Foreign Travel Submission

Foreign Travel Submission

This form should be used to submit Authorized Travel for Employees to Risk Management for scheduling insurance coverage under the University's Foreign Liability Policy. An approved TA number is required.

Certain destination countries may require additional approval and documentation for travel to be scheduled under the Foreign Liability Policy.

Export Control will be notified of travel to destination countries that are under restrictions with the Office of Foreign Asset Control (OFAC) or for compliance with other applicable state or federal regulations.

If completing on behalf of departmental staff, the submitter must notify staff of additional steps in registering technology with Export Control, completing additional documents as required, and to review and update emergency contact information as it applies to their travel.

Students, not employed by the University, but who are traveling abroad under the auspices of Boise State University, must contact the Center for Global Education prior to travel to ensure the mandatory Student Travel Accident insurance is purchased and to ensure all safety and medical issues relating to foreign travel are properly addressed. This includes but is not limited to student travel related to graduate studies, field work, research, or other educational purposes.

Department Information

Department:*

Submitter:*

Submitter Email:*

Submission Type:*

Please indicate if the travel is being submitted by departmental personnel on behalf of the traveler or by the employee who is traveling.

Select

Department Authorization Contact:*

Authorization Contact Email:*

Travel Authorization Notice:

If your travel has not been approved to date, please resubmit your request for insurance coverage once your travel has been authorized by your department.

Travel Information:

Travel Start Date:*

Travel End Date:*

Number of Employees Traveling:*

Please indicate the total number of employees traveling with the same itinerary and business purpose.

Select

Large Group Travel Instructions:

To submit Foreign Travel for more than 5 employees, please complete additional Foreign Travel forms as needed.

Employee Name (1):*

Employee(1) Job Title:*

Employee (1) Email:*

Travel Authorization Number: Employee 1*

Employee Name (2):*

Employee (2) Job Title:*

Employee (2) Email:*

Travel Authorization Number: Employee 2*

Employee Name (3):*

Employee (3) Job Title:*

Employee (3) Email:

Travel Authorization Number: Employee 3*

Employee Name(4):*

Employee (4) Job Title:*

Employee (4) Email:*

Travel Authorization Number: Employee 4*

Employee Name (5):*

Employee (5) Job Title:*

Employee (5) Email:*

Travel Authorization Number: Employee 5*

Travel Purpose:*

Please select the business description which best describes the travel purpose.

Select

Travel Purpose Details:*

Please indicate the relevant details, such as the name of the conference, sponsors, affiliated organizations, universities or programs.

Travel Purpose, Description- Other:*

Personal Travel Included?*

Select

Personal Travel Start Date:*

Personal Travel End Date:*

No. of Travel Destinations:*

Please indicate the number of different cities or countries you will be traveling to within your itinerary.

Select

Destination City (1):*

Destination Country (1)*

Select

Destination City (2):*

Destination Country (2):*

Select

Destination City (3):*

Destination Country (3)*

Select

Destination City (4)*

Destination Country (4)*

Select

Destination City (5):*

Destination Country (5):*

Select

Travel wi/Tech Equipment or Intellectual Property"*

Indicate if you will be traveling with phones, computers, USBs or other data storage, or documents printed or saved that contain sensitive information or intellectual property owned by Boise State University or in conjunction with or corollary to projects or work with Boise State University,

Select

State Department Country Advisory Level:*

State Department Travel Advisories are assigned to countries. Please review the State Departments website and indicate the current level assigned to each of your country(ies) of destination.

If you have more destinations than indicated, please submit a separate document at the bottom of the form with the State Department Country Advisory levels listed for the additional destinations.

Level 1: Exercise normal precautions. This indicates the least risky places to travel to, but the State Department cautions that "there is some risk in any international travel."

Level 2: Exercise increased caution. Travelers should be aware of higher safety and security risks in their destination, and that conditions can change at any time.

Level 3: Reconsider travel. Serious safety and security risks exist and conditions can change at any time. The State Department provides more specific guidance for travelers in Level 3 areas.

Level 4: Do not travel. Level 4 countries represent the highest risk of life-threatening danger and little to no ability for the U.S. government to assist when an emergency occurs. The State Department advises travelers to avoid Level 4 countries, that Americans in those countries leave as soon as it's safe to do so, and to write a will and leave DNA samples before travel in case of worst-case scenarios.

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Acknowledgements:

Department Submission Acknowledgement*

Travel has been submitted by department administrative personnel behalf of the employee. IT, Health/Vaccination and Travel Emergency Contact Acknowledgements are not subject to response by submitter.

Employee will receive the information as part of RMI travel confirmation.

Health and Vaccination Acknowledgement:*

Please read the following Acknowledgements carefully and in their entirety.

I understand that international travel increases my chances of getting and spreading diseases that are rare or not found in United States.

I understand and agree it is my responsibility to become aware of known diseases or illness whether as an outbreak or endemic to my destination country(ies).

I understand the University urges that I review and consider vaccinations for known illness or disease within my destination country(ies) as recommended by CDC (Centers for Disease Control and Prevention), WHO (World Health Organization), my personal physician or other accredited health organization.

I understand and agree that my health is my responsibility, and I may choose to not travel to a country where I believe my health is at risk.

I understand that some countries require certain vaccinations for entry, and it is my responsibility to meet vaccination protocols for my destination country(ies).

I understand and agree that my health is my responsibility, and I may choose whether to become vaccinated or not for international travel, if not required by my destination country(ies).

By checking the box below, I understand and agree to the acknowledgement as written.

IT Acknowledgement:*

Please read the following Acknowledgement carefully as the statements impact your ability to travel with Boise State University owned data and devices.

The U. S. Department of Treasury Office of Foreign Asset Control (OFAC) places travel restrictions on certain locations, entities, or activities.

Travel involving embargoed, sanctioned, or prohibited countries generally pose significant risk and must be reviewed by Export Control prior to such travel being booked.

Export Control's concerns center on the traveler’s safety and security, securing data and devices, safeguarding the integrity of Boise State systems and networks, and complying with various laws and regulations.

It is the traveler’s responsibility to ensure that their exports (e.g., electronic devices, presentations, downloads) do not have any technical data or technology that requires an export license.

Even a temporary export of ITAR-controlled articles, technical data, or software require an express written authorization from Export Control in advance for each export.

While abroad, employees should not attempt to access any potentially ITAR-controlled information from outside of the United States (e.g., opening an e-mail attachment, accessing files remotely).

Please plan ahead. If an export license is required for a temporary export, the request of an export license may take months to process.

Travel only with electronic devices that do not contain controlled data, such as export controlled information or proprietary information.

Store any scientific, technical, or engineering information on an encrypted flash-drive and not on the hard drive of your electronic device.

Keep the encrypted flash-drive in a pocket on your person when using transportation services of any kind or in public places.

Contact Boise State Export Controls at exportcontrols@boisestate.edu for further discussion and for policy compliance.

By checking the box below, I have read, understand and agree to comply with the requirements and or recommendations as stated in the above acknowledgement. I agree to contact Export Control for review and compliance with Boise State policies.

Assumption of Risk:*

A destination country(ies) has been selected that is currently listed as a "scheduled country" under the Foreign Liability Policy. Risk Management will forward an Assumption of Risk document to the employee and authorizing department contact for review and signature.

Once the fully executed copy of the document is returned to Risk Management, the submitted travel will be scheduled and a confirmation sent to the submitting party.

Travel Emergency Contact Acknowledgement:*

Emergency contact information will be used if required in reference to this travel. Please review/update emergency contact information for this travel.

By checking the box below, I understand and agree to the acknowledgement as written.

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