated Cost of Car Rental(Required)

Optional: Name of Individual(s) splitting costs

Preferred Pickup Location(Required)

Pick Up Date(Required)

Pick Up Time(Required)

Preferred Dropoff Location(Required)

Drop off Date(Required)

Drop off time(Required)

Registration

Estimated Cost of Registration Fees(Required)

Lodging

Estimated Cost of Lodging(Required)

Name of individual(s) splitting lodging with (if applicable)

Lodging details

Preferred location, conference booking code, room type (king, 2 queen), etc.

Alternate Lodging Option(s)

Please include an alternate lodging choice, in case preferred choice is not available.

Optional: Upload PDF of preferred lodging

Max. file size: 125 MB.

Meal Reimbursements

Meal Reimbursements(Required)

Meals are reimbursed using the state (domestic) and federal (international) rates, calculated based on the date and time that your trip begins and ends. There is no need to keep receipts for meals. Please be aware that any meals included in conference registration, whether you participate or not, are not eligible for reimbursement.

I understand that meal reimbursements will be calculated using the appropriate rate and that meals offered by the conference, whether I attend or not, are not eligible for reimbursement.

Gas

Estimated Cost of Gas(Required)

Note - gas receipts are required for reimbursement.

Mileage Reimbursement

Mileage (private vehicle only)(Required)

Mileage is reimbursed using the state rate, calculated based on the most direct driving route between your home address and the address of your destination. UFGO will automatically calculate these amounts.

I understand that mileage reimbursements will be automatically calculated using the appropriate rate.

Taxi/Shuttle/Ride Share

Note - Receipts for taxis/shuttles/ride share (Lyft, Uber, etc.) are required for trips over $25. The receipt must include the date, time, start/end addresses and a breakdown of costs. Tips are limited to 15% of the pre-tax amount.

Estimated Cost of Taxi/Shuttle/Ride Share(Required)

Individual(s) sharing/cost will be split between, if applicable

Parking

Estimated Cost of Parking(Required)

Note - Receipts are required to reimburse parking.

Miscellaneous

Estimated Cost of Miscellaneous (Tolls, baggage, etc.)(Required)

Description of Miscellaneous Expenses(Required)

Honorariums

Honorarium

Are you receiving any type of honorarium associated with this travel?

Please let us know if your honorarium is a signficant amount. Otherwise, no Conflict of Interest disclosure is required and you are not required to use personal leave.

No disclosures or use of personal leave are required when your travel and/or registration is being covered.

Additional Information

Any other details necessary to book your travel.

Optional uploads

Max. file size: 125 MB.

Please upload any other documents you feel are necessary to book your travel.