Employee Travel Authorization Form
Please note this form is meant to be completed prior to any expense being booked to inform on the most economically appropriate options for travel.
Employee Details
Full Name
*
First Name
Last Name
Email
*
example@example.com
Leader Name
*
Name of event/organization
*
Destination
*
City, state, country
Departure Date
*
-
Month
-
Day
Year
Date
Return Date
*
-
Month
-
Day
Year
Date
Travel purpose and benefit to the department or program (Please explain in details)
*
Seminar, conference, meeting, training, licensing, inspection, audit, etc.
Number of miles for entire trip (roundtrip)
*
Mileage reimbursement cost
Finance Details
Estimated Cost Expense Table (Please calculate cost for entirety of trip.) *Only coach airfare and standard rooms will be allowable expenses.
*
Expenses
Cost ($)
Airfare (Coach price)
Credit Card or Check Request Payment
Reimbursement
Rental Car
Credit Card or Check Request Payment
Reimbursement
Rental Car Gas
Credit Card or Check Request Payment
Reimbursement
Hotel Accommodation (Standard room)
Credit Card or Check Request Payment
Reimbursement
Meals (Total)
Credit Card or Check Request Payment
Reimbursement
Registration Fee (Seminars)
Credit Card or Check Request Payment
Reimbursement
Other expenses
Credit Card or Check Request Payment
Reimbursement
Total Cost ($)
Employee Signature
*
Date Signed
*
-
Month
-
Day
Year
Date
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You will receive an e-mail within 24-48 detailing whether this was approved or denied and what mode of transportation is approved based off of cost.
UF Health St. Johns Travel and Reimbursement Policy
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