Resident Travel Request Form

Resident Travel Request Form

Customized blue themed form that will be used on obtaining individuals travel plans and preference like hotel and flight accommodations. This form will come very handy for the travel agents. Form Preview
  • Please provide details about your travel request and a copy of your research acceptance notification (if applicable). You may contact Leslie (leslie.combs@uky.edu) with any questions.
  •  -  - Pick a Date
  •  -  - Pick a Date
  • Travel Details

    If your travel is approved, hotel and flight accommodations will be made on your behalf. Please provide as many details as possible to aid in the booking of your travel. All airline accommodations will be sent to you for approval prior to booking.

  • Outbound Flight Request

  •  -  - Pick a Date
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  • OR

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  • Return Flight Request

  •  -  - Pick a Date
  •  :
  • OR

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  • Scholarly Activity

    Please provide the details of your scholarly activity below. Be sure to log your activity in MedHub. 

  • Coverage

    Please be in close communication with the inpatient Chief and follow usual protocol for inpatient request. (You are responsible for finding your own coverage)

  • Should be Empty: