Traveler Request Form | CTM Corporate Travel Management

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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:*

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

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:

Do you prefer a smoking room, if available?

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

@CTMTravel

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INFREQUENT TRAVELER / GUEST TRAVELER REQUEST FORM

Traveler Personal Information

Air Travel

Rental Car

Pick up

Return

Hotel

Additional Comments

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