Travel Authorization Request Form

Please fill out completely at least 3 days before travel commences!

Employee Name:
UF ID #.:
E-mail:
Department: Microbiology and Cell Science
Purpose of Travel
Within State Out of State International
Trip Origin/Destination: From:
To:
Departure Date: / /
Departure Time:
Return Date: / /
Return Time:
Airline Ticket? Yes No

P-card?
Amount:

Avis Rental Car? Yes No

P-card?
Amount:

Lodging Request? Yes No P-card?
Amount:
Meal Request? Yes NoB:
L:
D:
Mileage? Yes No
Registration Required? Yes No On P-card?
Travel Advance? Yes No Amount:
Miscellaneous (Parking/Tolls/etc)?
Total Estimated Cost:
Pursuant of Section 112.061(3)(a), Florida Statues, I hereby certify that this travel is for official business of the State of Florida and will be performed for the purpose(s) stated.
Electronic Signature : Date:

 

By Andres Naranjo