Lumina Travel Request Form

Federal Travel Regulation requires Lumina to purchase lowest economy/coach class airfare/train fare for travelers.
We cannot accommodate flights based on a preferred airline carrier and mileage awards, and we cannot book Acela trains.

Project Code:

Meeting Name:

MUST be Filled out by Each Individual Traveler

IMPORTANT NOTE: Name MUST be EXACTLY as it appears on Traveler’s government-issued ID, including a middle name, initial, and suffix (i.e., John Doe II).

First Name (as it appears on ID)

Last Name (as it appears on ID)

Middle Name (as it appears on ID)

Gender

Date of Birth (MM/DD/YYYY)

Cell Phone Number

Email Address

City / Airport Traveling From

TSA/Known Traveler / Global Entry Number

Airline and frequent flyer #

Departure Date

Requested Departure Time

Return Date

Requested Return Time

Requested Airline

Additional Comments

NAVIGATION

Lumina Travel Request Form

MUST be Filled out by Each Individual Traveler

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