Travel Advisory Notification Form                                           

 
Georgia State faculty, students, and staff are prohibited from traveling to China due to the U.S. State Department’s Level 4 Travel Advisory for China. For more information, please click here *

 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 Advisories 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.Danielle Borrero (Primary Contact : dborrero@gsu.edu 404 413-2539).
                  Ms.Kike 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      
GSU Affiliation  
Travel Details  Departure (Country)  
Departure (City)            
  Destination (Country)   
Destination (City)  
  Approved Dates Of Travel   
(See Travel Authorization Form )       
From  
<February 2020>
SunMonTueWedThuFriSat
2627282930311
2345678
9101112131415
16171819202122
23242526272829
1234567
To        
<February 2020>
SunMonTueWedThuFriSat
2627282930311
2345678
9101112131415
16171819202122
23242526272829
1234567
  Purpose for Travel                
Departmental Approval          Select Confirmed Approvals
  Are you using Travel Inc. to purchase your ticket?  

P.O. #             

Purchase Order Number
 
Confirmation  
Authorized Department Approver's Name**
 
  Authorized Department Approver's Phone #  
  Authorized Department Approver’s Email    
  Department Rep to be notified of travel confirmation  
  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  
Additional Supporting Documents/Approvals


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


**For additional information on filling this form, please click here