Event Funding Follow-up Funding Follow-up Form Proper submission of all information within this form is required to process payment for any supplies or catering provided through MCC. This form must be submitted within 3 days following completion of event. Committee Name*AnesthesiologyCardiologyCritical CareDermatologyDiagnostic RadiologyEmergency MedicineFamily MedicineGastroenterologyGeneral SurgeryGeriatric MedicineImmunologyInternal MedicineInterventional RadiologyNeurological SurgeryNeurologyObstetrics and GynecologyOncologyOpthalmologyOrthopaedic SurgeryOtolaryngologyPain MedicinePathologyPediatricsPhysical Medicine and RehabilitationPlastic SurgeryPsychiatryRadiation OncologySports MedicineThoracic and Cardiac SurgeryUltrasoundUrologyWilderness MedicineMilitary MedicinePhysician AssistantArtificial Intelligence in MedicineArts in MedicineBusiness and Innovation in MedicineCreative PracticeCultural CompetencyCC: Health Queer AllianceLocal, Global HealthMedical EducationMedBuddiesMind-Body MedicineNutritionHealth Policy and AdvocacyHPA: National Health PlanHPA: MedGators for HealthYour Name* First Last UFL Email* Enter Email Confirm Email Fund Request Form Number*Input the form number correlated with your initial event request. Event Title*Utilize same event title used in initial event request. Date of Event* MM slash DD slash YYYY Location* Attendance*State how many students attended this event.Please enter a number greater than or equal to 1.Fund Category*How were funds utilized? Catering Materials/Supplies Other Caterer Name* How was food received?* Delivered Picked up UF Approved Vendor Proof*Upload screenshot of vendor on UF approved vendor list (www.bsd.ufl.edu/catering/Caterers) If vendor does not appear, please contact UF Business Services directly to verify vendor status. Max. file size: 125 MB.Materials Vendor*Please indicate the vendor utilized to purchase materials. Receipt*Provide a PDF file of the final invoice or receipt received upon completing transaction. Max. file size: 125 MB.Attendance/Invite List*Provide a PDF file of the final event attendance list. If attendance was not directly captured, please provide PDF proof of invitation. Max. file size: 125 MB.Total Expense*Provide final amount utilized. Please enter a number from 0 to 500.00.Terms*By completing this form, I confirm that all of the above information is accurate and complete. Incomplete or inaccurate form submission, may prevent your Committee from requesting funds for the remainder of the academic year. I Agree