Travel Request Form - Nps

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TRAVEL OFFICE: 831 656-2041 Fax: -7632
SATO: 831 372-5232 Fax: -4682
POC: _______________________________ Phone: _________ Fax: _______ email:___________________________
Travel Request Form
Privacy Act Statement: The authority to request this information is contained in 5 USC 522 Department regulations. This information will be used to
assist officials and employees of the Department of the Navy in arranging passenger transportation. Completion of the form is mandatory. Failure to
provide required information may result in delay of a response or disapproval of the request.
NOTE: Full name on boarding pass MUST match full name on ID presented to TSA at airport.
Traveler Type:
Gov. Employee
Full Name____________________________________________________
Invitational Traveler
DOB:______________
Rank:__________ Gender:
Male
Female
Foreign Military Student
Phone:_______________________
Email:________________________
Gov. Contractor
Department______________ Curriculum/Routing List:________________
Trip Type:
FOREIGN MILITARY STUDENTS ONLY
Conference
Info Meeting
Next of Kin Name:_____________________ TEL:_________________
Site Visit
Speech/Presentation
Home Country:__________________ Passport #:_________________
Training
Other
SSN:_________________
Explain what the traveler will be doing on TDY:
Statement of Mission Essentiality:
Justification for not using SVTC or web-based communication
TDY Destination
Arrive date
Depart date
1
1
From airport
Date
To airport
Depart time
Arrive time
1
If possible, give 3-letter airport codes or specific airport names
Hotel/BOQ preference (not guaranteed)
Check in date/time
Check out date/time
City, location
*Lodging must be booked through DTS.
ITA’s Only: Personal Credit Card #:________________________________ Exp. Date:________________
NPS Travel Request—09-01-2015

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