travel request authorization form

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Per Diem Lookup

Official Travel Authorization

Title: Official Travel Authorization
Form #: GSA87
Current Revision Date: 01/2020
Authority or Regulation:

PDF versions of forms use Adobe Reader ™ . Download Adobe Reader ™

PER DIEM LOOK-UP

1 choose a location.

Error, The Per Diem API is not responding. Please try again later.

No results could be found for the location you've entered.

Rates for Alaska, Hawaii, U.S. Territories and Possessions are set by the Department of Defense .

Rates for foreign countries are set by the State Department .

2 Choose a date

Rates are available between 10/1/2021 and 09/30/2024.

The End Date of your trip can not occur before the Start Date.

Traveler reimbursement is based on the location of the work activities and not the accommodations, unless lodging is not available at the work activity, then the agency may authorize the rate where lodging is obtained.

Unless otherwise specified, the per diem locality is defined as "all locations within, or entirely surrounded by, the corporate limits of the key city, including independent entities located within those boundaries."

Per diem localities with county definitions shall include "all locations within, or entirely surrounded by, the corporate limits of the key city as well as the boundaries of the listed counties, including independent entities located within the boundaries of the key city and the listed counties (unless otherwise listed separately)."

When a military installation or Government - related facility(whether or not specifically named) is located partially within more than one city or county boundary, the applicable per diem rate for the entire installation or facility is the higher of the rates which apply to the cities and / or counties, even though part(s) of such activities may be located outside the defined per diem locality.

Official websites use .gov A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS A lock ( A locked padlock ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

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I-131, Application for Travel Document

Alert: Beginning July 1, 2022, we will issue a new travel authorization document to Temporary Protected Status (TPS) beneficiaries: Form I-512T, Authorization for Travel by a Noncitizen to the United States, at our discretion if we find the beneficiary merits this authorization. We will no longer issue advance parole documents as evidence of our prior authorization for a TPS beneficiary to be permitted to reenter the United States if the beneficiary travels outside the United States.

Beginning July 1, 2022, we will issue a new travel authorization document to Temporary Protected Status (TPS) beneficiaries: Form I-512T, Authorization for Travel by a Noncitizen to the United States, at our discretion if we find the beneficiary merits this authorization. We will no longer issue advance parole documents as evidence of our prior authorization for a TPS beneficiary to be permitted to reenter the United States if the beneficiary travels outside the United States.

If you are a TPS beneficiary with an existing, unexpired advance parole document, you may continue to travel and seek reentry to the United States after a trip outside the United States through the period of validity printed on your advance parole document.

If you are a TPS beneficiary applying for a new travel authorization document, you should continue to use Form I-131, Application for Travel Document. If you have a pending Form I-131, you do not need to file a new application.

We will continue to issue advance parole documents to noncitizens with pending initial applications for TPS (Form I-821).

TPS beneficiaries and individuals with pending initial TPS applications should carefully read the Form I-131 Instructions which contain warnings about certain risks an individual may face if they are outside of the United States while USCIS is considering their TPS reregistration or initial application, such as missing important request for evidence or other notices or being denied TPS while outside the United States.

ALERT: Court decisions regarding DACA.

On Sept. 13, 2023, the U.S. District Court for the Southern District of Texas issued a decision finding the DACA Final Rule unlawful and expanding the original July 16, 2021, injunction and order of vacatur to cover the Final Rule. However, the court maintained a partial stay of the order for “all DACA recipients who received their initial DACA status prior to July 16, 2021.” See the Memorandum and Order (PDF, 1.35 MB) and Supplemental Order of Injunction (PDF, 72.53 KB) .

Accordingly, current grants of DACA and related Employment Authorization Documents (EADs) remain valid until they expire, unless individually terminated. In accordance with this decision, USCIS will continue to accept and process DACA renewal requests and accompanying applications for employment authorization under the DACA regulations at 8 CFR 236.22 and 236.23, as it has since October 31, 2022. We will also continue to accept initial DACA requests, but in accordance with the District Court’s order, we will not process initial DACA requests.

Current valid grants of DACA and related EADs will continue to be recognized as valid under the Final Rule. This means that individuals with DACA and related EADs do not have to submit a request for DACA or employment authorization until the appropriate time to seek renewal.

Please see the DACA Litigation Information Page for important updates and information related to court rulings on the DACA policy.

Use this form to apply for a reentry permit, refugee travel document, TPS travel authorization document, advance parole document (including parole into the United States for urgent humanitarian reasons or significant public benefit), or advance permission to travel for Commonwealth of the Northern Mariana Islands (CNMI) long-term residents.

For information on travel documents, including potential immigration-related consequences of traveling outside the United States, see our Travel Documents page. If you are in the United States and you have an urgent need to travel outside the United States, see our Expedite Requests page and  Emergency Travel  page.

If you file this form to request an Advance Parole Document authorizing you to seek parole in the United States when you return to the United States after temporary travel abroad, and you depart the United States before we issue your Advance Parole Document, we will consider your Form I-131 abandoned unless you were previously issued an Advance Parole Document that remains valid for the entire time you are outside the United States.

If you file this form to request an advance permission to travel for CNMI long-term residents document, and you leave the CNMI without having an advance permission to travel document, your status will automatically terminate.

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Form Details

Form I-131 (PDF, 455.32 KB)

Instructions for Form I-131 (PDF, 285.07 KB)

04/01/24 . You can find the edition date at the bottom of the page on the form and instructions.

Dates are listed in mm/dd/yy format.

If you complete and print this form to mail it, make sure that the form edition date and page numbers are visible at the bottom of all pages and that all pages are from the same form edition. If any of the form’s pages are missing or are from a different form edition, we may reject your form.

If you need help downloading and printing forms, read our instructions .

Please check our Filing Addresses for Form I-131 page for information on where to mail your application. Applications that are not submitted to the appropriate direct filing address may experience processing delays.

You can find the filing fee for Form I-131 by visiting our Fee Schedule page.

You can pay the fee with a money order, personal check, or cashier’s check, or pay by credit card or debit card using Form G-1450, Authorization for Credit Card Transactions . If you pay by check, you must make your check payable to the U.S. Department of Homeland Security.

When you send a payment, you agree to pay for a government service. Filing fees are final and non-refundable, regardless of any action we take on your application, petition, or request, or if you withdraw your request. If you pay by credit card or debit card, you cannot later dispute the payment. Use our Fee Calculator to help determine your fee.

If you are submitting multiple forms, pay each filing fee separately. We are transitioning to electronically processing immigration benefit requests, which requires us to use multiple systems to process your package. We may reject your entire package if you submit a single, combined payment for multiple forms.

Payment if you file at a field office: You cannot pay fees with a money order or cashier’s check when filing at a field office. You can only pay with a personal check, debit card, credit card, or reloadable prepaid credit or debit card.

You do not need to pay an additional fee for Form I-131 if:

You are filing Form I-131 Application Type B or D;
You filed a Form I-485 with a fee on or after July 30, 2007, and before April 1, 2024; and
Your Form I-485 is still pending.

For refugee travel document applications filed from outside of the United States, you must pay the applicable fee(s) to the cashier at the USCIS overseas office or U.S. embassy or consulate with jurisdiction over your location. Please see the website of the appropriate embassy or consulate to confirm acceptable forms of payment. Include the fee receipt from the U.S. embassy or consulate when you file your application package.

Please do not mail cash, personal checks or traveler’s checks. If you do not include a fee receipt with your filing, we will reject your application.

Please do not submit this checklist with your Form I-131. The checklist is an optional tool to use as you prepare your form, but does not replace statutory, regulatory, and form instruction requirements. We recommend that you review these requirements before completing and submitting your form. Do not send original documents unless specifically requested in the form instructions or applicable regulations.

If you submit any documents (copies or original documents, if requested) in a foreign language, you must include a full English translation along with a certification from the translator verifying that the translation is complete and accurate, and that they are competent to translate from the foreign language into English.

Read more information about the types of evidence that may be relevant to specific parole requests on our Humanitarian Parole page.

Complete all sections of the form. We will reject the form if these fields are missing:

Family Name
Physical Address
Date of Birth
1.a. – 1.f.
Family Name (If 1.f. selected)
Physical Address (If 1.f. selected)

Filing Tips: Review our Tips for Filing Forms by Mail page for information on how to ensure we will accept your form.

Don’t forget to sign your form. We will reject any unsigned form.

E-Notification: If you want to receive an e-mail and/or text message that we have accepted your form at a USCIS lockbox, complete Form G-1145, E-Notification of Application/Petition Acceptance , and clip it to the first page of your form.

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Employee Travel Authorization Form

An Employee Travel Authorization Form is a document used by an employee when requesting an authorization to travel which should company-related activities. You can use this authorization form to request an appropriate allowance or fund for your travel. It is important that you plan your travel well to prevent delays or other problems during your trip.

This Employee Travel Authorization Form contains form fields that ask for the employee details, trip destination, departure date, return date, the purpose of travel, finance details, and approval section. This form template is using the Input Table to display the expenses in a table format which shows the description, type of expense, and the cost. This template is using the Form Calculation widget to capture the value of each cost in the table and add them to get the Total Cost. Using the Signature tool, you'll be able to capture the digital signature of the employee indicating that he/she agrees to the term. You can further customize this form template in the Form Builder by adding more fields, images, and content.

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An innovation center field trip form is used by a school to sign up students for a trip to the innovation center. If the school doesn’t have an innovation center, they can use this form to sign up for other field trips, such as a local museum. Create a form to register your students for field trips with a free online Innovation Center Field Trip Form! Customize your form to be unique to your school — then embed the form in your website, share it with a link, or let parents fill it out in person using a tablet or computer.Want to make it look more like your school? Add your logo, change the form background image, or add a menu to get students excited. If you need to input results into a spreadsheet, import form submissions directly to your Google Sheets or Google Drive. Or if you manage multiple schools, sync submissions to multiple accounts at once! Use our free Innovation Center Field Trip Form to register your students for a field trip today.

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Child Travel Consent Form

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An innovation center field trip form is used by a school to sign up students for a trip to the innovation center.

Field Trip Consent Form

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Travel Authorizations

Travel authorization procedures.

You must complete certain authorization procedures in order to get reimbursed for university-related business travel. Depending on the situation, you’ll need to complete one of the following during the early stages of the travel-planning process.

Visit the Handbook of Business Procedures for further information on travel authorizations

Request for Travel Authorization (RTA)

When to complete an RTA: for all employee, prospective employee, and student travel

Completing a Request for Travel Authorization (RTA) is the first thing you should do when you start planning a trip for employees, prospective employees, or students using a centrally billed airfare or requesting reimbursement for travel on university business.

Automated RTA — You can complete the electronic VE5 document using DEFINE. RTA numbers are automatically assigned once the document receives initial approval. Travel Management Services recommends using the automated RTA whenever possible.
Request Forms System - https://utdirect.utexas.edu/apps/services/requests/
Non-Employee Travel Authorization - https://utexas.app.box.com/v/non-employee-travel-auth

A new Request for Travel Authorization (RTA) data report is available to help with the increased need for travel related data during the COVID -19 pandemic: RTA Report Submission

Contact Purchasing - Travel Services experts on rules relating to all types of travel authorizations. [email protected]

Student Travel Policy for International Locations (STPIL)

According to Appendix N of the University’s General Catalog , all students traveling internationally on University-related business are required to register their travel with Texas Global Risk and Safety. This is to ensure that essential emergency details are collected and that all students are enrolled in UT’s Overseas Insurance policy . This registration process is separate from and in addition to the Request for Travel Authorization (RTA) process required for reimbursement. However, failure to properly register travel can result in disciplinary action and the inability to receive reimbursement for travel expenses.

How to register your travel:

Visit the Texas Global web page on International Travel Policies
Determine if you are traveling to a Restricted Region
Complete the appropriate travel request form for your destination

Questions? Email [email protected]

United States Probation and Pretrial Services

Western district of new york, hon. elizabeth a. wolford, chief judge timothy c. englerth, chief probation officer, search form, you are here, travel request/authorization form.

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What is a business travel request form? (with free template)

What details appear on a travel request form.

Employee name and contact information.
The business purpose of the trip.
Destination details.
Departure and return dates.
Predicted travel costs which are broken down by category. For example, airfares, other transportation, accommodation, and meal allowances.
Notes of any visa requirements for international travel.
Any relevant comments from the employee's manager.

Download your travel request form template now

Who works on a travel request form, the employee, the first level of approval, the second level of approval, related faqs, where can i find templates for a business travel request form, why use a request form for business travel, is using employee travel request forms the most efficient way to approve corporate travel.

