International Travel Checklist » College of Nursing

Please complete this form before you travel abroad on behalf of the University of Florida. Do so for each trip even if it involves repeated visits to the same country.
Traveling to (list countries):*
Start Date*
MM slash DD slash YYYY
End Date*
MM slash DD slash YYYY
*
- I have consulted with my clinician or a travel clinic about my international travel and have received necessary vaccines and travel medication
*
- As required I have registered my international travel with the International Center (http://www.ufic.ufl.edu/travelregistration.html) and have received my TeamAssist card.
*
- If I am traveling to an embargoed country, I have additionally read the UF policy at http://www.ufic.ufl.edu/TravelEmbargoed.html, and as required I have contacted Dean Leonardo Villalón.
Name*

(exactly as it appears on your government-issued passport)
UFID*
Passport #*
Date of passport issue*
Month
Day
Year
Date of passport expiration*
Month
Day
Year
Country of issue*
Country of residence*
By submitting this form I certify that the information provided is accurate to the best of my knowledge, and necessary steps have been completed for international travel.