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NAVIGATION
Home
Business Travel
Online and Mobile Booking Solution
Reporting and Data Management
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Meetings & Events
Entertainment Industry
COVID-19
Leisure
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About
Resources
News
Contact Us
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Careers
Concur Login
|
Deem Login
|
Print My Invoice
|
Flight Check-in
|
Flight Delays
|
Management Reports
Call 800.800.6336
704.561.0707
To speak to us today!
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Octapharma Plasma
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:
*
Select Gender
Male
Female
Traveler’s Date of Birth (MM/DD/YYYY):
*
Traveler's Primary Center / Department:
*
Select Travel Center
AKR - Akron, OH
ANT - ANTIOCH TN
ATH - Athens, GA
ATL - Atlanta, Ga
AUC - Aurora CO
AUD - Audubon NJ
AUG - Augusta, GA
AUR - Aurora, IL
BAK - Bakersfield
BAL - Baltimore, MD
BAP - Baltimore Pratt
BRI - Bridgeview
BRK - Brockton
BRM - Birmingham
BTR - Baton Rouge
C01 - Regional Director 1 only
C02 - Regional Director 2 only
C03 - Regional Director 3 only
C04 - Regional Director 4 only
C05 - Regional Director 5 only
C06 - Regional Director 6 only
C07 - Regional Director 7 only
C08 - Regional Director 8 only
C09 - Regional Director 9 only
C10 - Regional Director 10 only
C11 - Regional Director 11 only
C12 - Regional Director 12 only
C13 - Regional Director 13 only
C14 - Regional Director 14 only
C15 - Regional Director 15 only
C16 - Regional Director 16 only
C17 Regional Director 17 Only
C18 Regional Director 18 Only
C19 Regional Director 19 Only
C20 Regional Director 20 Only
C21 Regional Director 21 Only
C22 Regional Director 22 Only
C23 Regional Director 23 Only
CAX - Donor Center Automation
CBF - Council Bluffs, IA
CGA - Columbus, GA
CHA - Chattanooga TN
CHI - Chicago 95th Street
CHK - Chicago Kedzie, IL
CHP - Chesapeake, VA
CHR - Charlotte, NC Reagan
CHS - Charleston, SC
CHV Charlottesville, VA
CLB - Columbus, OH
CLC – Columbus, OH – Cleveland Ave
CLE - Cleveland, OH
CLN - Colton, CA
CLT - Charlotte, NC - Milton
CLV - Cleveland, OH 105
CNH - Cincinnati - Harrison
COL- Columbia, SC
COX - All Corporate - Bill, Marketing
CRN - Cranston, RI
CSB - Charlotte, NC - South Blvd
CVS - Clovis, CA
DAL - Dallas, TX
DAY Dayton, OH
DDN Dunedin FL
DEC - Decatur, GA
DEN - Denver CO
DNT - Denton, TX
DSM - Des Moines, IA
DUN - Dundalk, MD
DUR - Durham
ERI - Erie, PA
EVN - Evansville, IN
FIF - Fife, WA
FIX - Finance
FLO - Florence, AL
FLP - Florence, SC
FOR - Forestville, MD
FTH - Fort Worth, TX - Hulen Bend Blvd
FTJ - Ft. Worth Jacksboro
FTW - Fort Worth, TX
GAR- Garland, TX
GGV - Garden Grove, CA
GLA - Gladstone
GNV Gainesville FL
GPR - Grand Prairie, TX
GRV - Greenville, MS
HAZ - Hazelwood, MO
HLY - Houston LIttle York
HOU - Houston, TX
HRX - Human Resources
HUD Hudson, FL
HUD Hudson, FL
IDO - Indio CA
IDP - Independence, MO
IND - Indianapolis, IN
INL- Indianapolis - Lafayette
ITX - 423 Corporate Service Desk
ITX-407- IT Applications
ITX-408 - IT Operations
ITX-409 - IT Support
ITX-422 - Global
JAC - Jacksonville, FL
KAL - Kalamazoo, MI
KCK - Kansas City
KEN - Kenosha
KNO - Knoxville
LAN - Lansing, IL
LEW Lewisville, TX
LEW Lewisville, TX
LEX Lexington, KY
LKW - Lakewood, CO
LOU - Louisville, KY
LSX - Lab/Storage
LUB - Lubbock, TX
LVD - Las Vegas Decatur
LVG - Las Vegas, NV
LYN - Lynchburg, VA
MAD - Madison Heights, MI
MAP - Maple Heights, OH
MEA - Memphis Austin Peay
MEP - Memphis Elvis Pressley
MET - Metairie, LA
MEW - Memphis TN Winchester
MID - Midfield, AL
MIG - Miami Gardens
MIL - Milwaukee, WI
MOL - Moline, IL
MON - Monroe LA
MPW - Maplewood, MN
MSA - Mesa, AZ
MTG - Montgomery
MWO - Milwaukie, OR
NDX- New Center Development
NFM - North Fort Myers
