Name of traveller

Reason for travel

From: (Station / Airport)

To: (Station / Airport)

Via

Underground required? Which zones?

Outward date AND time

Return date AND time

Do you have a discount rail travel card?
If so, please specify which one (Please note that you will be asked to show this during travel)

Project & Code (if known) or Gen Rev (If this is for QSO, ASCRU or COMM, please also specify the DA code).

Any other information

Preferred hotel

Checking in date

Checking out date

Number of nights required

Any other information

I confirm that the travel is University business related and for a period of less than 365 days.

YesNo

I confirm that the travel has been risk assessed and authorised and also for travel outside the UK that it complies with the University’s Travelling and Working Overseas Performance Standard and that the FCO website has been checked to confirm no disturbed area travel.

YesNo

I confirm that I am not travelling against medical advice and that I shall be under 75 years of age on the date of departure and I acknowledge that no insurance cover is provided if these criteria are not met.

YesNo

I confirm that I have read and understood the University Travelling & Working Overseas Performance Standard, and have completed any relevant risk assessment forms.

YesNo

I confirm that I shall not engage in any hazardous activity (e.g. piloting an aircraft) during the period of travel.

YesNo

I confirm that I have declared to the Insurance Office details of any single property item valued in excess of £1,500 or a total property value in excess of £4,000 that will be taken whilst travelling.

YesNo

Important - Please note that failure to make accurate declarations may result in the coverage provided by the University’s travel insurance policy being invalidated. Any questions arising from these declarations should be referred to the Insurance Office (insurance@kent.ac.uk) for attention.

I hereby authorise the Booker to complete the Travel Declarations on my behalf when making the travel arrangements for my trip.

I confirm that the declarations provided herein are accurate and I acknowledge my ongoing duty to disclose immediately to the Booker any change in circumstances.

I agree

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