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An official website of the United States government

Here’s how you know

Official websites use .gov A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS A lock ( Lock A locked padlock ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

For International Visitors
Electronic System For Travel Authorization

Electronic System for Travel Authorization

ESTA is an automated system that determines the eligibility of visitors to travel to the United States under the Visa Waiver Program (VWP) . Authorization via ESTA does not determine whether a traveler is admissible to the United States. U.S. Customs and Border Protection officers determine admissibility upon travelers’ arrival. The ESTA application collects biographic information and answers to VWP eligibility questions. ESTA applications may be submitted at any time prior to travel, though it is recommended that travelers apply as soon as they begin preparing travel plans or prior to purchasing airline tickets.

Apply for an ESTA

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Travel Request Form

Are travel requests slowing you down? This reusable travel request form template collects info from employees and routes requests to the proper parties, making it easy to automate and save your team time.

Free Travel Request Form Template For Streamlining Employee Requests

It’s time to simplify travel request forms. With this Docubee template, you can take the entire thing digital to save your employees precious time.

Fillable fields
Automated email routing
Digital signatures
Document storage
Full customization
Digital document access

When to Use Travel Request Forms

Travel request forms allow employees to request approval for business travel, without the hassle of paper forms. Taking the process digital with Docubee ensures employees have access to their employee forms in a centralized location while making it easy for managers to review and approve time off.

See Our Travel Request Form Sample In Action

This video shows an example of the Travel Request Form Template in action. By watching this quick Travel Request Form Template video, you’ll see what it looks like for employees who will be submitting a form. Remember that all fields and inputs can be customized to fit your business.

Frequently Asked Questions

How do i create a travel request form, how do you write a travel request email.

Your name and employee email
The purpose of your trip explained in detail
A requested budget and/or predicted travel costs
Date of travel and return
Any additional information your boss should know

What is a travel request form?

What is the purpose of a travel authorization form, put workflows to work for your business, seeing is bee lieving.

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Travel Request Forms and Templates

Travel request forms are forms filled by an employee who is bound to travel for business purposes. The purpose of a travel request letter is for a company to carter for the expenses during the entire travel period. This depends on the agreement of the employee and his or her employer. This article discusses the uses, purpose, and contents of a travel request form. Templates are also provided.

What is Travel Request Form?

This document incorporates all the details needed by a traveler to forward for approval from the management before commencing travel. The contents of a travel request form include destinations, travel dates, mode of transport, meals, accommodation, among others. The travel request form also shows a traveling place as well as the expenses incurred. This document can fulfill several purposes: securing permissions for travel or seeking approval from companies on behalf of the traveling employees.

Importance of Using Travel Request Forms

Just like any other business document, a travel request form carries significant importance.

These documents ensure that travels within the company are:

Feasible: Sometimes, the resources and funds within a company can be limited. This makes it essential to ensure that every available resource is put into good use. By doing so, the company’s finances will be stabilized.
Authorized: It is very important for travel requests to go through proper departments and channels before it gets authorized in a business.
Organized: These forms can also be kept and stored for future reference. Given that there is a form for every purpose, you need to ensure that these forms are organized to prevent confusion and clutter. It also allows easier access to documents when one needs them for reference.

Steps to Write a Travel Request Form

In order to write a travel request form efficiently, you simply need to follow two steps in a detailed manner.

These two steps are as follows:

Provide the details of the traveler

In the travel request form, including details of the traveler. This information includes the full names, contact information, designation employee id, email id, and fax number. Besides, don’t forget to mention why you are going on the trip. This should be indicated in the transfer request form.

Provide information regarding the trip

You must provide information relating to the trip. This includes the date and time of departure as well as the arrival time. Other things to write include the travel schedule, mode of transport, accommodation, travel itinerary, and meals.

Information to be Included in a Travel Request Form

For your travel request form to be composed in the most efficient manner, you must include the following information in it:

Personal information

This is the information belonging to the traveling employee. The Information needed to be filled in this document includes the individual’s name, contact information, job position, and respective department.

Travel request information

This is the information regarding the actual trip. It includes the date of travel, the purpose of travel, the duration of travel, destination, and estimated cost of travel. It is important to ensure that all these details are indicated in the letter.

Indicate travel expenses and information regarding sponsorship

A travel request form should indicate the trip’s estimated expenses, including costs of meals and accommodation, transportation expenses, travel expenses, and car rentals, among others. If the trip is being sponsored, remember to include the contact information and details of the sponsors.

Mention the names of all the authorized persons

You cannot forward a travel request form unless a higher authority approves it. This is why you should mention all the names of authorized individuals, leaving a space for their signatures.

Ensure you incorporate all terms and conditions

To ensure that everything is working properly and meets all the transparency standards, incorporate all the terms and conditions. They should be clearly described in your form to avoid any inconveniences.

Put Accurate Information in a Travel Request Form

You must provide accurate information in your travel request form.

Here are some of the reasons why it is essential to do so:

Accurate information is crucial in a travel request form. In a company, you might not be the only individual asking for a travel request. To avoid mix up, you should indicate the details in your form. Make sure that the name is written, your destination, and other crucial details.

Furthermore, accurate information increases trustworthiness. When it comes to finances, don’t indicate inaccurate figures. Some people get tempted to indicate higher figures so that they can pocket the extra cash. For example, don’t allocate an inaccurate accommodation fee so that you can pocket the extra money. You should always provide honest and accurate information in your travel request form.

Download Templates

You can download our free travel request form templates. These templates can also be customized to fit your preferences.

Companies require receipts for employee expenses for two reasons: to confirm that employees are spending money how and when they claim and to back up deductions listed on the business’s tax return.

The comment section of a travel request form should include remarks on the importance of the trip. If you are applying, back your application up by giving reasons why the trip is important.

It depends on the policies of the company. In some companies, once the funds have been availed, it is impossible to cancel the request. In most companies, however, you can cancel the request even after it has been approved.

Travel request forms play an important role in organizations. For the best outcome, you can use our prepared available templates. They are easy to use and can be customized.

Free Minor Travel Consent Form

Home » Passports » How to Obtain a U.S. Passport

father with two minor children holding passports and boarding passes at airport

A minor travel consent form is a legal document, signed by a child's parents and/or legal guardians, giving permission for the child to travel with another adult. Any time a child travels abroad without both parents and/or legal guardians, U.S. Customs and Border Protection requires the child to have this written permission.

This document is particularly important in international travel situations. It can be used to establish guardianship whether the child is traveling abroad with only one parent or with another trusted adult, such as a family member, friend, or educator.

In today's world, where concerns about child safety are paramount-especially when it comes to child abduction, custody disputes, and human trafficking-a minor travel consent form serves as a protective measure. It provides clear, legally binding, written permission that can be verified by immigration officials, airline staff, or travel companies, to make sure that the child's travel is both safe and authorized.

Without this form, travel may be delayed or denied. Domestic and international authorities need to be able confirm the child's guardianship and obtain the necessary permissions before allowing the child to travel onward.

How to Use the Minor Travel Consent Form

The form available below is a comprehensive template, designed to be easily copy/pasted and adapted in a word processor like Microsoft Word or Google Docs.

Given the critical nature of this document, we also provide a downloadable minor travel consent form in PDF format for your convenience.

It's important to note that while this sample form is a valuable starting point, it should be tailored to fit the specific details and circumstances of your child's travel.

Also be advised that this form does not replace a legal power of attorney document that could be used to make critical medical care decisions on behalf of a child.

This form is regularly reviewed and updated to ensure that this form remains current with travel and child safety best practices, reflecting our commitment to providing reliable and authoritative travel resources.

Screenshot of the free minor travel consent form from U.S. Passport Service Guide

The Legal Implications of Traveling Without a Minor Consent Form

While the minor travel consent form is not a universally required legal document, a child traveling without one can lead to serious complications in many countries. Different nations have their own regulations regarding child travel. Being uninformed or unprepared can quickly lead to distressing situations for both you and your child.

1. International Legal Considerations:

Country-Specific Requirements Vary: Each country has its own set of rules regarding minors traveling without their parents. For instance, some countries in Europe may require additional documentation, such as a birth certificate or a parental authorization letter, in addition to the travel consent form. You need to be sure your child and their traveling companion(s) comply with all of the requirements for each country they plan to travel to and through.
Risk of Travel Disruption: Without a consent form, minors traveling abroad may face delays or even denied entry at border control checkpoints. This can lead to missed transportation departures and costly changes to your travel itinerary.
Embassy and Consulate Involvement: In cases where a minor is detained due to lack of proper documentation, the local embassy or consulate of the child's home country may need to be involved. This can lead to complex legal situations that take significant amounts of tame and/or money to solve.

2. Domestic Legal Implications:

Airline and Transportation Policies: Within the United States, airlines and other transportation services have specific policies regarding unaccompanied minors (more on this later). Lack of a consent form, even for domestic travel, can result in the child being denied boarding.
Legal Custody Disputes: In cases of separated or divorced parents, traveling without a consent form can raise legal issues related to custody agreements. It's crucial to understand and adhere to the legal requirements stipulated in custody arrangements to avoid legal repercussions.

A minor travel consent form can help you avoid many of these situations. Before traveling, be sure to research the specific travel requirements of the destination country regarding minor travel. In addition to the resources provided on this site, this can also be done through a country's embassy website or by consulting with travel experts like registered passport expediting services .

In complex situations, such as shared custody or special travel circumstances, consulting with a legal expert can provide clarity and ensure compliance with both domestic and international laws.

Minor Travel Consent Form Notary Requirements

We strongly recommend that you have any child travel consent form notarized. This can prevent issues establishing the authority and credibility of your documentation.

It can be challenging to find and secure the services of a notary in person. Thankfully, it is possible to use an online notary service to notarize your minor travel consent form. This can save you serious time and stress.

We recommend using NotaryLive , a fully-secure, online notirization platform with an "Excellent" rating from TrustPilot . NotaryLive is fast, affordable, and fully compliant with state law, so you can be sure your notarized minor travel consent form is both legal and valid.

Unaccompanied Minors

Airlines have general rules about the ages and circumstances where children can fly alone, too. There are also usually additional fees that come with buying a ticket for a minor that will be traveling without an adult. As part of that extra cost, many airlines offer some additional supervisory and support services to be sure the traveling child is safe and comfortable while traveling on their own.

For more, check out our guide to unaccompanied minors traveling internationally . There, you will find details about the considerations, accommodations, and policies that apply to kids traveling internationally without an adult parent or guardian.

More Tips for Parents of Minors Traveling Abroad

Besides proper documentation, there are other ways to help a child have a safe international trip. Any time your child is traveling without you, give yourself peace of mind by taking these proactive steps.

Be Proactive In Shared Custody Situations

Parents who share custody of their children should each carry copies of the legal custody documents. You can also contact the embassy of the country or countries the minor child will be visiting to confirm travel entry requirements. This proactive step can help avoid issues at border crossings and during the child's stay abroad.

A simple notarized statement, such as the one below, should suffince in most cases.

"I, [PARENT NAME] acknowledge that [SPOUSE NAME] is traveling out of the country with my [SON/DAUGHTER] whom we share custody of. This authorization gives [SPOUSE NAME] my full permission to do so.

Use a GPS Tracker to Keep Track of Your Child While Abroad

GPS technology makes it possible to pinpoint a person's exact location, anywhere in the world. If your child is traveling without you, it makes sense to keep a GPS tracker on their person so that you know where they are. You can also use additional trackers to help keep tabs on your child's luggage or other valuables.

Apple AirTags are small, inexpensive GPS tags that can be purchased individually or in packs of 4 . They use bluetooth connectivity and the vast number of Apple users across the globe to create a reliable GPS tracking network. Using your iPhone or Apple device, you can ping any AirTag that is linked to your AppleID and locate it quickly. Thanks to its small size, an AirTag can easily be tucked into luggage, sewn into a child's clothing, or stashed in a travel wallet.
JioBit is an all-in-one GPS tracking system specifically designed for tracking your child. While it is more expensive than Apple AirTags, JioBit is a durable and secure alternative-particularly useful for those who don't already have an Apple device.

Use a Parent-Controlled Debit Card

Traveling costs add up. Everything from food, transportation, lodging, and fun comes with a price. If your child is traveling without you, you want to be sure they have the money they need, but also that it is being protected.

There are a number of debit cards that allow parents to keep an eye on their child's spending as well as their remaining balance. Should your child and their card become separated, you have the ability to prevent unauthorized purchases and possibly even get a replacement sent to wherever your child is staying.