NLD - NORTH LAUDERDALE FL
NLK - Northlake, IL
NLR- North Little Rock, AR
NOR - Norfolk VA
NPT - Newport News, VA
NRV - North Riverside
OAK - Oakland CA
ODA - Division Director A only
ODB - Division Director B only
ODC - Division Director C only
ODD - Division Director D only
ODE - Division Director E only
OKC - Oklahoma City, OK
OLA - Octapharma Leadership Academy
OLS - Orlando, FL - Semoran Blvd
OMA - Omaha, NE
ORB - Orangeburg, SC
ORL - Orlando, FL - Edgewater Dr
ORP - Orange Park, FL
ORS - Orlando, FL - Silverstar Rd
PAS - Pasadena, TX
PEM - Pembroke Pines
PEN Pensauken, NJ
PET - Petersburg, VA
PLN Plano, TX
PON Pontiac, MI
PRT - Portland, OR
PTS - Portsmouth, VA
RAL - Raleigh
RCH - Richmond VA
RED - Redford, MI
REY - Reynoldsburg, OH
RIB - Richmond Broad
RIV - Riverdale, MD
RKM - Rocky Mount, NC
RQX - Regulatory/Quality
SAC - Sacramento, CA
SAN - San Antonio, TX - NW Loop
SAW - San Antonio, TX - West Ave
SAZ - San Antonio, TX - Walzem Road
SBD - South Bend, IN
SCX-271 Supply Chain & Purchasing
SCX-273 Facilities Management
SDG - San Diego University
SDU - San Diego, CA
SFS - Santa Fe Springs, CA
SIX - Strategic Initiatives
SLC - Salt Lake City, UT
SOM - South Omaha, NE
SOU - Southfield, MI
SPA - SPARTANBURG SC
SPB - San Pablo
SPK - Sparks
SPO - Spokane, WA
SPR - Springfield, IL
SPR - Springfield, IL
STC - St. Claire Shores, MI
STL - St. Louis, MO
STP - St. Petersburg
SUM - Sumtner, SC
SXC - Sioux City, IA
SZA - SAN ANTONIO ZARZAMORA
THT - Terre Haute, IN
TPA - Tampa, FL
TRX - Training
TYL Tyler TX
VAB - Virginia Beach, VA
VAN - Van Nuys, CA
VCR - Vancouver, WA
VLD Valdosta GA
VRB - Virginia Beach Newtown
WCL - West Columbia SC
WCO - West Covina
WHL - Whitehall
WIC - Wichita, KS
WIH - Wichita Central
WIK - Wichita Central
WML - West Milwaukee, WI
WPB - West Palm Beach, FL
WSL - Westland, TX
YPS - Ypsilanti, MI
YRK - York, PA
Traveler's Work Phone #:
Traveler's Cell Phone #:
*
Name of Approving Manager:
*
Approving Manager's Octapharma Plasma e-mail address:
*
Travel Purpose:
*
Select Travel Purpose
Anti-D Training
CLM Train the Trainer
Donor Center Visit / Tour
Employment Branding Event
External Audits
Hiring Blitz / Career Fair
Internal Audit
Interview - Corporate
Meeting / Presentation
NCD Aurora CO Rollout
NCD Cleveland 105 Rollout
NCD Denver Rollout
NCD Dunedin Rollout
NCD Durham Rollout
NCD Group Meeting
NCD Hudson Rollout
NCD Lewisville Rollout
NCD Lexington Rollout
NCD Louisville Rollout
NCD Louisville Rollout
NCD Memphis Austin Peay Rollout
NCD Memphis Elvis Pressley Rollout
NCD Memphis Winchester Rollout
NCD Plano Rollout
NCD Pontiac Rollout
NCD Portland OR Rollout
NCD Tyler Rollout
NCD Wichita - Central Rollout
New Center Development Assistance
New Hire Orientation
NexSys Machine Service Training
Non - Traditional OLA
Octapharma Leadership Academy (OLA)
OLA Graduation
OLA Leadership Week
OLA Orientation
PCS2 CLT JUNE 18
PCS2 CLT STAT Training
PCS2 Dallas Validations
PCS2 ORD JULY 24
Region 1 Meeting
Region 11 Meeting
Region 13 Meeting
Region 2 Meeting
Region 3 Meeting
Region 4 and 11 - Omaha Mtg
Region 5 meeting OPS QA
Region 6 and 11 Meeting
Region 6 Meeting
Region 7 Meeting
Region 8 meeting
Regions 4 and 15 Regional meetings
Relocation Related - Corpoate Use Only
RXCrossroads
Supplier/Vendor Audits
Support
Training
Training Department
Travel Destination (Full address unless a donor center):
Check if you are visiting a Donor Center or office location.
Address:
City:
State:
Select State
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
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():
*
AM
PM
Return
Date:
*
Time(hr):
*
Time():
*
AM
PM
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:
Do you prefer a smoking room, if available?
Select
>smoking
>non smoking
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