International Travel Registration

All travel registration and enrollment for international travel coverage for University employees is managed through Concur. Departments will be billed directly through Concur after the conclusion of the travel.

All student international travel must be submitted to the Division of Global Engagement for review and enrollment. Departments may contact Alyssa Cervenka, Global Risk Manager at cervenka@uoregon.edu.

This registration form may be used for travelers that are NOT booked through Concur and employee dependents.

Information you will need for this form:

- UO ID (95 number)

- Dates of travel

- Travel destinations

- Index (if you have departmental approval to charge travel insurance)

- Email address of the office or business manager in the department associated with this travel.

If you are enrolling dependents in travel insurance, please complete one form for each traveler. There is no charge for dependent insurance.

Traveler Information

UO Affiliation*

Please select your affiliation with the UO even if you are registering a dependent.

Select

Will this person's travel be booked in Concur?*

This also applies if the individual's travel is registered as a guest in Concur.

Select

Since this person's travel will be booked in Concur there is no need to complete this form.

Insurance will be billed automatically in Concur when an expense report is submitted.

Are you enrolled in a GEO Study Abroad Program

Select

Since you are a traveling on a GEO program there is no need to complete this form.

If you have questions regarding this supplemental travel insurance please contact your respective GEO Study Abroad Coordinator.

UO ID

(950-00-0000). Again, please input your information even if you are registering a dependent.

Is this travel registration for a dependent? (Child or Spouse of UO employee)*

Select

Type of Dependent*

Please note that members outside of immediate family (spouse/domestic partner and children) cannot be covered by UO's dependent insurance overage. Any extended family member traveling with you must purchase their own international insurance coverage.

Select

Please list the name of the UO employee registering the dependent below. Note: You will need to register each dependent separately.*

LAST NAME of Traveler*

If you would like to register a group of travelers please contact Risk Management (346-2307 or riskmanagement@uoregon.edu) for instructions.

FIRST NAME of Traveler*

Date of Birth of Traveler*

(MM/DD/YYYY)

Local Address of Traveler*

(ex. 123 Main Street)

Local City*

Local State*

Local Zip*

Contact Phone Number*

(ex. 999-999-9999)

Traveler's Email Address*

Please provide the email address that will be most easily accessible while abroad.

Travel Purpose*

Briefly describe the purpose of this trip as it relates to official UO travel.

Department Name*

Department Contact Email

Please indicate the email Address of your department's Office/Travel/Business Manager associated with this travel. An email notification will be sent to this person.

TRAVEL INSURANCE ENROLLMENT

All University of Oregon (UO) faculty, staff, students, and their dependents traveling internationally for university business, academic purposes, or approved co-curricular activities must enroll in the UO's supplemental international insurance plan. This requirement applies unless the traveler can demonstrate superior access to health and emergency services at their destination due to residency or other exceptional circumstances. Coverage includes accident and sickness, security evacuations, and emergency medical evacuation. The full details of insurance coverage can be found here. If you will be engaging in certain higher-risk activities (hiking above certain altitudes, athletic events, water sports, etc.) you may not be covered by this plan and may want to purchase a different international insurance plan.

Please do NOT complete this form if your travel has already been booked through Concur as you will automatically be enrolled in the UO's insurance plan via Concur.

The cost of this insurance is currently $2.50 per person per day but will be increasing to $3.50 per day starting July 1, 2025. For students, this will be charged to the student's account or an index if a department is sponsoring your travel. As a reminder, there is no charge for dependent insurance enrollment.

Please review the list of excluded countries prior to registration:

https://safety.uoregon.edu/international-travel-registration-and-insurance

INDEX/Insurance Charge*

Please list the departmental index for this insurance charge. If you are a student and a department is not paying for your travel insurance please indicate in the field below "student account".

Insurance Enrollment Waiver*

Are you requesting an insurance waiver and ready to demonstrate superior access to local health and emergency services at the destination you are traveling to?

Select

Insurance Cap for Students Traveling For More Than 30 Days

If you are a student whose insurance will be billed to your student account and have financial need, we will cap the cost of your insurance at $75 even if your travel extends beyond 30 days. Please check this box if this applies to you.

Note: This does not apply if an academic department is covering the cost of your insurance or if you are traveling for less than 30 days.

Business Start Date*

Business Return Date*

Country 1*

Select or enter value

Country 2

Select or enter value

Country 3

Select or enter value

Country 4

Select or enter value

Country 5

Select or enter value

Country 6

Select or enter value

Country 7

Select or enter value

Travel Deviation Coverage

This supplemental international insurance plan provides coverage for an additional 14 days (7 days prior to your Business Start Date and 7 days after your Business End Date) in the event that you encounter any unexpected travel issues.

Personal Travel*

Will you be traveling (personal) outside of your Business Start and End Dates? Please note, if you are traveling more than 7 days before and/or after your official business travel dates, you will not be covered by the UO's international insurance plan and must purchase your own coverage.

Select

Personal Travel Start Date

Personal Travel End Date

Comments

List additional countries if traveling to more than seven. Any additional comments:

Send me a copy of my responses

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