Pre-travel Estimate Report Full Name: Full Name Reason For Travel:Reason For Travel:Grant funded or contract activitiesGrant Reviewer for any national grant funding agencyAccreditation site reviewOther professional activitiesTravel Start Date: MM slash DD slash YYYY Travel End Date: MM slash DD slash YYYY Will any Annual Leave be used for this trip? Yes No Is the purpose of this leave to conduct research delineated in the specific aims of a grant and paid for by the direct costs of that grant? No Yes (If yes, please attach a copy of the grant specific aims or other relevant grant documents and budget in the attachments section)Is the purpose of this leave: No Yes (If yes, 1. to conduct a special activity assigned by the dean or assigned by the Chair with preapproval from the Dean. 2. to review a grant for any national grant funding agency. 3. to review an accreditation site for a professional/ scientific organization.)Are you receiving honorarium or reimbursement from any sources (outside of UF)? No Yes Where applicable was the UFOLIO, conflict of interest electronic form complete? No Yes N/A Travel Destination: Link to Conference (if applicable): Funding Source 1Funding Source 1GrantPI IDCCTR IDCDept IDCClinicalDOCEFoundationStateNon-UF CompensatedIndustryOutside SponsorMGGSelf PayAUXMisc DonorsUF Sponsored Non PHHPProject1 NumberSource %Funding Source 2Funding Source 2GrantPI IDCCTR IDCDept IDCClinicalDOCEFoundationStateNon-UF CompensatedIndustryOutside SponsorMGGSelf PayAUXMisc DonorsUF Sponsored Non PHHPProject2 NumberSource%Estimated Business Expense Type: Airfare Car Lodging Meals Mileage Miscellaneous Registration Tolls and Parking Airfare Cost:Number of Bags:Rate Per Bag:Baggage Total:Car Rental Cost:Mileage:Tolls:Parking:Ground Transportation:Lodging:Registration:Meals:Other Expenses1:Describe other expenses1: Non UF Reimbursed Expenses1:Other Expenses2:Describe other expenses2: Non UF Reimbursed Expenses2:Other Expenses3:Describe other expenses3: Non UF Reimbursed Expenses3:Other Expenses4:Describe other expenses4: Non UF Reimbursed Expenses4:Other Expenses5:Describe other expenses5: Non UF Reimbursed Expenses5:Grand Total:Detailed Daily Itinerary:NOTE: A detailed daily itinerary must be submitted with each TAR. You may enter it below OR attach a separate document when this form is submitted. If you are attending a conference, you must also attach the conference program/itinerary. Upload Itinerary Input Detailed Itinerary Upload Daily Itinerary: Drop files here or Select files Max. file size: 125 MB. NOTE: jpg, gif, png, pdfDay MM slash DD slash YYYY ActivityLeave Type:Standard Annual LeaveStandard Professional LeaveDean-Directed TravelTransit DayWork DayWeekendHolidayDescription Date2 MM slash DD slash YYYY Activity2Leave Type:Standard Annual LeaveStandard Professional LeaveDean-Directed TravelTransit DayWork DayWeekendHolidayDescription2 Date3 MM slash DD slash YYYY Activity3Leave Type:Standard Annual LeaveStandard Professional LeaveDean-Directed TravelTransit DayWork DayWeekendHolidayDescription3 Date4 MM slash DD slash YYYY Activity4Leave Type:Standard Annual LeaveStandard Professional LeaveDean-Directed TravelTransit DayWork DayWeekendHolidayDescription4 Date5 MM slash DD slash YYYY Activity5Leave Type:Standard Annual LeaveStandard Professional LeaveDean-Directed TravelTransit DayWork DayWeekendHolidayDescription5 Date6 MM slash DD slash YYYY Activity6Leave Type:Standard Annual LeaveStandard Professional LeaveDean-Directed TravelTransit DayWork DayWeekendHolidayDescription6 Date7 MM slash DD slash YYYY Activity7Leave Type:Standard Annual LeaveStandard Professional LeaveDean-Directed TravelTransit DayWork DayWeekendHolidayDescription7 Date8 MM slash DD slash YYYY Activity8Leave Type:Standard Annual LeaveStandard Professional LeaveDean-Directed TravelTransit DayWork DayWeekendHolidayDescription8 Date9 MM slash DD slash YYYY Activity9Leave Type:Standard Annual LeaveStandard Professional LeaveDean-Directed TravelTransit DayWork DayWeekendHolidayDescription9 Date10 MM slash DD slash YYYY Activity10Leave Type:Standard Annual LeaveStandard Professional LeaveDean-Directed TravelTransit DayWork DayWeekendHolidayDescription10 Upload Supporting Documents: Annual Leave (please get chair's signature) Program, Invitation, or Email Specific Aims/Grant Docs International Checklist Team Assist Card Clery Act Comparison Airfares Other (Please write in additional notes) Annual Leave Drop files here or Select files Max. file size: 125 MB. Program, Invitation, or Email Drop files here or Select files Max. file size: 125 MB. Specific Aims/Grant Docs Drop files here or Select files Max. file size: 125 MB. International Checklist Drop files here or Select files Max. file size: 125 MB. Team Assist Card Drop files here or Select files Max. file size: 125 MB. Clery Act Drop files here or Select files Max. file size: 125 MB. Comparison Airfares Drop files here or Select files Max. file size: 125 MB. Other Supporting Documents Drop files here or Select files Max. file size: 125 MB. Additional Notes or Comments: CommentsThis field is for validation purposes and should be left unchanged.
