HR Travel Consent Form

HR TRAVEL CONSENT FORM

Employee Name:   Employee ID:

Personal Information

Position Information

Employment Start Date:   Current Salary (annual): $

Full-Time    Part-Time    Contractor

Travel Details

Destination City:   Destination Country/State:

Departure Date:   Return Date:

Air    Train    Personal Vehicle    Rental Vehicle    Company Vehicle

Advance Requested: Yes    If yes, Amount: $

Emergency Contact & Medical Information

I authorize the Company and its agents to obtain emergency medical treatment if needed and to disclose medical information to treating providers as reasonably necessary: I Authorize

Policy, Liability & Privacy Acknowledgements

I acknowledge that I have reviewed and will comply with the Company Travel Policy, safety protocols, and applicable export/import or customs requirements where relevant. I understand that travel may involve inherent risks and I voluntarily assume those risks associated with the travel described above.

I agree to indemnify and hold the Company harmless from liability, claims, losses and expenses arising from my negligence or willful misconduct during travel. This indemnity does not extend to the Company's gross negligence or intentional misconduct.

Company-provided devices and accounts used for travel may be subject to reasonable monitoring. I consent to such monitoring to the extent permitted by law and acknowledge that personal use may be subject to Company policy.

I acknowledge personal responsibility for expense documentation and timely submission of receipts. I understand that the Company may seek repayment for unauthorized expenses or advances not substantiated by receipts or policy-compliant documentation.

I authorize the Company to make necessary itinerary changes for business needs and accept responsibility to follow directed changes unless such changes would place me in danger.

I consent to location or check-in requirements imposed for safety, and I will comply with any reasonable monitoring or check-in requests while traveling on Company business: I Consent

Background, Employment History & References

I authorize the Company to contact my previous employers and references and to conduct background and driving-record checks as necessary for travel approval: I Authorize

Employment History — Employer 1

Dates Employed:    Reason for Leaving:

Employment History — Employer 2

Dates Employed:    Reason for Leaving:

Education

Graduation Date:

References (Professional)

Legal Disclosures

At-Will Employment: I understand that my employment is at-will unless otherwise set forth in a signed written agreement. Either I or the Company may terminate employment at any time, with or without cause or notice, to the extent permitted by applicable law.

Equal Opportunity: The Company is an equal opportunity employer. Employment decisions are made without regard to protected characteristics, and the Company will provide reasonable accommodations as required by law.

Applicant Certifications & Authorizations

I certify that all information provided on this form is true, complete, and accurate to the best of my knowledge. I understand that any materially false statement or omission may result in denial of travel privileges or disciplinary action up to and including termination.

I authorize the Company to contact my prior employers and references to verify employment history and to perform background and driving-record checks as necessary for the purposes of approving travel and associated responsibilities.

By checking the box below I confirm that I have read, understand, and accept the terms contained in this Travel Consent Form and related Company policies: I Certify and Consent

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