International Travel & Travel Insurance Request - Required at least 45 days before travel

Purpose: Each employee/study abroad student traveling internationally for official business is required to complete this form.

Traveler Name*

Affiliation*

Select

Employee/Student ID Number*

Department Name*

Select

Campus Email Address*

Destination (All countries)*

Destination (cities, towns or regions)*

All Airports (Arrivals and Departures)*

Put "NA" if no airport is involved.

US Departure Date*

US Return Date*

Purpose of Travel*

Smart Traveler Enrollment Program (STEP)*

Are you signed up for Smart Traveler Enrollment Program (STEP)? This is required before submitting this request.

Select

Name of Emergency Contact*

Email of Emergency Contact*

Lodging Information*

Please provide all lodging names, addresses and phone numbers. Any missing information will cause return of this form.

Mode of Transportation*

Check all that apply and provide details for "Other"

Select

Please provide the details of other transportation mode

Additional Security Measures (this is not specific to only COVID but overall safety precautions that will be taken)*

Please provide security measures in place or traveler will take while traveling.

Personal Travel Dates (if applicable):*

Please include any personal dates planned for your international business trip. If they exceed 25% of the trip, your flight will become a taxable item to you. Put "N/A" if no personal days.

Please provide CFS chartfield string information*

Account/Fund/Dept/Program/Class/Project. If Sponsored Programs, or Extended Education, DOA approval email must be uploaded with insurance request.

High Hazard or War Risk Determination*

To determine if the county is High Hazard or War Risk please visit http://finance.sonoma.edu/accounts-payable/travel/foreign-travel-insurance and click on State Department Travel Warnings as well as CSURMA High Hazardous and War Risk countries. Vice President and President's approval are required if "Yes" is selected.

Select

Vice President and President's Approval

Please upload the approval in the file upload box below.

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