Employee Flight Request Form

EMPLOYEE FLIGHT REQUEST FORM

Personal Information

Position Information

Travel Details

Purpose of Travel:

Departure Date:    Return Date:

Preferred Departure Time:    Preferred Return Time:

Flight Preferences & Accommodations

Preferred Carrier:

Seating Class (select applicable):

Economy Premium Economy Business First

Estimated Cost & Billing

Account Code:    Cost Center:

Payment Method (select): Corporate Card Company Travel Card Personal Card (Reimbursement)

Emergency Contact

Approvals & Administrative Use

Manager Approval Required: Yes

Travel Office Use Only — Booking Reference:

Company Policy & Certifications

Travel authorization is governed by the company's Travel and Expense Policy. Approval of this request authorizes the traveler to incur costs consistent with policy and account coding provided above. The company reserves the right to redirect, reschedule, or alter travel bookings in the event of business necessity; employee acknowledges that such changes may affect personal schedules and agrees that the company will not be liable for incidental personal costs unless expressly approved in writing by authorized finance personnel.

Employee Certification: I certify that the information provided in this request is true and complete to the best of my knowledge. I understand and agree that any personal upgrades or non-business expenses incurred without prior authorization are my responsibility and may be charged to me. I authorize the company to charge approved travel expenses to the account code indicated. I acknowledge that I have read and will comply with applicable travel, expense, and security policies.

Background and Verification Authorization: I consent to administrative verification of information provided on this form as necessary for business purposes. I authorize the company and its agents to contact emergency contacts and to make travel arrangements on my behalf, including the procurement of visas or other travel-related documentation where required. This authorization does not constitute consent to release personnel files beyond what is required for travel approval and booking.

I have read, understand, and agree to the statements above.

Employment History

Employer 1

Employer 2

Education

References

Reference 1

Reference 2

Reference 3

Legal Disclosures

At-Will Employment: Nothing in this form alters the at-will nature of employment where applicable. Employment may be terminated by either the employee or the company at any time, with or without cause, unless a written agreement signed by authorized company representatives states otherwise.

Equal Opportunity: The company provides equal employment opportunity to all employees and applicants without regard to protected characteristics. This travel request will be processed consistent with company policy and applicable law.

Applicant Certification

I certify that all information provided on this Employee Flight Request Form is true, complete, and submitted for legitimate business purposes. I authorize the company to contact listed references and to verify employment history to the extent necessary for administrative processing. I understand that providing false information may result in disciplinary action up to and including termination.

I further authorize the company to obtain and retain records and booking details required to administer this travel request and to process expense reimbursement or corporate card charges associated with approved travel. I agree to comply with the travel and expense guidelines and to seek prior written approval for any deviation that would result in additional cost to the company.

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