IEEE Volunteer Business Class Travel Upgrade Request for Medical Reasons

IEEE Volunteer Business Class Travel Upgrade Request for Medical Reasons

Traveler Name*

Traveler Email*

Medical Justification and Documentation*

Please attach any supporting documentation to the end of this form.

Meeting Details

Meeting Name*

Meeting Start Date*

Meeting Location*

Meeting Role*

Travel Details

Traveling from what city*

Economy Fare Price (USD)*

Upgraded Fare Price

Using personal mileage, if applicable.

Business Fare Price (USD)*

If not traveling for an IEEE Board of Directors event, which IEEE organizational unit will support travel?*

Please attach the following:

Any applicable medical justification documentation.
Confirmation that business class travel is included in the budget of the unit.

File Upload*

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