Guest Traveler Request Form | Corporate Travel Management

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Octapharma Plasma

IMPORTANT Booking Information:

Octapharma Travel Team - April Simpson & Cher Bressler
704-943-2965 / opi@goctm.com

Monday - Friday 8am - 5:30pm EST

After Hours assistance - Call 888-346-2445
VIT Code - HPI4M
There is a $14 fee per request plus agency fees
*The After Hours service can not assist with hotel payments*

Please submit / approve all travel requests before Friday 1pm EST to ensure the hotel payment is processed.
After hours hotel payment issues will need to be secured with the Octapharma managers credit card and resolved by the agency the following business morning

INFREQUENT TRAVELER / GUEST TRAVELER REQUEST FORM

This form MUST be filled out COMPLETELY (* = required field)
One form per traveler per trip

TRIP APPROVER – If Approved please forward this email to opi@goctm.com. If Rejected please contact the traveler.
To make changes after submission, please contact CTM @ 704-943-2965 / 844-605-7306 / opi@goctm.com

First Name:

Last Name:

Form Completed By (Email Address): If different than traveler

Traveler Personal Information

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).

Name of Traveler:* Traveler's Octapharma Plasma email address / OLA participants use personal email address.
(or their personal email address if they do not have a work email address. NO .edu emails allowed):* Traveler’s Gender:*

Traveler’s Date of Birth (MM/DD/YYYY):*

Title of Traveler: Traveler's Primary Center / Department:* Traveler's Work Phone #: Traveler's Cell Phone #:* Name of Approving Manager:* Approving Manager's Octapharma Plasma e-mail address:*

Travel Purpose: *

Travel Destination (Full address unless a donor center): Check if you are visiting a Donor Center or office location.

Address:

City:

State:

Zip:

Arrival Date:*

Date:*

Time:*

Depart Date:*

Date:*

Time:*

Air Travel

If no air travel is required, Please Check.

Not applicable

IMPORTANT NOTE: If Traveler needs to be at a destination by 12:00 noon or earlier, please note that they may need to travel to the destination the day before. If the Traveler’s meeting/event does not conclude until 6:00 p.m. or after, and depending on flight availability, they may need an extra night’s hotel accommodation and leave the next morning to return to their original location.

Preferred departing airport:*

Name of destination airport:*

This is a one-way trip.

Rental Car

Yes No

NOTE: Drivers must be 21 years of age, have a valid driver’s license, and be willing to accept the responsibility to drive a rental car.

Pick up

At Arriving Airport Other

Other:

Date:*

Time(hr):*

Time():*

Return

Date:*

Time(hr):*

Time():*

Larger vehicle for 3 or more Travelers

Return to departing airport Other

Other:

Hotel

If no hotel is required, Please Check.

Not applicable

Check-in Date:

Check-out date:

King size bed preferred

Additional Comments

Trip / Traveler Comments

To make changes after submission, please contact CTM @ 704-943-2965 / 844-605-7306 / opi@goctm.com

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Octapharma Plasma

INFREQUENT TRAVELER / GUEST TRAVELER REQUEST FORM

Traveler Personal Information

Air Travel

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Return

Hotel

Additional Comments

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