Skip to main content Skip to main menu
UF Health University of Florida
Department of Emergency Medicine College of Medicine
Join Our UF EM Team!
Resources Overview

Travel Reimbursement Expenses Checklist

This form must be completed after the trip concludes and submitted to EMED-Accounting@ad.ufl.edu. Completing the checklist will help reduce back-and-forth communication and streamline the process.

Expenses Reimbursement Checklist

Name(Required)
City and state/country if international travel
MM slash DD slash YYYY
Departure Time(Required)
:
MM slash DD slash YYYY
Return Time(Required)
:
Travel Expenses(Required)
Expense Type (i.e. Airfare, Baggage Fees, etc.)
AirCard (UF GO) – Airfare
UF P-Card (include name of the owner of the card)
Personal Funds
Complimentary
 
Indicate the ACTUAL amount and method of payment for expenses being reported. Credit card statements are required for international travel.
For mileage reimbursement on a personal car, provide the origin and destination of travel in the comment section at the bottom of this form.
Meals(Required)
Meal (Breakfast, Lunch, Dinner)
Date
 
Please list all meals not provided as part of the conference/meeting (meeting program and airline ticket required)
Drop files here or
Accepted file types: pdf, jpg, Max. file size: 30 MB.
    All receipts must show method of payment; communication charges (phone/fax/internet) and change/penalty fees must be justified.
    Drop files here or
    Accepted file types: png, jpg, Max. file size: 30 MB.
      Conference/meeting agenda; registration form (blank or filled); copy of invitation; title of talk/seminar; boarding passes or itinerary showing ticket number (esp. if purchased w/ personal funds) If additional space is necessary please attach a separate sheet (or word document) with your name, UF ID#, travel dates, and travel destination.
      Please include a link to the conference website or agenda here if you are unable to upload it above.