Senior Design Travel Request Form

"*" indicates required fields

Section A

Traveler Name*

First Last

UF Email*

Alternate Email

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Position*

Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Additional Travelers*

Please list any additional travelers who will be accompanying you on your trip

Faculty Advisor*

First Last

Faculty Advisor Email*

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International Travel?*

Yes

Section B

Departure Date*

Departure Time*

Return Date*

Return Time*

Type of Travel*

Travel Activities*

Describe activities related to the choice above

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Funding Source Options

Additional Destinations?*

Yes

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Additional Destinations

Arrival Date*

Destination*

Type of Travel*

Funding Source*

Additional Funding Info*

Please provide the name of the entity supplying your funding.

How is this travel applicable to the funding source you have chosen?*

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Personal Days

Personal Day*

Section C

Ground transportation during travel?

Yes

Please check all that apply*

Taxi

Rental Car

Own Vehicle

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Estimated miles in personal car*

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Est. mileage cost*

Taxi Payment*

Number of taxis*

Estimated cost of taxis

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Rental Car Payment*

Estimated fuel amount for rental car*

Rental Car Confirmation Number*

Please provide the confirmation number associated with your rental.

Rental Agency*

E.g. National or Enterprise

Comments

What entity or organization is paying for this expense?

Additional Cars

If additional rental cars are needed, please fill in the info here, or contact Sara Pons.

Driver's Name*

First Last

Passenger's Name (Only 1 passenger per car)

First Last

Rental Car Reservation Info

Please Note – There are two locations to pickup a rental car, and the hours are listed below:

Enterprise – 730 W. University Avenue
Monday – 7:30am – 6:00pm
Tuesday- 7:30am – 6:00pm
Wednesday – 7:30am – 6:00pm
Thursday – 7:30am – 6:00pm
Friday – 7:30am – 6:00pm
Saturday – 9:00am – 12:00pm
Sunday – CLOSED

Enterprise – GNV Airport
Monday – 7:30am – 11:00pm
Tuesday- 7:30am – 11:00pm
Wednesday – 7:30am – 11:00pm
Thursday – 7:30am – 11:00pm
Friday – 7:30am – 11:00pm
Saturday – 8:00am – 11:00pm
Sunday – 8:00am – 11:00pm

National – GNV Airport
Monday – 7:00am – 11:59pm
Tuesday- 7:00am – 11:59pm
Wednesday – 7:00am – 11:59pm
Thursday – 7:00am – 11:59pm
Friday – 7:00am – 11:59pm
Saturday – 8:00am – 11:15pm
Sunday – 8:00am – 11:15pm

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Pick-Up Date*

Pick-Up Time*

Pick-Up Location

Indicate a specific location, or if picking up from the airport, the airport code.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Airport Code

If picking up from the airport, please provide the airport code

Returning Date*

Returning Time*

Returning Location

Indicate a specific location, or if returning to the airport, the airport code.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Airport Code

If returning to the airport, please provide the airport code

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Vehicle Type*

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Vehicle Justification*

If a vehicle type other than a compact is needed, please provide justification

Estimated Rental Cost (Including Fuel)

Fuel: $25 / day
Compact: $25.55 / day
Minivan: $35 / day

Additional Cars

If additional rental cars are needed, please fill in the info here, or contact Sara Pons.

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Reimbursement type*

Would you like to be reimbursed for meals & lodging, or on a Per Diem basis ($80 per day)?

Meals & Lodging

Per Diem

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Per Diem Allowance

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Comments

Will you be requesting reimbursement for lodging?*

Yes

How many lodging arrangements will you be making?*

UPLOAD FIRST LODGING CONFIRMATION RECEIPT

Accepted file types: doc, docx, odt, pdf, jpg, png, Max. file size: 7 MB.

Payment Type for First Lodging Arrangement*

Estimated Cost of First Lodging Arrangement*

UPLOAD SECOND LODGING CONFIRMATION RECEIPT

Accepted file types: doc, docx, odt, pdf, jpg, png, Max. file size: 7 MB.

