SCI Travel Form Travel Form Travel Form Traveler Information Traveler Last Name * Traveler First Name * Traveler Middle Name * Traveler uNID * Traveler Cell Phone * Traveler Date of Birth * Traveler Gender * Select an OptionMFX *Please select the gender marker as it appears on your valid government-issued ID, i.e male (M), female (F), or unspecified or another gender identity (X). Traveler Email * Where are you traveling to? (City, State, Country) * Date of Departure * Date of Return * Reason for travel? * * If you are traveling for a conference, please list the name and URL Do you need to register for a conference? If so, please add the URL necessary and follow up with us if there is information we'll need to help you. Has your advisor approved this travel? * Yes No N/A Who is your advisor? * What is the funding source? * * Please Indicate account to use to pay for travel. If a grant, indicate project number or name of grant. Frequent Flyer Number * Please type 0 if there is no Frequent Flyer # Known Traveler Number A unique number assigned to "known travelers" from whom the federal government has already conducted a threat assessment and has determined do not pose a security threat. Please type 0 if there is no Known Traveler # Redress Number Please type 0 if no Redress Number Do you require SCI to book your flight? * Yes No Flight Information Domestic/International * Domestic International Preferred Seating * WindowAisleN/A Fly America Act * Domestic Flight - No Fly America Act ConcernsInternational NO fund 5000 - No Fly America Act ConcernsInternational YES fund 5000 - Fly America Act Complaint Fare Type * Highly Restrictive Fare: No changes or Advance seat assignmentsLowest Nonrefundable Fare: Penalties for changesLowest Refundable FareBusiness/First Class Fare: 8+ hours flight segments Price Per Person (USD) Flight Booking Information Airline * Flight Number Depart City * Depart Date * Depart Time * 121234567891011 : 000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 AMPM Arrive City * Arrive Date * Arrive Time * 121234567891011 : 000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 AMPM plus1 Add another flight minus1 Remove Passport Information Passport Number * Passport Issuing Country * Issue Date * Expiration Date * Request to Add Car Rental Do you need to book a car? * Yes No Car pickup date (if different) Car drop off date (if different) Vehicle Size * EconomyCompactMid-SizeFull-SizeSpecial Request (Specify in Additional Information) The University of Utah has state contracts with Enterprise, Hertz, and National. Not using a contracted vendor will result in fees issued by Travel & Reimbursement Services. Car Rental Rewards Number * Please type N/A if there is no Car Rental Rewards Number Additional Information Upload a pdf Drop a file here or click to upload Choose File Maximum file size: 134.22MB Additional Information If you are human, leave this field blank. Submit Start Over Δ
