Employee Travel Information

EMPLOYEE TRAVEL INFORMATION

Personal Information

Phone:    Email:

Position Information

Reporting Manager:    Hire Date:

Travel Request Details

Destination (City, Country/State):

Departure Date:    Return Date:

Travel Type: Domestic International    Preferred Class: Economy Business First

Transportation & Accommodation

Rental Car Required: Yes    Hotel Preference:

Passport, Visa & Health

Passport Number:    Passport Expiry Date:

Visa Required: Yes    Visa Status / Details:

Emergency Contact

Relationship:    Phone:

Company Payment & Expense

Corporate Card Requested: Yes    Advance Requested (amount):

Pre-Trip Checklist (mark completed)

Itinerary submitted to manager/HR
Required approvals obtained
Reviewed company travel and expense policy
Health clearance / vaccinations complete (if applicable)
Corporate payment method provisioned

Employment History

Title:    Start Date:    End Date:

Title:    Start Date:    End Date:

Education

Graduation Date:

References

Phone:    Email:

Phone:    Email:

Phone:    Email:

Legal Disclosures & Acknowledgements

At-Will Employment: I understand that my employment status is at-will and that nothing in this travel request or its approval modifies the at-will employment relationship between me and the company. The company retains the right to terminate employment at any time, with or without cause or notice.

Equal Opportunity: The company provides equal employment opportunities without regard to protected characteristics. Travel-related assignments, benefits, and accommodations will be administered without unlawful discrimination.

Applicant Certification and Authorizations

I certify that the information provided in this Employee Travel Information form is true, accurate, and complete to the best of my knowledge. I understand that intentional falsification or omission of material facts may result in disciplinary action up to and including termination.

I authorize the company to verify any information contained herein, including contacting prior employers and references for purposes related to employment and travel approval. I consent to required background or security checks related to this travel assignment, where applicable, and acknowledge that such checks may be required prior to final approval for travel.

I acknowledge that I have read and will comply with the company travel and expense policy, including rules governing allowable expenses, required receipts, use of corporate payment methods, and timely submission of expense reports. I authorize the company to charge or recover expenses from my pay if I fail to comply with expense policy or if corporate payment instruments are used in violation of policy.

Medical Authorization: In the event of an emergency while traveling on company business, I authorize the company and its agents to obtain medical treatment on my behalf if I am unable to provide consent. I agree to reimburse the company for any costs incurred for repatriation or evacuation if required due to noncompliance with travel health requirements.

Manager / Administrative Notification

Notify Manager:    Manager Email:

Manager Approval Obtained: Yes    Approval Date:

Authorization to Contact and Background Checks

By signing below I authorize the company and its designated agents to contact prior employers, references, and other third parties as necessary to verify the information provided. I consent to background checks, security screenings, and any other investigations required by the company or by law prior to travel approval.

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