CPAESS Travel Request - Guest | Cooperative Programs for the Advancement of Earth System Science

Indicates required field

Reason for travel:

Name of Event, if applicable.

Important: Enter your name as it appears on the Government-issued ID or Passport you plan to use for this trip

First/Given Name:

Middle Name:

Last/Family/Surname:

Organization/Institution:

Program/ Division/ Department:

Remittance Address Line 1:

Remittance Address Line 2:

City:

US State/Canadian Province:

Zip or Postal Code:

Country:

Phone:

Email Address:

Date of birth:

Gender:

Please Note: TSA regulations now require that gender and birth date be listed when making airline reservations.

Are you, the traveler, a U.S. Federal Government Employee?

Are you, the traveler, a State, local public, or Indian tribal Official?

Are you, the traveler, a personal or executive assistant or secretary to any of the above U.S. Government officials?

Are you, the traveler, working via an IPA to a U.S. Federal agency?

Are you, the traveler, working under a Federal agency contract (e.g., NOAA)?

Is your salary paid by an entity that is under a contract to a Federal agency?

Will you be traveling by

Will you need a rental car?

Fields marked with a red asterisks (*) are required fields.

Air Travel Information

If you will be traveling with a passport, please indicate the country in which the passport was issues:

(For example, if you hold dual citizenship, we need to know which passport you’ll be using in the event that a visa is required.)

What is your departure city?

What is your destination city?

Departure date:

Preferred departure time:

Return Date:

Preferred departure time for your return:

What is your return departure city?

What is your return destination city?

If other destinations are required for the business trip, please specify:

Do you have any special seating requests?

Frequent Flyer mileage plans

Airline:

Number:

Do you have any special in-flight requirements?

Ground Travel Information

What is your departure city?

What is your destination city?

Departure Date:

Return Date:

Train Travel Information

What is your departure city?

Departure station?

What is your destination city?

Destination station?

Departure Date:

Return Date:

If you are purchasing your train tickets yourself, please indicate this in the
"Additional Information" text box below, along with the estimated cost of the tickets.

Rental Car Information

Comments about car rental:

It is standard policy to reserve a compact/economy class car. If you have any comments, or need a different class of car, please specify here.

Additional Information:

Please Note: Your contact information provided to CPAESS will be used for your travel arrangements only and will not be used by or shared with third parties for any other purpose whatsoever.

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