| Traveler Information | Provide traveler information including (each listed as separate question): - Last Name
- First Name
- Email
- UA Position (capacity in which the traveler will be travelling)
| Identify traveler | Input |
| Essential Travel for Traveler: | Provide a description of why this travel is essential to the traveler's role/work at the U of A. | This justification generally helps us process travel registrations more quickly rather than having to reach out to the traveler if the International Travel Safety Committee (ITSC) requests additional details to recommend approval | Input |
Extended Stay Contingency Plan: | Provide a brief overview of the traveler's contingency plan for unforseen circumstances requiring an extended stay. Requirments: - Describe how the traveler would obtain food, housing, access to medical care, and logistical support.
- Determine funding source for extended stay.
| Information required by ITSC | Input |
| Primary Purpose of Travel: | Select from predetermined list of activities including: - Administrative Collaboration
- Advisory Panel / Board Service
- Athletics
- Attending / Presenting at Conference
- Clinical Rotation
- Consulting for Non-U of A Entity
- Delivering Course Instruction
- Guest Speaker
- Research: Archival
- Research: Collaboration
- Research: Field (Design, Conduct, Reporting, Oversight)
- Research: Laboratory (Design, Conduct, Reporting, Oversight)
- Sabbatical
- Visiting Scholar
- Other
| The Universiy requires International Travel to provide this data to external units such as Export Control, Financial Services and the ITSC among others | Select |
| Other Primary Purpose of Travel | Describe primary purpose of travel if purpose is not included in the above list. | This additional context, if any, helps us to process most registrations expeditiously | Input |
| Traveler International Living Experience: | Select from predetermined options to describe the traveler's experience in the destination country. | Information required by ITSC | Select |
| Traveler visiting to Multiple Countries: | Use only if travelling to multiple countries. List additional country destinations and indicate experience in each. | Subset of the question above | Select/Input |
| Personal Travel: | - Indicate personal travel dates and locations (cities and countries).
- Provide the above only if travel is to a higher risk location or is to occur during official University Travel.
- If visiting a country for layover or connecting flight, please note this in your answer.
- Official travel destinations must be listed in the itinerary, not here.
| This is so that we and the traveler are clear on when they will be on official travel and therefore covered by our blanket policy for emergencies (travelers are only covered while on official UA travel) | Select/Input |
| Accompanied Travel: | List all travelers traveling with the traveler or traveling to the same location seperately. Indicate the following: - Who the lead traveler is
- UA affiliations (i.e. student, staff, etc)
- Non-UA affiliations - list non-UA travelers and indicate their external affiliations
- If those listed are partipants on a program, in addition to the above.
| International Travel is tasked with processing group travel in one review rather than providing recommendations for each individual. | Select/Input |
| Traveler's Phone Contact When Abroad: | Provide a phone number that can be used to reach the traveler directly abroad. | Occasionally, when International Travel is tasked with reaching out to the traveler, they need to rely on contacting them via phone (primarily when the situation is urgent and they are not replying to email) | Input |
| Traveler's Email Contact When Abroad: | Confirm if the traveler will use the traveler's U of A email address abroad or provide an email address that can be used to reach the traveler directly abroad. | - | Select/Input |
| Emergency Contact: | This should be the individual we should reach out to in an emergency who is not with the traveler on the registered trip, including their contact information and the traveler’s relationship to this individual. | On many occasions over the years, International Travel has had to reach out to emergency contacts during incidents or emergencies. Though rare, it’s important that we have a contact for responding to some emergencies, such as when someone contacts us with a concern that the traveler is missing. | Input |
| Health and Safety Precautions: | Indicate which health and safety precautions the traveler will undertake from a predetermined list: - Alert other travelers to medical concers (including allergies)
- In-country support & contacts
- Provide Emergency Contact with number for Drum Cussac 24/7 Emergency Support +44 1202 937401
- Provide itinerary changes to Emergency Contact
- Review recommended immunizations and medications at http://www.cdc.gov/Travel
- Travel with number for Drum Cussac 24/7 Emergency Support +44 1202 937 401
- Travel with Embassy/Consulate Emergency Number
- Travel with a group
- Travel with emergency cash
- Review US DOS Travel Advice - https://travel.state.gov/content/travel/en/international-travel.html
- Keep insurance carrier, Zurich Travel Assist's Travel Assistance Card on-hand during travel
| | Select |
| Citizenship | Indicate the traveler's citizenship and which passport will be used for travel, if a dual citizen. | Certain risks can be centered around dual citizenship and countries may also have special considerations for specific citizenship holders. | Input |
| Administrative Contacts: | Provide the Department Head or Director of your unit (Dean for directors and department heads). Also, include an administrative contact in your department. | Certain locations, activities, and events may require International Travel to seek approval for your trip. | Input |
| Is the traveler a Designated Campus Colleague (DCC): | Indicate whether or not the traveler is a DCC. If you are a DCC, provide the designation (i.e. Associate, Volunteer, Etc.).
*Note: Affiliates are not covered under the State's blanket travel insurance policy and may not register using the International Travel registry with very few exceptions. If unsure whether you should register, please contact internationaltravel@arizona.edu. | Cetrain DCCs are not covered under the state's international travel insurance policy and may not register using the U of A system. | Select/Input |
| Defense Base Act (DBA) Insurace - Proxy: | Indicate if the traveler will be working on a US military intallation or serving as a contractor/subcontractor for the US government. If yes, the traveler will need to apply for DBA Insurance through Risk Management. | Contractors and sub-contractors are required to procure specific insurance coverage. | Select |
| Proxy Export Controlled Activities: | Indicate if the traveler has a project, data, substances, or equipment secured on a Technology Controlled Plan.
*Export Control will reach out to those indicating 'yes' to this question. | Export Control Compliance | Select/Input |
| Will the traveler be taking specialized equipment or software: | Indicate if the traveler will travel with specialized equipment or software. Provide a description of any specialized equipment and their uses. *Please consult with Export Control if you are unsure if this applies to the traveler. | Export Control Compliance | Select/Input |
| Agreements: | | Agreement | Traveler Responsibility |
|---|
| Risk Notification Statement | Identifying and mitigating risks | | Immunizations | Determining needed vaccinations | | Insurance Coverage | Verifying insurnance coverage and need for supplemental coverage | | Immigration Information Proxy | Verifying compliance with immigration requirements and restrictions |
| Select |
