Please
upload a signed
Assumption of Risk Waiver**
Witness signature is required.
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Purpose
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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
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Office of International Initiatives will e-mail a completed version of this form
to Travel Inc. |
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Routing |
The completion of this form should be preceded by Dean and Chair (for faculty) or
highest authority (for staff) approval. |
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Contacts
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Ms.Danielle Borrero (Primary Contact :
dborrero@gsu.edu 404 413-2539). |
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Ms.Kike
Ehigiator (Secondary Contact :
kehigiator@gsu.edu 404-413-2532). |
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Traveler Information |
Traveler's Last Name
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Traveler's First Name
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Traveler's email address
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Traveler's Phone Number
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GSU Affiliation |
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Travel Details |
Departure (Country) |
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Departure (City)
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Destination (Country) |
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Destination (City)
*Enter the City
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Destination (Country 2)
*Only if another destination is required |
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Destination (City 2)
*Enter the City |
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Destination (Country 3)
*Only if another destination is required |
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Destination (City 3)
*Enter the City |
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Approved
Dates Of Travel
(See
Travel Authorization Form
) |
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Purpose for Travel
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Departmental Approval |
Select Confirmed Approvals |
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Are you using Travel Inc. to purchase your ticket? |
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P.O. # |
Purchase Order Number |
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Confirmation |
Authorized Department Approver's Name** |
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Authorized Department Approver's Phone # |
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Authorized Department Approver’s Email |
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Department Rep to be notified of travel confirmation |
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Name Of Person Filling Form
( Please type over text if different than Authorized Department Approver) |
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Email Of
Person Filling Form
(Please type over text if different than Authorized Department Approver) |
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Note:
Before uploading your Assumption of Risk Waiver,
please name the file as “Lastname_Departuredate (MM/DD/YYYY)”.
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Upload Assumption of Risk Waiver |
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Additional Supporting Documents/Approvals |
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**Travel Inc agent will send an electronic
itinerary to the traveler and the department rep (approver) identified above.n>ng>
**For additional information on filling this form, please click here