Traveling with minors requires careful planning and a strict adherence to both American and international laws. This guide and the minor travel consent form we have shared are designed to provide you with the necessary information and tools to ensure a smooth and stress-free journey for your child. Whether your child is traveling with a guardian, as part of a group, or alone, the right preparation can make all the difference.

Remember, the safety and well-being of your child are paramount. By staying informed about the latest travel regulations and using our resources, you can confidently prepare for your child's next trip. If you have any further questions or need personalized advice, our team of travel experts is always here to assist you. Safe travels!

U.S. Passport Service Guide - Who we are

For over 20 years, U.S. Passport Service Guide has helped American citizens understand and navigate the passport application process. We use our expertise and experience to help travelers get United States passports quickly and efficiently.

Our website currently receives over half a million visitors a month. We are committed to going the "extra mile" for all of our readers. Both passport officials and website visitors frequently write to express gratitude for the assistance we provide.

Please contact us if you have any travel related questions - especially ones about passports and visa expediting. We usually respond to e-mails within 24 hours, oftentimes the same day. We are committed to working with you until you get the answer you need.

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An Employee’s Quick Guide To Business Travel Request Form

Home » Corporate Travel » An Employee’s Quick Guide To Business Travel Request Form

Many businesses demand that workers at every level travel for business-related purposes. A company typically has to pay the costs associated with travel, whether it’s to work on a project for several months, attend a training conference for a few days, or for a one-day trip. Your company should have a travel request form since business trips need to be properly documented with the necessary paperwork for accounting and management purposes. A similar request form could be used to help schedule tasks and develop staffing schedules.

Travel request form template Structure

Your company requires a standard document with the same information for each travel request form. For business trips financed by federal, state, or local projects, there may be legal requirements. A staff travel request form must include at least the following information because thorough record-keeping is essential for a business:

1. Employee Information

Provide information about the employee, such as name, employee ID, and operational group (such as sales, accounting, engineering, architecture, etc.). A company can track its travel expenses across various groups using the group information, and based on this information, forecast future travel budgets.

2. General Information for Travel

The form must include the destination, the hours and dates of the trip, and the rationale behind the request for travel authorization. You can also include a charge code or project ID here if they need to be connected to the request.

3. Information on anticipated travel expenses

A complete request form should contain all necessary information:

Plane Tickets: Information on airlines, one-way and round-trip travel, and ticket prices
Ground Transportation: This can include the approximate cost of using a taxi or ride-sharing services like Uber. If these services are required over the course of several days, the template can include an estimated per diem cost. Specific rental companies can be listed here with estimated costs based on the number of days or expected mileage if the employee or employees prefer to rent a vehicle. Utilizing navigation or mapping software, miles can be estimated.
Accommodations: Your company may have special deals with specific hotel chains for discounted rates and other benefits. Here, you can also calculate the price per night using the internal organizational processes.
Meals: Food expenses can be calculated as a maximum value per meal or on a per diem basis.
Other Expenses: Additional purchases are required for the work that needs to be done while on the trip.

4. Signatories

The travel authorization form should have as many areas as possible for signatures, including those of the employee submitting the request and all supervisory approvals. Additionally, the form should have a place to keep supervisor review comments and other information needed for the record.

5. Payment Information

Some businesses let staff members use their own debit or credit cards to make purchases that will later be refunded. Others might restrict the use of corporate travel accounts to managers at specific levels.

This data should be included in the template so that users can choose the options that are best for them.

Who is responsible for the travel request form?

A travel request form typically goes through three steps, from creation to approval. Companies can expedite the procedure even though using forms to approve corporate travel takes more time.

Staff can tag the appropriate individuals and send notifications automatically when action is required by using apps like Google Docs.

An employee

When an employee needs to travel for work, they must begin the approval procedure by submitting a travel request form. They must compile all necessary information and present it to their superiors. Managers will review the request after it is submitted and will then decide whether to accept or reject the suggested itinerary.

Employees are prepared to begin making and organizing their travel arrangements once a form has been approved. If the request is denied, the worker must make the suggested changes before submitting it.

The initial stage of approval

The employee’s direct manager typically conducts the initial level of approval. They check request forms at this point to make sure the employee information is accurate and the estimated costs are reasonable. The manager will reject the request and offer suggestions for improvement if they find something wrong with any of the specifics, such as the intended use of the trip or the suggested cost. After the employee makes the necessary changes, the form is returned to them so that their manager can review it again.

The following level of endorsement

The following stage of the approval procedure is very similar to the previous one, but it is handled by a more senior employee. The same procedure is followed when a department head or C-level employee submits a business travel request form, checking it for errors and making sure the trip has a clear business purpose.

If the request for the trip is approved, the employee is free to begin making travel plans and setting up meetings. The travel authorization request form will now be archived by administrative teams. The request can still be turned down by management, who will then ask staff to make additional changes.

Suggested Read: Corporate Flight Booking Benefits For Companies And Travelers

Why a business travel request form is important?

The business travel request form guarantees that internal travel is:

1. Possibility

A company’s resources may occasionally be constrained. The finance managers can easily determine the total cost of travel by using travel request forms to develop a budget. It aids in keeping the business’s finances in order.

2. Authorized

For the proper use of a company’s resources and funds, all travel expenses must be approved by management. The management should be aware of all travel-related expenses so that budgets and funds can be allocated appropriately. Additionally, it aids in stopping any instances of employees making unauthorized reservations.

3. Organized

For billing and accounting purposes, all business trips must be properly documented with the necessary paperwork. The business travel request forms can also be kept for future use, clearing up any ambiguity or clutter about trips or expenses.

4. Well-managed

There won’t be any last-minute travel or expense hysteria because the staff members have added all the relevant information, including lodging and transportation. This aids in expediting reimbursements as it satisfies the requirement of all expenses being business-related under the accountable reimbursement plan.

The submission and approval processes can be facilitated by using a well-designed business travel request form with sections for clearly defining the trip and expense details. A travel request form is an essential part of any trip request and manage companies expenses on travel. Finally, corporate travel management platforms such as Paxes help in maintaining an easy approval and travel management flow of business trips.

Suggested Read: A Complete Guide To Business Trip Expense Management

Travel Request Form FAQs

What is a business travel request form.

A business travel request form is a document that employees use to request authorization and approval for work-related travel.

What information should be included in a business travel request form?

A business travel request form should include details such as the purpose of the trip, the destination, the travel dates, the estimated costs, and the expected business outcomes.

Who should approve a business travel request form?

The approval process for a business travel request form varies by organization. Typically, the form must be approved by the manager or supervisor of the employees and may require additional approval from the finance department or other stakeholders.

How far in advance should a business travel request form be submitted?

It is recommended that a business travel request form be submitted at least two weeks prior to the travel dates to allow sufficient time for approval, booking of travel arrangements, and other necessary preparations.

Pratyush is a traveling enthusiast who always looks for innovations in business travel management. He has 5 years of experience writing content on corporate travel management and working closely with expert business travel facilitators.

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Travel Request Forms • Download or Print

Traveling is common in businesses and companies and if you want to organize and streamline the employee travel request form in a better way, we have a solution for you. Many online travel request form generation tools are used to generate pre-travel authorization forms but still, people find it easy to have some samples of these travel request applications and use them as per their needs.

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In corporate businesses, it’s common for employees to make trips around the globe or country for meetings and other business-related purposes. And for this, they formally have to make a travel approval request to the company.

Here in this post, we have some online travel request form template samples for you to make this whole process easy and fast.

Download Free Travel Request Forms Templates

corporate travel request form, domestic travel request form

Travel request form templates are used to submit requests for traveling to the higher authorities. These templates are useful for students, employees, airline customers, and others who need to submit a request before traveling. You can get traveling request authorization in PDF, DOCX, and other formats that you prefer. It enables the user to include information about the services that travelers want. We share various sample travel request form templates that give you an idea to create your form perfectly.

The employees use the business or corporate travel request forms to send requests for business travel to the employer that include data about services and equipment that employees need on this business tour. Travel agencies need to receive a travel booking request form from the clients, containing data about the client’s needs. In this article, you’ll learn all about the travel request forms templates and get free templates from our site in different formats that you find nowhere else.

Travel Request Forms

The travel request form is submitted by someone to the management for traveling approval and to get the things needed for the trip. It is widely used in the corporate sector where an employee sends a request letter to the manager or employer to get permission for a business trip and request to fulfill the traveler’s needs. The travel request form example helps you to understand it to create your request templates. You can see the employee vacation request form to get an idea to make a perfect request form for travel.

The student travel authorization form is submitted by the student to the management to get approval for education traveling. You need to state the reason for this trip, the place where you are going, the trip duration, and other essential information that management needs to know. It is also useful when a traveler makes a request to airlines for traveling. The travel agencies issue a travel request form to get all the essential information about traveling. You can see air travel requests form templates for your business to effectively gather important flight information. All the free travel request forms are designed professionally and contain all the elements that help you gather and manage your data effectively.

What to include in the travel request form

A travel request form is useful if it contains all the essential elements that help you to gather the traveler’s needs. A person going somewhere for education and business purposes needs to get permission from the management and ask to release the funds to fulfill the trip expenses. The employer sends an approval letter to the employee to let the employee know that the requests are accepted. When employees return from the business trip or tour, they need to submit a travel expense report to provide all the details about the tour’s expenses. The essential elements that should be included in the travel request form or letter are as follows:

The name of the person who is sending a travel request.
The date when the requestor sends a request letter or form.
It should include the date of travel.
Include travel destination
State the purpose of this trip
Description of the expenses like charges of hotel, traveling, meals, and others.
Total expenses for this trip
Other special requests to make the tour successful.
The signature of the requestor
Space for the signature of authorities to approve it

The above information is essential and must be included in the travel request form for business and education traveling. The requester sends this request to the high authorities, and they make decisions based on the information placed on it. A simple and effective request form helps you to get decisions from authorities in your favor. For that purpose, ready-made templates help you get approval for all your requests. The editable travel request form templates allow the user to make changes as needed.

Importance of travel request form

When a student/employee needs to travel from one place to another, a travel permission letter is sent to the authorities, who can accept or reject your request. Your trip/travel is dependent on the authority’s decision, and they made decisions based on data placed in the request letter. Below we share some points that show the importance of request forms for traveling are as follows:

A request letter helps you to get traveling permission from the management of the school or company.
It is widely used in the corporate sector to keep a record of business traveling.
With its help, you can state what services, equipment, and other things you require during this trip.
You can ask for funds for travel, meals, and other expenses from school/college or company by attaching relevant documents.
The information about traveling like destination place, travel duration, the purpose of this traveling, and other details are delivered easily to the authorities.
It helps to know the authorities whether this trip and the expenses are valid and reasonable or not.
The employer or school management can easily figure out whether the allocation of funds is beneficial or not.
It is helpful to track the employee’s travel record for business purposes.
When a company’s presence is essential at a conference or somewhere else, an employee sends a request to present himself for this business travel.

Tips to write a perfect travel request letter

A well-written travel request letter helps you get approval from the management of a company, school, or college. You can also fill out the well-designed travel request form by downloading it free from our collection. To make you work, we share some easy tips that help you to write a perfect request letter for traveling. These tips are as follows:

Include essential details: When you decide to request travel to the higher authorities of your department, then you should include all the essentials about this tour clearly and concisely. A piece of missing information in the request letter or form may cause the rejection of your requests.
Follow the standard format: If you are an employee and sending a request to your employer or manager, then you should follow the business letter format and write the letter in a professional tone. When you submit a request for education travel, follow the letter’s standard format to write it perfectly.
Attach relevant documents: You should attach related documents with this letter to make the words of the letter valid. When you ask to release funds for your expenses, you should attach some documents supporting your words.
State benefits of the travel: You should state all the details clearly and include some words that describe how this travel is beneficial for business or education.
Avoid ambiguous words: Always use words that have only one meaning. Ambiguous language creates misunderstandings between the parties. State the purpose of your travel and other information clearly and precisely.
Free from errors: Make sure the letter is free from mistakes, and use words that don’t contain any spelling and grammatical mistakes.

Easy steps to write a travel request letter

The letter’s format may vary according to the situation under which you write and send the letter. In business, the travel request letter is submitted by the employee to the employer to get approval for corporate travel, then the format of the letter should be formal. You can also get the travel request form from the HR department and send it to the employer or manager, but when your company doesn’t issue any travel request form template, then you should write a letter for it. Below we share some easy steps to write a travel authorization letter to the school or business management.

