Faculty Leave Authorization Form If you have already submitted a Travel Request Form for a conference/meeting, you do not need to complete this form. For Faculty in the Department of Pharmacology & Therapeutics Only Name(Required) UF Email(Required) Supervisor's Email(Required)danielwesson@ufl.eduj.bird@ufl.edugcasadesus@ufl.educhapmaneli@ufl.eduoguryanova@ufl.edudhammers@ufl.edujharriso@ufl.educoracricket@ufl.edumay.khanna@ufl.edur.khanna@ufl.edudkopinke@ufl.edubklaw@ufl.edunicollemr@ufl.eedumark.moehle@ufl.edualine.oliveira@ufl.eduholger.russ@ufl.edulsweeney@ufl.edustoutc@ufl.edunikhilurs@ufl.eduAll-Day or Partial Day Leave?(Required) All-day Leave Partial Day’s Leave Are you requesting a full day’s leave on dates entered, or are there specific hours you are requesting leave for?Start Date(Required) MM slash DD slash YYYY Start Time(Required) Hours : Minutes AM PM AM/PM End Date(Required) MM slash DD slash YYYY End Time(Required) Hours : Minutes AM PM AM/PM Type of Leave Requested(Required) Sick Leave Vacation Leave FMLA Leave Leave Without Pay Bereavement Leave Bereavement Leave – Provides up to two days of administrative leave upon the death of an immediate family member as defined by the University of Florida.Type of FMLA-Qualifying Event (If Applicable)(Required)Medical LeaveMilitary, Long TermPaternal LeaveWorker's CompensationAdditional InformationSignature(Required)
