travel warning notification form                                           

 
 Please upload a signed Assumption of Risk Waiver**

Purpose          

To confirm GSU approval of Traveler and authorize Travel Inc. to book and/or encumber funds for international travel to countries
on the state Department's Travel Warning List .
Office of International Initiatives will e-mail a completed version of this form to Travel Inc.
Rounting         The completion of this form should be preceded by Dean and Chair (for faculty) or highest authority (for staff).
Contacts          Ms.Chelsea Van Bergen (Primary Contact : cvanbergen1@gsu.edu 404-413-2525).
                  Ms.Kikelomo Ehigiator (Secondary Contact : kehigiator@gsu.edu 404-413-2532).
Traveler           Information     Traveler's Last Name            
Traveler's First Name            
Traveler's email address       
  Traveler's Phone Number      
Travel Details  Departure (City)            
  Departure (Country)  
  Destination (City)  
  Destination (Country)   
  Approved Dates Of Travel   
(See Travel Authorization Form )       
From  
<July 2014>
SunMonTueWedThuFriSat
293012345
6789101112
13141516171819
20212223242526
272829303112
3456789
To        
<July 2014>
SunMonTueWedThuFriSat
293012345
6789101112
13141516171819
20212223242526
272829303112
3456789
  Purpose for Travel                
Departmental Approval          Select Confirmed Approvals

P.O. #             

Purchase Order Number
 
Confirmation  
Authorized Department Approver's Name**
 
  Authorized Department Approver's Phone #  
  Department Rep to be notified of travel confirmation  
  Authorized Department Approver’s Email  
  Name Of Person Filling Form( Please type over text if different than Authorized Department Approver)  
  Email Of Person Filling Form(Please type over text if different than Authorized Department Approver)  

                   

  Note: Before uploading your Assumption of Risk Waiver, please name the file as “Lastname_Departuredate (MM/DD/YYYY)”.

 

Upload Assumption of Risk Waiver


**Travel Inc agent will send an electronic itinerary to the traveler and the department rep (approver) identified above.