Contact information: According to the standard format of the business letter, write your name, email address, and title at the top left side of the letter. After writing your contact details, write the date when you write this letter to the authorities, then write the recipient’s name and contact information.
Salutation: If you know the name of the receipt, then write the name followed by “Dear,” “Mr” or “Mrs.”
First paragraph: In the first paragraph of the letter body, state the purpose of writing this letter clearly and concisely.
Second paragraph: In the second paragraph, give some details about the travel like destination place, travel duration, and expenses, and ask the recipient to allocate some funds to cover the travel expenses.
Third paragraph: Make requests for services, equipment, and other things that you require during this tour. State the reason why you need these services and how this tour is beneficial for the company.
Closing paragraph: Always use some positive and professional words for the recipient in the last paragraph.
Signature: At the end of the letter, include your signature to sign off the letter.

Frequently Asked Questions

To whom should the travel request letter be sent.

The letter should be sent to the high authorities who have the right to give permission for the travel like an employer in the office or principal of the school or college.

What is corporate travel?

When an employee travels for business purposes on behalf of the company is called corporate traveling.

Why do we need to submit the travel request form?

We need to submit the travel request form to get approval from the authorities to travel.

What are the travel allowance expenses?

The payment made to cover the expenses of the business trip or tour by the company to the employee is travel allowance expenses.

Where do we need to submit the travel request form?

We need to submit the request letter for traveling to the school or college management for education purposes, employers for corporate traveling, and travel agents to get what you need.

What should include in the corporate travel expenses?

The expenses that are commonly calculated during corporate traveling are meals, transportation, and lodging.

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Before any business trip, the employee must take permission through a letter of authorization for the same. Only after proper authorization from their supervisor/ manager, the employees can undertake the same. An authorization form is required to be filled and submitted by the employee and it is returned to him after authorizing the travel. In this article, you will find several form templates for making a travel authorization form for your organization.

Step 1: Format of the Form

Step 2: instructions for employees, step 3: details of the trip, step 4: details of expenses, step 5: other important things.

basic travel authorization form template

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Travel Request/Authorization Instructions

Controller's office policy co 02 92.

Purpose: This form is used to request authorization of most official University travel, including travel advances, and prepayments when appropriate (see Travel Advance Policy CO 01 92 ). This form is not required for reimbursement of one-day, in-State trips where no excess is requested.

Forms: The Travel Request/Authorization form is available here to the campus community in an Excel file.

Completed Forms: The completed form should be retained by the appropriate Department Head after approval unless an airline ticket is involved . The Department Head shall obtain the Chancellor's signature on all out-of-country travel. If a prepayment, including airfare, or advance is being requested, the Travel Request form must be forwarded to campus travel office (x. 4218 ) at the same time the reservation is made to properly process payment.

If a travel advance is requested, the campus travel office (x. 4218 ) must receive the Travel Request/Authorization form at least ten (10) work days prior to the date the travel advance check is required. The department must hold a copy of the Travel Request for attachment to the traveler's Reimbursement form.

Student Academic Travel Reimbursement information can be found on the Academic Affairs website at https://www.uncp.edu/about-uncp/administration/departments/academic-affairs/policies-and-procedures .

Instructions: Follow the numbered items for completing the Travel Request/Authorization form.

l. Name of traveler.

2. Department generating the request.

3. 6-Digit Acct #. List the departmental account or accounts to be charged with the travel expense. If travel is to be paid by multiple accounts, the approved Travel Request is held by the supervising department after all account approval signatures have been obtained until which time it is attached to the traveler's Reimbursement form. The approval for reimbursement requires only the supervising department head signature.

Examples:

1. Traveler is a Biology professor who is not the Chairman.The professor will be traveling from the funds of the (a) Teaching and Learning Center, (b) Faculty Development Grant, and (c) the Biology Department - all three (3) 6-digit accounts will be listed on the Travel Request and all three (3) approving signatures will be on the Travel Request. The Department Chair (in this case the Biology Dept. Head) holds the Travel Request after receiving all approval signatures. The Travel Reimbursement form requires only the Biology Department Head's signature and the attached approved Travel Request and any necessary receipts.

2. Traveler is the Department Chair of the Biology Department. The Department Chair will be traveling out of Biology funds and Teaching and Learning Center funds. Both 6-digit accounts and both approving signatures will be listed on the Travel Request. The Chair must sign the Travel Request/Authorization form as traveler, get the signature approval for the Teaching and Learning Center funds, and forward the Travel Request/Authorization form to his/her supervisor - the Associate Vice Chancellor for Academic Affairs - whose office will hold the Travel Request for later attachment to the Travel Reimbursement form and forwarding to the campus travel office (x. 4218 ) for reimbursement.

5. Date the request is typed.

6. Destination of trip. If guest of University (prospective employee, etc.) is coming to campus, indicate where traveler is coming from.

7. Date and anticipated time of departure.

8. Specific reason for trip.

9. Date and anticipated time of return.

10. Check appropriate box(s) to indicate mode of travel. If \"Other\" is checked, specify travel mode.

11. If traveling by car or van, indicate the name of the driver.

12. If traveling by car or van, provide names of all passengers.

13. This section is included for calculating trip costs. All known or anticipated allowable travel costs associated with this trip should be included in this column, including costs of registration fees, airplane tickets, rental cars, taxis, private cars, airport parking, or other trip costs.

13a. Do not write in this space; it is reserved for travel office (x. 4218 ) use.

14. Indicate the number of days and estimated cost per day for hotel/motel, if applicable. Lodging costs greater than the rates indicated in CO 02 92A constitute excess lodging and must be indicated by checking the appropriate Special Travel Designation in item 20.

15. Indicate the number of days and allowable cost per day for meals, if applicable. (See CO 02 92A .)

16. If by car, indicate anticipated mileage and the rate per mile. (See CO 02 92A .) If by air, indicate if ticket is billed to UNCP. If rental vehicle is required, attach explanation for need of rental to the Travel Request. (See Policy C0 05 94A ) NOTE: State cars are processed via a Vehicle Request sent directly to the University Motor Pool.

17. Itemize miscellaneous allowable travel costs. For each item, enter a description and amount.

18. If prepayment of registration fee (must be $75 or more before the University will prepay) is requested, type \"prepayment requested\" by Registration Fee and attach completed copy of registration documentation to Travel Request/Authorization form with payee and mailing address highlighted.

19. Total anticipated expense (steps 14 - 18) and enter total cost.

20. Special Travel Designations. Check all boxes applicable to this travel. The Department Head may require additional justification or documentation prior to authorization of travel. Chancellor's signature is needed only if it is out-of-country travel and/or he is the traveler's supervisor.

21. Signature of traveler.

22. Signature of Department Head or Department Heads approving travel if multiple travel accounts are involved.

23. Amount of funds limited by the Department Head or Department Heads for this trip. NOTE: use only if department is limiting funds available for the trip.

24. Chancellor (if Chancellor is traveler's supervisor and/or the travel is our of country).

25. Advance. Indicate if an advance is required. The traveler must attach a written statement giving explanation for the request. See the Travel Advance Policy Statement (CO 01 92) for a list of situations where a travel advance may be issued. NOTE: The advance is limited to 90% of the total out-of-pocket estimated costs.

26. If a travel advance is requested in item 25, the traveler must sign on line 26. By signing here the traveler is agreeing to the conditions preceding the signature.

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International travel documents for children

See what documents a child needs to travel to or from the U.S. alone or with a parent or relative.

Children traveling to the U.S.

All children, including infants, must have their own travel documents such as a passport or document from a Trusted Traveler Program to enter the U.S. If you travel or are going to travel with a child, consider taking the following documents:

If the child is traveling with only one of their custodial parents, they must have a letter of consent, preferably in English and notarized, from the other parent or signed by both parents. The letter should say "I acknowledge that my son/daughter is traveling outside the country with [the name of the adult] with my permission."
If one parent has sole custody of the child, a copy of the custody document can take the place of the other parent's letter.
Parents who frequently cross the border by land with a minor must always carry a letter of permission from the other parent.

U.S. citizen children traveling abroad

Ports of entry in many countries have security measures to prevent international child abduction . If you are traveling alone with your child, you may be required to present documentation proving you are the parent or legal guardian. You may also need a letter of permission from the other parent for your child to travel.

If your child travels alone, depending on the country, they may be required to present a notarized letter from both parents or their legal guardian. If a minor is traveling abroad and is not accompanied by both parents or a legal guardian, contact the embassy or consulate of the country you will be visiting and ask about entry and exit requirements for that country.

LAST UPDATED: December 6, 2023

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Both parents or guardians must approve that we can issue a passport to a child, and go with the child to apply in person.
If one or both parents or guardians cannot apply with their child, you will need to show us more documents.
You cannot renew your child's passport using Form DS-82.
Passports for children under age 16 are only valid for 5 years.

Steps to Apply

1. fill out form ds-11 and print it.

Use our Form Filler tool to fill out your child's form on a desktop or laptop computer and then print it. If you are experiencing technical issues with the Form Filler, download a PDF .

Tips to complete your child's form :

Do not sign your child's form until asked to do so by a passport acceptance agent or employee.
You can apply for a passport book , a passport card , or both documents.
You may ask for a larger passport book with more visa pages, at no extra cost, by checking the 'large book' box at the top of the DS-11.

2. Get Evidence of U.S. Citizenship (and a photocopy)

Your evidence must be an original or replacement copy. The document must have the official seal or stamp of the office which issued it. You must submit one of the following documents for your child:

Issued by the city, county, or state of birth
Lists applicant's full name, date of birth, and place of birth
Lists the parent(s)' full names
Has the date filed with registrar's office (must be within one year of birth)
Has the registrar's signature
Has the seal or stamp of the city, county, or state which issued it
Consular Report of Birth Abroad or Certification of Birth
Certificate of Citizenship
Please note you must also provide a document, such as a birth certificate, that lists the parent(s) or legal guardian(s) of the child. Full validity means the document is or was valid for 10 years for adults and 5 years for children under 16.

If you cannot submit one of these documents, go to our Citizenship Evidence page for more information.

Paper only : You cannot submit digital evidence of U.S. citizenship such as a mobile or electronic birth certificate. You must submit physical evidence of U.S. citizenship and a photocopy of the document.

Returning your child's document : We will return your child's document in a separate mailing up to 8 weeks after you receive the new passport.

Tips for making a photocopy :

Black and white (no color)
Use 8.5 inch by 11 inch paper
Use a single side of the paper

If you do not submit a photocopy, you must submit a second copy of your citizenship evidence. We will keep this copy for our records.

3. Show Your Relationship to Your Child

You must submit a document that lists the parent(s) or legal guardian(s) of the child. Examples include:

U.S. birth certificate (also evidence of U.S. citizenship)
Foreign birth certificate
Adoption decree
Divorce or custody decree
A court order

Some documents, like a U.S. birth certificate, show both U.S. citizenship and parental relationship. These documents must be originals or certified copies (not photocopies).

You and your child may have different last names, as long as the document showing your relationship to your child lists your full name.

If your name is different than the one on the document showing your relationship to your child, submit proof of your legal name change.

4. Get a Photo ID (and a photocopy)

Both parents or guardians must bring a physical, photo ID and a photocopy of it. If your photo ID is from a different state than the state in which you are applying, bring a second photo ID.

You must show at least one of these photo IDs:

Valid or expired, undamaged U.S. passport book or passport card
In-state, fully valid driver's license or enhanced driver's license with photo
Certificate of Naturalization
Certificate of Citizenship
Government employee ID (city, county, state, or federal)
U.S. military or military dependent ID
Current (valid) foreign passport
Matricula Consular (Mexican Consular ID) used by a parent of a U.S. citizen child applicant
U.S. Permanent Resident Card (Green Card) used by a parent of a U.S. citizen child applicant
Trusted Traveler IDs (including valid Global Entry, FAST, SENTRI, and NEXUS cards)
Enhanced Tribal Cards and Native American tribal photo IDs
In-state, fully-valid learner's permit with photo
In-state, fully-valid non-driver ID with photo
Temporary driver's license with photo

If you do not have one of these photo IDs, go to our Identification page for more information.

5. Show More Documents (if both parents or guardians cannot apply)

Both parents or guardians must approve that we can issue a passport to a child, and go with the child to apply in person.
If one or both parents or guardians cannot apply in person with their child, you will need to show more documents.

Important : Submit Form DS-3053 and other notarized statements within three months of signing them.

6. Provide a Photo

You must provide one photo with your child's application. Go to our Passport Photo page for photo requirements and to see examples of photos.

Do not attach or staple your child's photo to the form. The acceptance agent or passport employee will review the photo and staple it to your form.
Some passport acceptance facilities
A company which offers photo services
Home. Ask your friend or family member to take your child's photo. Print it on glossy or matte photo quality paper.

