Travel Authorization Form ACB Travel Authorization Travel DetailsDate* MM slash DD slash YYYY Traveler's Name* First Last Email* Traveler's UFID (no dash)* Position Title Name of Conference Meeting AgendaMax. file size: 125 MB.Please upload meeting agenda/itinerary if applicable.Purpose of Trip Annual Meeting Presentation Moderator Justification (Explain Benefit to State) Funding Source Grant Project PI Overhead Dept Overhead Grant Project # Outside Employment Yes No If Yes, be sure to disclose this through the eCOI system: https://bridge.ufhealth.org/college-of-medicine-compliance/conflict-of-interest/. If you haven’t submitted one through the system before, the Compliance Office for COM will be able to get a user name set up and they can be reached at 627-9001 or 627-5042.Organization Name Registration Prepayment Needed: Yes No Registration Prepayment Due Date Mode of Transportation Air Rail State car Personal car Rental car ** All official UF business travel should be booked through the UF GO booking tool or with World Travel Service, the University’s approved travel management company (“authorized travel agent”). The only exception is if booking through another source would offer at least a 20% discount in which documentation showing the cost savings must be provided and a booking tool exception form must be submitted. If there are any other reasons why you are not booking through the UF GO booking tool, please consult with the admin team first. Failure to do so may result in an audit by the UF Finance & Accounting team and denial of expense reimbursement.Date of Departure* MM slash DD slash YYYY Departure Time : Hours Minutes AM PM AM/PM Date of Return* MM slash DD slash YYYY Return Time : Hours Minutes AM PM AM/PM Number of Days*Airport Departing From* Airport Destination* Final Destination Location (If different from Airport Destination) Are You Taking UF Property?*Select OneYesNoList All UF Property You Are Taking* Will This Trip Include Personal Travel?*Select OneYesNoList All Personal Travel Dates* Is This Trip Partially or Fully Paid by a Third Party?*Select OneYesNoList Third Party Funding Sources* Estimated Cost:Any unusual extra expenses due to changes in reservations may have to be borne by the traveler. Always coordinate reservations and/or changes with the department fiscal team.Air Fare Payment Method Pcard Personal CC Hotel Reservation Required? Yes No ** All official UF business travel should be booked through the UF GO booking tool or with World Travel Service, the University’s approved travel management company (“authorized travel agent”). The only exception is if booking through another source would offer at least a 20% discount in which documentation showing the cost savings must be provided and a booking tool exception form must be submitted. If there are any other reasons why you are not booking through the UF GO booking tool, please consult with the admin team first. Failure to do so may result in an audit by the UF Finance & Accounting team and denial of expense reimbursement.Hotel Price per dayHotel DaysHotel Total Price: $0.00 Method of Payment Pcard Personal CC Meals cost per dayMeals: Standard per diem = Breakfast $6.00, Lunch $11.00, Dinner $19.00 = $36.00 GSA per diem based on travel destination. See gsa.gov website for rates (Select policy/per diem rates)Meal DaysMeals Total Price: $0.00 Registration Method of Payment Pcard Personal CC Rental Car For rental cars please ensure you are only renting from Enterprise Rent-A-Car or National Car Rental https://legacy.enterprise.com/car_rental/deeplinkmap.do?bid=028&refId=UNIFL or call 1-877-690-0064 and use reference Account number 43A3255.Method of Payment Pcard Personal CC Personal Car MilesPersonal Car Mileage Reimbursement Price: $0.00 (number of miles) X .58 *Rate according to 2019 Florida StatuesOther miscellaneous expenses Total $0.00 ApprovalsDuties Covered By Traveler's Signature*Approved by: (Direct Supervisor)Reimbursement: To insure prompt processing of travel reimbursement, all pertinent data and receipts must be forwarded to the travel admin within five (5) working days of employee’s return. Please be advised that it is to your advantage to retain ANY and ALL receipts that reflect funds expended while on your tripPhoneThis field is for validation purposes and should be left unchanged.