Payment Type for Second Lodging Arrangement*

Estimated Cost of Second Lodging Arrangement*

UPLOAD THIRD LODGING CONFIRMATION RECEIPT

Accepted file types: doc, docx, odt, pdf, jpg, png, Max. file size: 7 MB.

Payment Type for Third Lodging Arrangement*

Estimated Cost of Third Lodging Arrangement*

UPLOAD FOURTH LODGING CONFIRMATION RECEIPT

Accepted file types: doc, docx, odt, pdf, jpg, png, Max. file size: 7 MB.

Payment Type for Fourth Lodging Arrangement*

Estimated Cost of Fourth Lodging Arrangement*

UPLOAD LODGING CONFIRMATION RECEIPTS FOR ANY ADDITIONAL LODGING ARRANGEMENTS

Please upload any additional documents, and contact Sara Pons if you will be making more than five lodging arrangements.

Drop files here or

Accepted file types: doc, docx, odt, pdf, jpg, png, Max. file size: 7 MB.

Will you be requesting reimbursement for airfare?*

Yes

How many flights will you be taking?*

UPLOAD AIRFARE CONFIRMATION & RECEIPT FOR YOUR FIRST FLIGHT

Drop files here or

Accepted file types: doc, docx, odt, pdf, jpg, png, Max. file size: 7 MB.

Payment Type for First Flight*

Estimated Cost of Airfare for First Flight*

UPLOAD AIRFARE CONFIRMATION & RECEIPT FOR YOUR SECOND FLIGHT

Drop files here or

Accepted file types: doc, docx, odt, pdf, jpg, png, Max. file size: 7 MB.

Payment Type for Second Flight*

Estimated Cost of Airfare for Second Flight*

UPLOAD AIRFARE CONFIRMATION & RECEIPT FOR YOUR THIRD FLIGHT

Drop files here or

Accepted file types: doc, docx, odt, pdf, jpg, png, Max. file size: 7 MB.

Payment Type for Third Flight*

Estimated Cost of Airfare for Third Flight*

UPLOAD AIRFARE CONFIRMATION & RECEIPT FOR YOUR FOURTH FLIGHT

Drop files here or

Accepted file types: doc, docx, odt, pdf, jpg, png, Max. file size: 7 MB.

Payment Type for Fourth Flight*

Estimated Cost of Airfare for Fourth Flight*

UPLOAD AIRFARE CONFIRMATIONS & RECEIPTS FOR ANY ADDITIONAL FLIGHTS

Please upload any additional documents, and contact Sara Pons if you will be flying more than five times.

Drop files here or

Max. file size: 7 MB.

Will you be requesting reimbursement for meals?*

International travelers: Please note that international meals are calculated at different rates than domestic meals.

Yes

Meals Cost Calculation*

Comments

Additional Travel Expenses?

Do you have any additional travel expenses (E.g. fuel, tolls, parking or taxis)?

Yes

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Additional Travel Expenses

Please indicate any additional travel expenses. To add an expense, use the orange “ADD TRAVEL EXPENSE” button below.

Additional Travel Expenses

Travel Expense*

Payment Type*

Estimated Amount*

Comments

If “Complimentary” is selected, please indicate what entity or organization is paying for the expense

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Travel Days Calculation

This input stores the number of days from the trip departure to the trip return date.

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Lodging Calculation

This input stores the total cost of lodging for the trip.

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Airfare Calculation

This input stores the total cost of airfare for the trip.

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Travel Expenses Calculation

This input stores the total cost of travel expenses for the trip, with the exclusion of rental car costs, meals, lodging, airfare, and per diem allowance.

Total Estimated Cost*

Comments or Notes*

Certification Statement*

I certify that I have read and understand the UF Travel Policies and Procedures stated on the UF travel webpage.

Confirm

Certification Statement*

I certify that I have read and understand the UF-ISE Sr. Design Travel Policies that have been provided to me.

Confirm