7. Calculate Fees

When applying using Form DS-11, you will pay two separate fees - an application fee and an execution (acceptance) fee. You will pay the application fee to the U.S. Department of State, and the execution (acceptance) fee to the facility which takes your application.

Add $60 to your application fee if you want expedited service .
Add $19.53 to your application fee if you want us to ship your completed passport in 1-2 days after we issue it.

Child Applicants :

For more information on how to pay and a full list of fees, go to our Passport Fees page.

*How to fill out your check and pay the application fee to the U.S. Department of State. Please note you must pay a separate execution (acceptance) fee.

Families may write one check or money order to the U.S. Department of State if they are applying at the same time. The check or money order must include the name and date of birth of each applicant.

8. Find Location to Apply

In the United States:

Traveling in more than 3 weeks? Go to a passport acceptance facility such as a post office, library, or local government office. Check with the facility to see if you need to make an appointment.
Traveling in less than 3 weeks? Make an appointment to apply at a passport agency or center.

In another country:

Contact your U.S. embassy or consulate .

9. Track Your Application Status

You can subscribe to email updates about your application status, and learn more about each status update .

It may take 2 weeks from the day you apply until your child's application status is “In Process.”

Frequently Asked Questions

How will you send my child's passport and supporting documents.

You will get multiple mailings. The number of mailings depends on what document(s) you asked for.

Passport Book : You may get your new passport and citizenship documents in two mailings. You may wait 8 weeks after getting your passport before you get a second mailing with your citizenship documents. We will return the passport book using a trackable delivery service.

Passport Card : You may get your new passport card and your citizenship documents in two mailings. You may wait 8 weeks after getting your passport before you get a second mailing with your citizenship documents. We only send the passport card via First Class Mail. We do not send cards using 1-2 day delivery services.

Both a Passport Book and Card : You may get three separate mailings:

New passport book
New passport card
Citizenship documents

Contacting Us : If you have been waiting more than 8 weeks for your documents, call us at 1-877-487-2778 to report that you have not received your documents.

If you want us to reimburse you for a lost supporting document, you must contact us within 90 days of the date which we mailed your passport. You will also need to provide a receipt to show the cost of replacing the document.

Can I pay for faster delivery and return shipping?

Yes. You may choose one or both of the following shipment options:

Delivering application to us : Pay for Priority Mail Express for faster shipping. The price for this service varies depending on the area of the country.
Returning the passport to you : Pay $19.53 for 1-2 day delivery. This means you will receive your passport 1-2 days after we send it. Include this fee with your check or money order payable to the U.S. Department of State. Do not submit a return envelope to us with postage pre-paid.

You may receive your passport and supporting documents in separate mailings. If you are renewing a passport card, we will send it to you via First Class Mail. We do not use 1-2 day delivery services if you only applied for a passport card.

What countries require Form DS-3053 "Statement of Consent" to be notarized at an embassy or consulate?

In certain countries, a DS-3053 must be notarized at a U.S. embassy or consulate and cannot be notarized by a local notary public. Currently, these countries include:

Special Passport Fairs

Find a Special Passport Fair near you!

We're holding special passport fairs all across the United States to help you get your passport more easily. New events are added to our site every week.

Most events are for first-time applicants and children, (who use Form DS-11). If you can use Form DS-82, you can renew by mail at your convenience!

Processing Times

Routine: 6-8 weeks*

Expedited: 2-3 weeks and an extra $60*

*Consider the total time it will take to get a passport when you are booking travel. Processing times only include the time your application is at a passport agency or center.

It may take up to 2 weeks for applications to arrive at a passport agency or center. It may take up to 2 weeks for you to receive a completed passport after we print it.
Processing times + mailing times = total time to get a passport

Urgent Travel: See our Get my Passport Fast page.

How to Apply for your Child's Passport

Watch this video to learn how to apply in person for your child's U.S. passport!

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Links to external websites are provided as a convenience and should not be construed as an endorsement by the U.S. Department of State of the views or products contained therein. If you wish to remain on travel.state.gov, click the "cancel" message.

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Claims Guide

Claims Process

File a Claim

Billing and Claims Reimbursement Process
Claims Review Process
View a Claim
Appeal a Claim

To file a claim, you must complete , sign , and submit a Claimant's Statement and Authorization form along with supporting documents for every incident. For answers to the most common claims-related questions, see the FAQs section below and select the topic "Claims."

You can complete and submit the Claimant's Statement and Authorization form and supporting documents in one of the following ways:

Docusign Within Member Portal (Most Efficient Approach)

You can complete, sign, and submit the Claimant’s Statement and Authorization form online via Member Portal , our self-service portal for policyholders.

But First, Did You Register for a Member Portal Account?

To access Member Portal, you will first need to register an account. Click here to register .

If you have already registered your account, follow the instructions below.

If you have an existing Client Zone or Student Zone account, you do not need to register for Member Portal. Simply sign into Member Portal using your Client Zone or Student Zone log in information.

Haven’t Yet Added Your Policy to Your Member Portal Account?

You will need to add your policy to your Member Portal account before you will be able to submit a claim via Member Portal.

1. Visit Member Portal . Enter the email address associated with your account and then click the “Continue Sign In” button.

2. On the resulting Sign In page, enter your password below your email address. Then click the “Sign In” button.

3. You will be presented with your Member Portal home page. Click “Claims and Appeals” in the main navigation menu at the top of the page.

4. You will be presented with the Claims and Appeals page.

Don’t Have Access to the Claims and Appeals Page?

If you selected that you are not the insured or the insured’s legal guardian upon registration, you will not have immediate access to the Claims and Appeals page. Instead, you will see the Protected Health Information Authorization page. To gain access to this section of Member Portal, enter the insured’s email address and click the “Send Request” button.

The insured will receive an email with a link to complete, sign, and submit the HIPAA form via DocuSign. You will gain access to the Claims and Appeals section and will be able to submit a claim for the policyholder within 3-5 days of the date the policyholder completed and submitted the form.

To file a new claim via DocuSign, click the "Submit New Claim Via DocuSign" button under the "Claimant's Statement and Authorization Form" subheader in the "File a Claim" section.

5. Enter your name and email address and click the “Begin Signing” button.

6. Click the white box next to “I agree to use electronic records and signatures.” Then click the yellow “Continue” button to the right.

7. Fill in all the required information (as indicated by the red text boxes) and sign everywhere a signature is required (as indicated by the yellow “Sign” boxes).

docusign-claimant-statement-and-authorization

Attach your supporting documents ( medical records, receipts, itemized bills, etc.), if necessary, in the appropriate section via the yellow attachment boxes. If you have more than 3 attachments or exceed the 5MB attachment limit.

8. When you are done, click the yellow “Finish” button in the top righthand corner. Clicking “Finish” submits your documents and sends a PDF of your signed Claimant’s Statement and Authorization form to your email.

Download or print a copy of your completed form for your records. If you do not receive a confirmation email with your completed form attached within 24 hours, please contact WorldTrips to make sure your form was properly submitted.

Need to Attach More Than 3 Supporting Documents OR Submit Additional Supporting Documents After You Have Already Submitted Your Claim Via DocuSign?

Return to the Claims and Appeals page of the Member Portal and click the “Submit Additional Supporting Documents” button under the “Submit Additional Supporting Documents (If Needed)” subheader in the “File a Claim” section.

You will land on the Submit Additional Supporting Documents page. Use the dropdown to choose your claim number. (If you have just submitted your Claimant’s Statement and Authorization form and do not yet have a claim number to select, you can still submit your documents without selecting a claim number.) Then upload your files and click the “Submit” button.

Once your documents have been successfully submitted, you will receive a confirmation email with your policy number, confirmation of the types of documents submitted (for a claim or appeal), your claim number (if selected), and the number of documents you submitted.

Download the Claimant’s Statement and Authorization form here .
Print, complete, and sign the Claimant’s Statement and Authorization form. Mail the completed form, along with additional supporting documentation (medical records, receipts, itemized bills, etc.), to: WorldTrips Claims Department PO Box 240358 Apple Valley, MN 55124 U.S.A.

WorldTrips is also happy to fax, e-mail, or mail the form to you upon request.

Important Note If You Are Filing This Claim on Behalf of Another Person

If you are filing this claim on behalf of another person, you MUST fill out the section of the Claimant's Statement and Authorization form labeled "Supplement D - Authorization Form for Use and/or Disclosure of Protected Health Information." (This section of the claim form is also referred to as a HIPAA form). This section must be signed by the policyholder in order for us to speak with you regarding any of the policyholder's Protected Health Information (PHI). Without this signed form, we may only disclose to you the status of the claim.

Already Submitted Your Claim and Did Not Complete Supplement D?

You do not need to submit a whole new claim form. See your options for submitting the Authorization Form for Use and/or Disclosure of Protected Health Information (HIPAA form) separately here .

Important Note for Students

For eligibility purposes, you must submit the following along with a Claimant’s Statement and Authorization form:

A copy of your education-related visa (F-1, J-1, OPT, etc.) or valid I-20/DS2019
Proof of full-time student status (not necessary if submitting a valid F-1 visa including OPT, or J-1 visa)

If you have questions or need assistance, please call global customer support at (800) 605-2282.

Important Note Regarding Upfront Payments

If you paid for medical treatment upfront and wish to be reimbursed for an approved claim electronically, make sure you complete the appropriate section of the Claimant's Statement and Authorization form titled "Supplement C - Payment Authorization Agreement Form." If you do not make your selection and fill out the information for your preferred payment type, you will receive a paper check for reimbursement of any eligible expenses to the name and address listed on file.

If you have already submitted your claim and did not fill out the "Authorization Agreement Form - Wire Payments” section, you do not need to submit a whole new claim form. You may instead fill out and submit the Payment Authorization Agreement Form with your payment preference via DocuSign within Member Portal .

Sign in and click “Claims and Appeals” in the main navigation. Then click the “Fill Out and Submit Via DocuSign” button under the “Payment Forms” subheader in the “File a Claim” section.

Enter your name and email address and click the “Begin Signing” button. Click the box next to “I agree to use electronic records and signatures.” Then click the yellow “Continue” button, select your preferred payment type, fill in the required information (as noted by the red boxes), sign the form, and click the yellow “Finish” button.

Clicking “Finish” submits your document and sends a PDF of your signed Payment Authorization Agreement Form to your email. Download or print a copy of your completed form for your records. If you do not receive a confirmation email with your completed form attached within 24 hours, please contact WorldTrips to make sure your form was properly submitted.

If you are not the insured or the insured’s legal guardian, you will see the Protected Health Information Authorization page in place of the Claims and Appeals page. Enter the insured’s email address and click “Send Request.” Once the insured has completed and submitted our HIPAA form, you will gain access to the Claims and Appeals page within 3-5 days.

FAQs: WorldTrips' Insurance Plans

How Do I Register for a Member Portal Account?

1. Visit Member Portal at https://worldtrips.my.site.com/MemberPortal . 2. Under “Continue Sign In” click “First-time user? Register for an account.”

3. On the Register page, enter the email address you wish to use to sign into your account. This email does not need to match the email address associated with your policy. Enter your policy number and select whether or not you are the insured or the insured’s legal guardian. Enter the insured’s first and last name as entered on the policy. (You can see how the insured’s name was entered on your ID card and fulfillment documents that were sent to you upon purchase.) Enter the insured’s date of birth. Then choose a password. Follow the password instructions noted on the page.

Read and agree to the terms and conditions by checking the box. Then click the “Continue” button.

4. You will be taken to the Sign In page. Enter the email address and password you used to register your account and click “Sign In.”

5. To add an additional layer of security when signing into your account, you will be prompted to choose your preferred multifactor authentication method.

Options Include: a. Okta Verify - Click "Setup" if you wish to use a push notification sent to the mobile app

b. SMS Authentication* - Click "Setup" if you wish to enter a single-use code that is sent to your mobile phone

c. Voice Call Authentication* - Click "Setup" if you wish to follow voice instructions via phone

d. Security Question - Click "Setup" if you wish to answer a security question

* Please be sure to use a method which you will have continual access to on your travels. Do not use phone numbers that will not work outside of your current service area.

member-portal-multifactor-authentication-page

6. Follow the setup instructions of your chosen multifactor authentication method. Then click “Finish.”

7. On the resulting page, choose a "Forgot Password" question. Make sure you select a question with only one correct answer that is easy to remember.

Type the answer into the blank box below "Answer." You will need this answer to access your account if you ever forget your Member Portal password and need to reset it.

