Please submit the completed Travel Request Form as soon as you know you will be traveling, at least three weeks in advance. Note: This form is exclusively for the use of the Department of Electrical & Computer Engineering. Entries from other units will be discarded. Traveler* First Last Are You Employed by the University of Florida?* Yes No UFID Traveler Phone*Traveler Date of Birth* MM slash DD slash YYYY Traveler Email* Traveler Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Employee Affiliation* Faculty Staff Research Assistant Professor Graduate Assistant/Post Doc Fellow Non-Employee Affiliation* Student Visitor Other Advisor's Name First Last Non Employee OnlyAdvisor Email* Enter Email Confirm Email Non-Employee OnlyApprover Name* First Last Visitor OnlyApprover Name First Last Other OnlyApprover Email Other OnlyApprover Email Enter Email Confirm Email Visitor OnlyAdvisor Name* Advisor Email* Advisor/Supervisor/PI Name* Advisor/Supervisor/PI Email* Are you traveling to a foreign location?* Yes No Are you taking any UF owned equipment with you (ex. laptop/tablet)?* Yes No Are you teaching any classes during these travel dates?* Yes No If yes, classes affected and provisions made:*Are you preparing this form for someone other than yourself? Yes No Originator's Name First Last Originator's Email Will This Trip Include Personal Dates?* Yes No Personal Travel Dates General Purpose of Trip*Admissions RecruitingClient Visits or Site VisitsComplimentary TravelConference or ConventionConsultant or Contractual SvcsFaculty RecruitmentGrant ReviewMeetingProfessional DevelopmentRecruitmentResearchSpeaker at Conference or ConventionSpeaker/Guest SpeakerTournamentTrainingWorkshopConference or Convention Website* Departure Date* Month Day Year Return Date* Month Day Year Origin* Start point of travelDestination* Business LocationFunding Source(s)* Are you charging multiple funding sources?* Yes No How did you determine the split between funding sources?*Will any portion of your travel expenses be covered by a non-UF source?* Yes No Please provide the name of the source and the amount.*Reason for Travel and Benefit to the Funding Source*Please provide information such as the name of the conference,workshop or meeting; the title of the presentation if available and how this trip specifically benefits the funding source. If traveling to a foreign location, please list entities and locations you are visiting.Will a UF PCard Be Used for Payment?* Yes No PCard Holder Name First Last PCard Holder Email Address Estimated Business Expense Type* Airfare Registration Lodging Car Rental Fuel Mileage Parking and Tolls Other Transportation( i.e- taxi, bus, train) Meals Other Airfare Cost Estimate*Type of Payment*UF PCardPersonalComplimentaryRegistration Cost Estimate*Type of Payment*UF PCardPersonalComplimentaryLodging Cost Estimate*Note: House-sharing platforms (Airbnb, etc.) may not be used for lodging when traveling for the HWCOE when the total lodging need is less than seven consecutive days.Type of Payment*UF PCardPersonalComplimentaryCar Rental Cost Estimate**If you would like the travel office to reserve your rental car for you, please fill out our rental car request form*Type of Payment*UF PCardPersonalComplimentaryFuel Cost Estimate*Type of Payment*UF PCardPersonalComplimentaryEstimate Number of Miles*Mileage Cost EstimateParking and Tolls Estimate*Type of Payment*UF PCardPersonalComplimentaryOther Transportation Cost Estimate*Type of Payment*UF PCardPersonalComplimentaryMeals Cost Estimate**Domestic-$36 per day. International Rates vary by location*Other Costs Estimate* *Explain other costs in comments section*Type of Payment*UF PCardPersonalComplimentaryTotal Cost Estimate*Please include any additional comments you may have:(i.e - personal days, back to back trips, explain any other costs listed)Upload any supporting documents Drop files here or Select files Max. file size: 8 MB. I certify that:* I have read and understood the UF Travel Policy. If you do not know or fully understand the policies above please reach out to travel@ece.ufl.edu.I certify that:* If I am traveling to a foreign location and taking any UF owned equipment, I have registered with UF Asset Management. If I am traveling to a foreign location, I've registered with the International Center. If you do not know or fully understand the policies above please reach out to travel@ece.ufl.edu.CAPTCHA