You may also choose to add a phone number for resetting your password or unlocking your account using SMS text message or a voice call if you don’t have access to your email.

Click "Create My Account."

How Do I Submit a Claim?

You must complete, sign, and submit a Claimant's Statement and Authorization form along with proof of claim (itemized bills, payment receipts, medical records, police reports, etc.) for every incident.

Filing a Claim on Behalf of Someone Else? If you are filing this claim on behalf of another person, you MUST fill out the section of the Claimant's Statement and Authorization form labeled "Supplement D - Authorization Form for Use and/or Disclosure of Protected Health Information " – also known as a HIPAA form. This section must be signed by the policyholder in order for us to speak with you regarding any of the policyholder's Protected Health Information (PHI). Without this signed form, we may only disclose to you the status of the claim.

You can complete and submit the Claimant's Statement and Authorization form along with supporting documents in one of the following ways:

- Via DocuSign within Member Portal (Most Efficient Approach)

1. Go to Member Portal (formerly Client Zone / Student Zone). 2. Log in to your account. If this is your first time using Member Portal, please click here to view instructions for registering your new account.

If you already have a Client Zone / Student Zone account, you do not need to register for a Member Portal account. Simply log in to Member Portal using your Client Zone / Student Zone login details.

3. Click "Claims and Appeals" in the main navigation menu. 4. Click “Submit New Claim Via DocuSign” button under the “Claimant’s Statement and Authorization Form” subheader in the “File a Claim” section and follow the instructions.

For more extensive step-by-step instructions, including screenshots, please see our “How to Submit a Claim” guide

Don’t Have Access to the Claims and Appeals Page? If you noted that you are not the insured or the insured’s legal guardian, you will see the Protected Health Information Authorization page in place of the Claims and Appeals page. Enter the insured’s email address and click “Send Request.” Once the insured has completed and submitted our HIPAA form, you will gain access to the Claims and Appeals page and have the ability to submit a claim within 3-5 days.

-By Mail 1. Download the Claimant's Statement and Authorization form . 2. Print, complete, and sign the form. Mail to: WorldTrips Claims Department PO Box 240358 Apple Valley, MN 55124 U.S.A. WorldTrips is also happy to fax, e-mail, or mail the form(s) to you upon request. Important Note for Students For eligibility purposes, you must submit the following along with a Claimant's Statement and Authorization form: - A copy of your education-related visa (F-1, J-1, OPT, etc.) or valid I-20/DS2019 - Proof of full-time student status (not necessary if submitting a valid F-1 visa including OPT, or J-1 visa)

Can I Submit a Claim on Behalf of Someone Else?

How Do I Submit the Authorization Form for Use and/or Disclosure of Protected Health Information (HIPPA Form) If I Did Not Complete This Section of the Claim Form?

If you have already submitted a claim on behalf of someone else and did not complete this section OR if WorldTrips has requested that you submit the Authorization Form for Use and/or Disclosure of Protected Health Information (HIPAA), you do not need to fill out another claim form. You can submit the HIPAA form separately in one of the following ways:

- Electronically via Member Portal

Go to Member Portal .
Log in to your account. If this is your first time using Member Portal, please click here to view instructions for registering your new account.
Click "Claims and Appeals" in the main navigation menu.

If You See the Protected Health Information Authorization Page:

- Because you selected that you are not the insured or the insured's legal guardian upon registering for Member Portal, you do not yet have access to the Claims and Appeals page. - Under the "Protected Health Information Authorization" header, enter the insured's email address and click the "Send Request" button. - The insured will receive an email with a link to complete, sign, and submit the HIPPA form via DocuSign. You will gain access to the Claims and Appeals page and will be able to see the status of any pending claims within 3-5 days of the date the policyholder completed and submitted the form.

If You See the Claims and Appeals Page:

- Click the "Fill Out and Submit Via DocuSign" button under the "Authorization Form for Use and/or Disclosure of Protected Health Information (HIPPA)" subheader in the "File a Claim" section. - Enter the insured's name and an email address and click the "Begin Signing" button. - Click the yellow "Continue" button, fill out the form and the required information (as noted by the red boxes); have the policyholder sign the form, and click the yellow "Finish" button. - Clicking "Finish" submits the document and sends a PDF of your signed Authorization Form for Use and/or Disclosure of Protected Health Information to the email address entered. Download or print a copy of your completed form for your records. If you do not receive a confirmation email with your completed form attached within 24 hours, please contact WorldTrips to make sure your form was properly submitted.

Download the Authorization Form for Use and/or Disclosure of Protected Health Information .
Print, complete, and have the policyholder sign the form.
Mail to: WorldTrips Claims Department PO Box 240358 Apple Valley, MN 55124 U.S.A.

When and How Will I Receive My Fulfillment Documents?

During the checkout process, you will have the option to receive your ID cards and other fulfillment documents by:

Email only OR by
Email and hard copy

If you select “Email only,” you will receive your ID cards and fulfillment documents by email as soon as your application has been processed and your credit card has been approved. This typically takes a few minutes or less.

If you select “Email and hard copy,” you will receive your ID cards and fulfillment documents by email as soon as your application has been processed and your credit card has been approved. You will also receive hard copies of your ID cards and fulfillment documents by mail to the address you entered on your application.

How Long Do I Have to File a Claim?

What If I Do Not Agree with a Claim's Denial?

There may be situations when you choose to appeal how a claim was processed. You may appeal your claim decision using one of the following methods:

- Submit the Claimant Appeal Request Form Via DocuSign within Member Portal:

Sign into Member Portal . You will be presented with your Member Portal home page.
Click “Claims and Appeals” in the main navigation menu at the top of the page. You will be presented with the Claims and Appeals page.
Switch the toggle at the top of the page under the “Claims and Appeals” header from “Claims” to “Appeals.”
To file an appeal via DocuSign, click the “Fill Out and Submit Via DocuSign” button under the “Claimant Appeal Request Form” subheader in the “File an Appeal” section.
Enter your name and email address on the PowerForm Signer Information page and click the “Begin Signing” button.
Click the yellow “Continue” button to the right.
Fill in all the required information on the form (as indicated by the red text boxes) and sign everywhere a signature is required (as indicated by the yellow “Sign” boxes).
Attach your supporting documents (medical records, receipts, itemized bills, etc.), if necessary, at the bottom righthand corner of the page via the yellow attachment boxes. If you have more than 3 attachments or exceed the 5MB attachment limit, see instructions for submitting additional documents here.
When you are done, click the yellow “Finish” button at the bottom of the page. Clicking “Finish” submits your documents and sends a PDF of your signed Claimant Appeal Request Form to your email.

[CALLOUT] Want more detailed instructions including screenshots? See the “Claimant Appeal Request Form Submitted Via DocuSign within Member Portal (Most Efficient Approach)” section of our “How to Submit a Claim” guide. [ /END CALLOUT]

Download the Claimant Appeal Request Form .
Fill out the form and email it, along with additional documentation that supports your reasoning and position (medical records, receipts, itemized bills, etc.), to [email protected]. OR Mail the form and supporting documents to: WorldTrips Appeals PO Box 240358 Apple Valley, MN 55124 U.S.A

- Submit a Written Appeal Letter Via Email or Mail

Write a letter of appeal following the appeal procedure instructions outlined in your policy documents/certificate of coverage.
Email this written letter of appeal, along with additional documentation that supports your reasoning and position (medical records, receipts, etc.), to [email protected]. OR Mail the form and supporting documents to: WorldTrips Appeals PO Box 240358 Apple Valley, MN 55124 U.S.A

IMPORTANT! In order for our claims department to review the appeal, you must provide additional documentation or information to support a reversal of the denial. Please note that submission of the appeal will lead to re-evaluation of your claim but does not guarantee that the initial benefit determination will be altered.

Why Am I Receiving So Many Letters?

What Is Included in the Fulfillment Documents?

Your fulfillment documents will include:

Instructional Information

How to seek medical treatment
How to file a medical claim
How to access Member Portal (our online self-service portal where members can manage their policies)
How to contact WorldTrips

Declaration Page

Link to the Description of Coverage for your policy
Name, address, ID number, and citizenship of the insured
Policy start and end dates and length of coverage
Certain policy details including plan name, overall maximum limit, maximum per injury/illness, deductible, and any optional coverage elected
Purchase date, payment type, and amount paid
Name and address of plan administrator

Policyholder/Certificate Holder Notice

Important notice about OFAC sanctions

European Union GDPR Data Protection Notice (Note that you will only receive this notice if you are a citizen or resident of the European Union OR if you are a visitor traveling to the European Union)

Information about our privacy policy
How we use your personal and sensitive information and who we may disclose it to
Information about your data protection rights
How to opt out of marketing communications or withdraw your consent
Name of insured(s)
Certificate/policy number and effective date of coverage
Instructions on how to file a claim
Name and logo of PPO network
Instructions on how to find a provider

Learn more about your ID card here .

How Do I Access My Visa Letter?

What Information Is Included in the Visa Letter?

How Does My Deductible Work?

Am I Eligible for an Atlas Travel Insurance Plan?

When Does My Atlas Travel Coverage Become Effective and When Does it End?

Your Atlas Travel insurance coverage becomes effective on the latest of: - the moment we receive your application and correct premium (if application and payment is made online or by fax) - 12:01 a.m. U.S. Eastern Time on the date we receive your application and payment (if application and payment are made by mail) - the moment you depart from your home country - 12:01 a.m. U.S. Eastern Time on the date you request on your application if the correct premium is received

Your coverage will end on the earliest of: - 11:59 p.m. Eastern Time on the last day of the period for which you have paid a premium - 11:59 p.m. Eastern Time on the date requested on your application - the moment of your arrival upon return to your home country (unless you have started a benefit period or are eligible for home country coverage)

Does the Atlas Travel Plan Provide Any Home Country Coverage?

Does the Atlas Travel Plan Include Any Coverage for Medical Expenses Related to COVID-19?

If You Purchased Your Atlas Travel Policy on Or After July 15, 2020: Your plan will cover eligible medical expenses resulting from COVID-19/SARS-CoV-2. Eligible medical expenses are medically necessary expenses that are not subject to another plan exclusion. If You Purchased Your Atlas Travel Policy Before July 15, 2020: Your plan contains an applicable exclusion and will NOT cover medical expenses resulting from COVID-19/SARS-CoV-2. The full exclusion reads: Charges resulting from a disease outbreak in a country or location for which the U.S. Centers for Disease Control and Prevention (CDC) have issued a level 3 or higher travel warning are excluded if:

- the warning has been in effect within the 60 days immediately prior to your date of arrival, or - within 10 days following the date the warning was issued you have failed to depart the country or location. You can review the exclusions by reading through the "General Exclusions section of your Description of Coverage (DOC).

You will find your DOC in Member Portal . Sign in to the portal and click the box on the home page labeled "Description of Coverage."

What Are Atlas International and Atlas America?

What Is Covered Under the Atlas Travel Insurance Plan?

Does the Atlas Travel Insurance Plan Provide Any Trip Cancellation Coverage?

Does the Atlas Travel Insurance Plan Meet Schengen Visa Requirements?

Can I Extend or Renew My Atlas Travel Insurance Coverage?

How Do I Extend My Atlas Travel Insurance Coverage?

Follow the below instructions to EXTEND your Atlas Travel medical insurance plan:

Log into your Member Portal .
On your Member Portal home page, click the box labeled "Extend or Renew My Policy" under the "How Can We Help You Today?" header.
If you are eligible to extend your policy ad do not need to contact a broker or plan administrator in order to do so, you will see the "Extend Policy" page.
Use the dropdown arrow to insert your new coverage end date and click "Next."
Fill in your payment information.
Review the Terms and Conditions and click the checkbox to acknowledge that you have read and accepted them.
Click the "Submit" button to submit your extension request. Your coverage confirmation will be sent to the email address you entered.

How Do I Cancel My Atlas Travel Insurance Coverage?

Is My Group Eligible for an Atlas Group Travel Plan?

Does the Atlas Group Travel Insurance Plan Provide Any Home Country Coverage?

Does the Atlas Group Plan Include Any Coverage for Medical Expenses Related to COVID-19?

If You Purchased Your Atlas Group Policy on Or After July 15, 2020: Your plan will cover eligible medical expenses resulting from COVID-19/SARS-CoV-2. Eligible medical expenses are medically necessary expenses that are not subject to another plan exclusion.

If You Purchased Your Atlas Group Policy Before July 15, 2020: Your plan contains an applicable exclusion and will NOT cover medical expenses resulting from COVID-19/SARS-CoV-2. The full exclusion reads: Charges resulting from a disease outbreak in a country or location for which the U.S. Centers for Disease Control and Prevention (CDC) have issued a level 3 or higher travel warning are excluded if:

- the warning has been in effect within the 60 days immediately prior to your date of arrival, or - within 10 days following the date the warning was issued you have failed to depart the country or location. You can review the exclusion by reading through the “General Exclusions” section of your Description of Coverage (DOC).

You will find your DOC in Member Portal . Sign in to the portal, click "Policy Information" in the navigation menu, and then click the box labeled "Description of Coverage."

What Are Atlas Group International and Atlas Group America?

Atlas Group policyholders who are U.S. citizens or non-U.S. citizens (and home country is not the United States) traveling outside of the U.S. will be covered under Atlas Group International, which provides coverage outside of the United States.

Atlas Group policyholders who are non-U.S. citizens traveling to the United States will be covered under Atlas Group America. (For the purpose of this American visitor insurance coverage, the United States also includes Puerto Rico and the U.S. Virgin Islands.)

The correct plan will be automatically selected for you when you purchase your Atlas Group plan, depending on whether your trip includes coverage for the U.S. (You will only be covered for the U.S. if you are a non-U.S. citizen, your home country is not the United States, and all or part of your travel includes the U.S.)

What Medical Expenses are Covered Under an Atlas Group Travel Plan?

Am I Eligible for an Atlas Nomads Insurance Plan?

When Does My Atlas Nomads Coverage Become Effective and When Does it End?

Your Atlas Nomads insurance coverage becomes effective on the latest of: - the moment we receive your application and correct premium (if application and payment is made online or by fax) - 12:01 a.m. U.S. Eastern Time on the date we receive your application and payment (if application and payment are made by mail) - the moment you depart from your home country - 12:01 a.m. U.S. Eastern Time on the date you request on your application if the correct premium is received

Your coverage will end on the earliest of: - 11:59 p.m. U.S. Eastern Time on the last day of the period for which you have paid a premium - 11:59 p.m. U.S. Eastern Time on the date requested on your application - the moment of your arrival upon return to your home country (unless you have started a benefit period or are eligible for home country coverage)

Does the Atlas Nomads Plan Provide Any Home Country Coverage?

Does the Atlas Nomads Plan Include Any Coverage for Medical Expenses Related to COVID-19?

What Is Covered Under the Atlas Nomads Insurance Plan?

Does the Atlas Nomads Insurance Plan Provide Any Trip Cancellation Coverage?

Atlas Nomads does not provide any reimbursement if you must cancel your trip prior to departure. However, it does include a Trip Interruption benefit if you must end your trip early due to a covered reason. See “Trip Cancellation VS Trip Interruption: What Is the Difference?” for an explanation of the difference between trip cancellation coverage and trip interruption coverage.

Note that Atlas Nomads medical insurance has a lower premium than most travel insurance plans because it does not include a Trip Cancellation benefit. If you’re a U.S. citizen or resident looking for travel insurance with a Trip Cancellation benefit, you should consider Atlas Journey® trip cancellation insurance. Visit the Atlas Journey product page for details about this plan.

Does the Atlas Nomads Insurance Plan Meet Visa Requirements?

Can I Renew My Atlas Nomads Insurance Coverage?

Can I Extend My Atlas Nomads Insurance Coverage?

How Do I Cancel My Atlas Nomad Insurance Coverage?

Most members are able to submit a cancellation request online in Member Portal . Note that only members who have no claims are eligible for a premium refund. After you create your Member Portal account ( click here for registration instructions) , log in and select “Policy Information” in the top righthand corner. Then select the “Modify Coverage Dates” box. If you are not eligible to cancel via Member Portal, you will see a message prompting you to contact your agent for assistance. If you are eligible to cancel via Member Portal, select “No” under the “Would you like to change your coverage start date?” question. Then select “Shorten or cancel your coverage.”

If Your Policy Has Not Yet Started… On the “Shorten or Cancel Policy” page, select your coverage start date as your new coverage end date. Once you click “Submit,” you will be routed to a confirmation page. You will also receive a confirmation email. Your refund will be applied to the original payment method used within 3-5 business days.

If Your Policy Has Already Started… Only premium for unused whole months (if paying in monthly installments) or unused days (if paid in full) will be refunded. On the “Shorten or Cancel Policy” page, select your new coverage end date and click “Calculate Refund” to display the eligibility of the date selected and the amount that will be refunded. Once you click “Submit,” you will be routed to a confirmation page. You will also receive a confirmation email. Your refund will be applied to the original payment method used within 3-5 business days. Please note that you cannot have filed any claims to be eligible for a premium refund.

Am I Eligible for a StudentSecure International Student Health Insurance Plan?

When Does Coverage Become Effective Once I Get a StudentSecure Plan?

When Does Coverage Terminate with a StudentSecure Plan?

Which Plan Should I Purchase, StudentSecure Elite, StudentSecure Select, StudentSecure Budget, or StudentSecure Smart?

Do StudentSecure Plans Provide Any Home Country Coverage?

Does the StudentSecure Plan Include Any Coverage for Medical Expenses Related to COVID-19?

If You Purchased Your StudentSecure Policy on Or After May 15, 2020: Your plan will cover eligible medical expenses resulting from COVID-19/SARS-CoV-2. Eligible medical expenses are medically necessary expenses that are not subject to another plan exclusion.

If You Purchased Your StudentSecure Policy Before May 15, 2020: Your plan contains an applicable exclusion and will NOT cover medical expenses resulting from COVID-19/SARS-CoV-2. The full exclusion reads: Charges resulting from a disease outbreak in a country or location for which the U.S. Centers for Disease Control and Prevention (CDC) have issued a level 3 or higher travel warning are excluded if: - the warning has been in effect within the 60 days immediately prior to your date of arrival, or - within 10 days following the date the warning was issued you have failed to depart the country or location. You can review the exclusion by reading through the “General Exclusions” section of your Description of Coverage (DOC).You will find your DOC in Member Portal . Sign in to the portal, click "Policy Information" in the navigation menu, and then click the box labeled "Description of Coverage."

What International Medical Benefits Are Covered in a StudentSecure Insurance Plan?

Are Any Pre-Existing Conditions Covered by a StudentSecure Insurance Plan?

Charges resulting directly or indirectly from any *pre-existing condition are excluded from StudentSecure Elite and StudentSecure Select during the first 6 months of coverage and from StudentSecure Budget during the first 12 months of coverage. All StudentSecure plans include **Acute Onset of Pre-existing Conditions (excluding chronic and congenital conditions) up to a lifetime maximum of $25,000 for eligible expenses. Note that StudentSecure Smart provides Acute Onset of Pre-existing Conditions coverage only.

*Pre-existing Condition means any injury, illness, sickness, disease, or other physical, medical, mental, or nervous disorder, condition, or ailment that, with reasonable medical certainty, existed at the time of application or at any time during the 12 months prior to the effective date of this insurance, whether or not previously manifested, symptomatic or known, diagnosed, treated, or disclosed to us prior to the effective date, and including any and all subsequent, chronic or recurring complications or consequences related thereto or resulting or arising therefrom.

**An acute onset of a pre-existing condition is a sudden and unexpected outbreak or recurrence that is of short duration, is rapidly progressive, and requires urgent care. A pre-existing condition that is a chronic or congenital, or that gradually becomes worse over time, is not acute onset of a pre-existing condition. The Acute Onset of Pre-existing Condition benefit will only apply if all of the following conditions are met: 1. The Acute onset of a Pre-Existing Condition does not directly or indirectly relate to a chronic condition or congenital condition; 2. Treatment must be obtained within twenty-four (24) hours of the sudden and unexpected outbreak or reoccurrence; 3. You must be under eighty (80) years of age; 4. You must not be traveling against or in disregard of the recommendations, established treatment programs, or medical advice of a physician or other healthcare provider; 5. You must not be traveling with the intent or purpose to seek or obtain treatment for the pre-existing condition; 6. You must be traveling outside your home country

Is There Any Maternity or Newborn Care Coverage with a StudentSecure Insurance Plan?

I Am Planning to Play a Team Sport When I Study Abroad. Am I Covered with a StudentSecure Plan?

Is There Mental Health Coverage with a StudentSecure Plan?

Am I Covered with a StudentSecure Plan if I Have an Accident that Involves Dental Injuries?

Does StudentSecure Provide Coverage for an Emergency Medical Evacuation?

Does StudentSecure Have Emergency Reunion Coverage?

How Can I Access My Personalized Product Links?

I'm Worried About Acts of Terrorism in My Host Country. Is There Coverage for That?

StudentSecure Elite, StudentSecure Select, and StudentSecure Budget provide medical coverage for injuries and illnesses resulting from an act of terrorism, subject to a $50,000 lifetime maximum, provided all of the following conditions are met: 1. The injury or illness does not result from chemical, nuclear, biological, radioactive, or cyber weapons or events. 2. You have no direct or indirect involvement in the act of terrorism. 3. The act of terrorism is not in a country or location where the U.S. Department of State has issued a level 3 “reconsider travel” or higher travel advisory within the 60 days prior to your date of arrival. 4. You have not failed to depart a country or location within 10 days following the date a level 3 or higher travel advisory to leave that country or location is issued by the U.S. Department of State.

An Act of Terrorism Is Defined as: An act, including but not limited to, the use of force or violence and/or the threat thereof, of any person or group(s) of persons, whether acting alone or on behalf of or in connection with any organization(s) or government(s) committed for political, religious, ideological or similar purposes including the intention to influence any government and/or to put the public, or any section of the public, in fear. *StudentSecure Smart does not provide coverage for medical expenses incurred due to an act of terrorism.

Is There Any Accidental Death and Dismemberment Coverage Included with a StudentSecure Plan?

In the event of your accidental death or dismemberment resulting from a covered injury, StudentSecure Elite and StudentSecure Select will provide the following benefit: - Accidental Death - Principal sum to the beneficiary designated on your application - Loss of Sight in Both Eyes or Loss of Two or More Limbs - Principal sum to you - Loss of Sight in One Eye or Loss of One Limb - One-half of the principal sum to you Loss of Sight - Defined as total and irrevocable loss of sight. Loss of Limb - Defined as complete and permanent severance of a hand at or above the wrist, or a foot at or above the ankle.

StudentSecure Elite and StudentSecure Select offer an optional AD&D Rider for an additional $25,000 lifetime maximum. Neither StudentSecure Budget nor StudentSecure Select provides an Accidental Death and Dismemberment benefit. Note that the Accidental Death and Dismemberment benefit is not available for losses resulting from an act of terrorism.

Should Something Happen and Death Occurs, Do You Cover the Transportation of Remains Back Home?

What If I Have to Go to the Hospital on the Day My StudentSecure Plan Terminates?

Can I Extend or Renew My StudentSecure Insurance Coverage?

How Do I Extend My StudentSecure Insurance Coverage?

Follow the below instructions to EXTEND your StudentSecure insurance plan:

Log into your Member Portal account.
If you are eligible to extend your policy and you do not need to contact a broker or plan administrator in order to do so, you will see the "Extend Policy" page.

How Do I Cancel My StudentSecure Insurance Coverage?

Most members are able to submit a cancellation request online in Member Portal . Note that only members who have no claims are eligible for a premium refund. After you create your Member Portal account (click here for registration instructions), log in and select “Policy Information” in the top righthand corner. Then select the “Modify Coverage Dates” box. If you are not eligible to cancel via Member Portal, you will see a message prompting you to contact your agent for assistance. If you are eligible to cancel via Member Portal, select “No” under the “Would you like to change your coverage start date?” question. Then select “Shorten or cancel your coverage.”

If Your Policy Has Not Yet Started … You are eligible for a full refund of your premium for free. On the “Shorten or Cancel Policy” page, select your coverage start date as your new coverage end date. Once you click “Submit,” you will be routed to a confirmation page. You will also receive a confirmation email. Your refund will be applied to the original payment method used within 3-5 business days.

If Your Policy Has Already Started … A $25 cancellation fee will apply. On the “Shorten or Cancel Policy” page, select your new coverage end date and click “Calculate Refund” to display the eligibility of the date selected and the amount that will be refunded. If Paying in Monthly Installments… - You may only cancel in whole month increments. If you select a date in the middle of a monthly installment period, the following installment period will not be drafted. - Only premium for unused whole months will be refunded.

If Paid in Full … - Only premium for unused days will be refunded. Once you click “Submit,” you will be routed to a confirmation page. You will also receive a confirmation email. Your refund will be applied to the original payment method used within 3-5 business days. Please note that after 60 days, no refunds will be granted.

What Is Trip Protection Insurance?

What Are Covered Reasons for Trip Cancellation?

What Are Covered Reasons for Trip Interruption?

What Is a Trip Cancellation for Any Reason (CFAR) Benefit?

How Do I Purchase a Trip Cancellation for Any Reason (CFAR) Benefit?

Who Is Considered a "Traveling Companion" for Insurance Purposes?

Who Is Considered a "Family Member" for Insurance Purposes?

Can I Buy Trip Protection Insurance After Departing on My Trip?

What Is the Latest Date I Can Purchase Trip Protection Insurance?

Can I Purchase Trip Protection Insurance If I'm Not a U.S. Resident?

What Is a Pre-Existing Condition?

A pre-existing condition means an illness, disease, or other condition during the lookback period immediately prior to your effective date of coverage for which you: 1. received a test, examination, or medical treatment; 2. received a recommendation for a test, examination, or medical treatment; or 3. took or received a prescription for drugs or medicine.

Item (3) above does not apply to a condition which is treated or controlled solely through the taking of prescription medication and remains treated or controlled without any adjustment or *change in the required prescription throughout the lookback period before your coverage effective date.

*Change in required prescription means the dosage or frequency of a medication has been increased, reduced, stopped, and/or new medications have been prescribed due to the worsening of an underlying condition that’s being treated with the medication, unless the change is: 1. between a brand name and a generic medication with comparable dosage; or 2. an adjustment to insulin or anti-coagulant dosage. Your Atlas trip protection plan will not cover pre-existing conditions that existed during the lookback period, unless you qualify for a waiver of the pre-existing conditions exclusion. (Note that Atlas On-The-Go does not offer a waiver of the pre-existing conditions exclusion.) Learn more about pre-existing conditions below or review the policy documents for your plan and state of residency for specific coverage details. View the Policy Documents for Atlas Journey and Atlas On-The-Go product pages.

What Is a "Lookback Period"?

How Do I Qualify to Have Pre-Existing Conditions Covered?

Atlas Journey Premier, Atlas Journey Preferred, and Atlas Journey Economy will waive the pre-existing conditions exclusion if both the following apply: - you purchase your plan within 21 days of the date you made your first payment toward your trip; and - you are medically able to travel on the date of purchase.

Atlas On-The-Go does not offer coverage for pre-existing conditions. Review the policy documents for your plan and state of residency for more details.

What Kinds of Travel Assistance Services Are Included with My Plan?

Wherever you travel with your Atlas trip protection coverage, you can rest easy knowing you have access to multilingual travel assistance services 365 days a year. Some travel assistance services include: - Worldwide travel, medical, emergency, and security assistance - Pet assistance - Concierge services - Embassy and consular service - Medical referrals - Language interpretation - Assistance with lost or stolen luggage and personal items - Coordination of personal effects collection and return - Search and rescue coordination - Assistance with return of minor children - Arrangements for aircraft and car return

See the full list of travel assistance services available to you.

What Should I Do if I Experience an Emergency While Traveling?

What Information Do I Have to Provide in Order to Purchase a Trip Cancellation Plan?

You will need the following trip information: - Total trip cost - Departure date - Return date - Primary destination - Initial trip payment date - Final trip payment date - Airline (optional) - Cruise line (optional) - Tour operator (optional)

You will need the following personal information for each traveler on your policy: - First and last name - Traveler(s) current age(s) and date of birth - Gender (optional) - Email address - Mailing address - City of residence - State of residence - Postal code - Phone number

You will need the following credit card information to purchase your policy: - Name on credit card - Credit card number - Credit card expiration date (month and year) - Credit card security code

What Do I Choose as My State of Residence?

How Do I Calculate My Total Trip Cost?

What Is Considered My Departure Date?

What Is Considered My Return Date?

Do I Enter My Current Age or My Age on My Departure Date?

What Is Considered the Initial Trip Payment Date?

What Destination Do I Choose if I'm Visiting Multiple Destinations?

When Will My Coverage Become Effective?

What Should I Do if I Need To Change the Details of My Insurance Plan After I Buy?

How Do I Access My Insurance and Policy Documents?

Where Can I See My Coverage Limits?

How Do I Cancel My Travel Policy?

Atlas Journey Premier, Atlas Journey Preferred, Atlas Journey Economy, and Atlas On-The-Go each include a free-look period. This is the period after purchase in which you’re eligible for a refund if you decide to cancel your coverage. Review the policy documents for your plan and state of residency to see how long your free-look period lasts.

You can view policy documents for Atlas Journey or Atlas On-The-Go by using the dropdown to select your state. Then click the link for the policy of your choosing. If you have an Atlas Journey or Atlas On-The-Go plan and your policy number starts with a “T,” you may email us at [email protected] to cancel. Please include “Cancellation Request” in the subject line. If your policy number does not start with a “T,” this means you have a travel medical insurance plan.

Atlas Travel Medical Plans Most members are able to submit a cancellation request online in Member Portal . Note that only members who have no claims are eligible for a premium refund.

After you create your Member Portal account, log in and select “Policy Information” in the top righthand corner. Then select the “Modify or Cancel Coverage” box. If you are not eligible to cancel via Member Portal, you will see a message prompting you to contact your agent for assistance. If you are eligible to cancel via Member Portal, select “No” under the “Would you like to change your coverage start date?” question. Then select “Shorten or cancel your coverage.” If Your Policy Has Not Yet Started… You are eligible for a full refund of your premium for free. On the “Shorten or Cancel Policy” page, select your coverage start date as your new coverage end date. Once you click “Submit,” you will be routed to a confirmation page. You will also receive a confirmation email. Your refund will be applied to the original payment method used within 3-5 business days.

If Your Policy Has Already Started… A $25 cancellation fee will apply and only the prorated portion of your premium will be refunded. On the “Shorten or Cancel Policy” page, select your new coverage end date and click “Calculate Refund” to display the eligibility of the date selected and the amount that will be refunded.

Once you click “Submit,” you will be routed to a confirmation page. You will also receive a confirmation email. Your refund will be applied to the original payment method used within 3-5 business days.

How Do I File a Claim?

What Supporting Documents Should I Include With My Claim?

Examples of supporting documents are as follows:

For a Trip Cancellation Claim : -

Itinerary/invoice for all trip arrangements
Proof of payment for trip arrangements
Proof of cancellation of all trip arrangements
Documentation supporting your reason for cancellation (e.g., completed attending physician’s statement, death certificate and obituary, jury summons, etc.)

For a Trip Interruption/Travel Delay Claim:

Documentation of the date you joined the trip and/or left the trip
Receipts and proof of payment for any additional expenses claimed
Documentation supporting your reason for interruption/delay (e.g., medical notes/records, death certificate, evidence of delay or cancellation by your common carrier including the reason for the delay or cancellation, etc.)

For an Emergency Accident & Sickness Medical Expense Claim:

Itemized invoices
Medical notes/records
Proof of payment for medical expenses incurred during the trip
Explanation of Benefits (EOB) from your primary health insurer (if coverage is excess)

For a Baggage Damage or Loss Claim:

A copy of your claim with the carrier that had possession of the items when they were lost/stolen
A copy of the resolution of the claim with the carrier
Itemized list of all items claimed, including the approximate age/date of purchase for each item claimed and proof of the replacement cost for a similar item from a retailer
If loss was the result of theft, a copy of the police report filed at the time of loss

For a Baggage Delay Claim:

Property Irregularity Report (PIR) issued by the common carrier (shows evidence of baggage delay)
Documentation of the date your baggage was returned to you
Receipts for personal articles purchased while your baggage was delayed

How Long Will It Take for You To Review My Claims?

How Do I Check the Status of a Claim I've Submitted?

How Do I Upload Supporting Documentation for a Claim?

How Long Will It Take To Receive Payment for an Approved Claim?

How Can I Appeal a Denied Claim?

There is no special form required to file an appeal. If you wish to appeal your claim, you may send us a letter explaining the reason you disagree with the denial of your claim. You will need to include your policy and/or claim number as well as documents that support your claim. Email or mail your reasoning, policy/claim number, and supporting documents to:

Mail: Attention: Co-ordinated Benefit Plans, LLC On Behalf of US Specialty Insurance Company P.O. Box 26222 Tampa, FL 33623

[email protected] (please include “Appeal” in the subject line)

Do I Have To Use a Doctor From a Specific List?

Do I Have To Pay the Doctor Up Front?

Many providers are willing to bill us directly, and we are happy to work directly with the provider. The provider should submit original itemized bills to WorldTrips. You, the patient, will still need to submit a completed Claimant's Statement and Authorization form to WorldTrips. If the provider requires you to pay for medical treatment at the time of service, you will need to file a claim for reimbursement. When seeking treatment, please ensure that you provide your name in the same format as provided for your insurance policy. You can check your name format on your fulfillment documents, ID card, or in Member Portal .

At the time of service, ask your medical provider for an itemized bill with the following information:

Provider name and address
Provider tax ID (if U.S.-based)
Your name, date of birth, and certificate ID number
Itemized charges
DX (diagnosis) code and CPT (Current Procedural Terminology) code
Request your receipt for payment and complete medical records from the visit.

Can My Doctor Call if They Have Questions About What My Plan Covers?

What Happens if I Become Ill or Injured Over the Weekend and Need to Contact You?

What Is a Claimant's Statement and Authorization Form?

Where Do I Find the Claimant's Statement and Authorization Form?

- The Claimant’s Statement and Authorization form. - You can also fill out the form via DocuSign online in Member Portal . (See step-by-step instructions on how to file a claim via Member Portal.) - You can also contact us at 800-605-2282 to request a form by mail or fax.

How Do I Submit the Claimant's Statement and Authorization Form?

You can complete and submit the Claimant's Statement and Authorization form (along with supporting documents) in one of the following ways: Via DocuSign within Member Portal (Most Efficient Approach) 1. Go to Member Portal . 2. Log in to your account. If this is your first time using Member Portal, view instructions for registering your new account here.

NOTE: If you already have a Client Zone / Student Zone account, you do not need to register for a Member Portal account. Simply log in to Member Portal using your Client Zone / Student Zone login details.

3. Click "Claims and Appeals" in the main navigation menu. 4. Click the “Submit New Claim Via DocuSign” button under the “Claimant’s Statement and Authorization Form” subheader in the “File a Claim” section and follow the instructions. For more extensive step-by-step instructions, including screenshots, please see our “ How to File a Claim ” guide.

Don't Have Access to the Claims and Appeals Page? If you noted that you are not the insured or the insured’s legal guardian, you will see the Protected Health Information Authorization page in place of the Claims and Appeals page. Enter the insured’s email address and click “Send Request.” Once the insured has completed and submitted our HIPAA form, you will gain access to the Claims and Appeals page and have the ability to submit a claim within 3-5 days.

By Mail 1. Download the Claimant's Statement and Authorization form here. 2. Print, complete, and sign the form 3. Mail to: WorldTrips Claims Department PO Box 240358 Apple Valley, MN 55124 U.S.A. WorldTrips is also happy to fax, e-mail, or mail the form(s) to you upon request.

Important Note for Students: For eligibility purposes, you must submit the following along with a Claimant's Statement and Authorization form: - A copy of your education-related visa (F-1, J-1, OPT, etc.) or valid I-20/DS2019 - Proof of full-time student status (not necessary if submitting a valid F-1 visa including OPT, or J-1 visa)

Do I Need to Send a Completed Claimant's Statement and Authorization Form with Every Bill?

I Completed the Claimant's Statement and Authorization Form and You're Asking for It Again - Why?

What Is An Authorization Form for Use and/or Disclosure of Protected Health Information (Also Known as the HIPAA Form)?

How Do I Submit the Authorization Form for Use and/or Disclosure of Protected Health Information (Also Known as the HIPAA Form?

You may complete and submit the form to us in one of the following ways:

Log in to your account. If this is your first time using Member Portal, please click here to view instructions for registering your new account. If you already have a Client Zone / Student Zone account, you do not need to register for a Member Portal account. Simply log in to Member Portal using your Client Zone / Student Zone login details.

If You See the Protected Health Information Authorization Page: - Because you selected that you are not the insured or the insured's legal guardian upon registering for Member Portal, you do not yet have access to the Claims and Appeals page. - Under the "Protected Health Information Authorization" header, enter the insured's email address and click the "Send Request" button. - The insured will receive an email with a link to complete, sign, and submit the HIPPA form via DocuSign. You will gain access to the Claims and Appeals page and will be able to see the status of any pending claims within 3-5 days of the date the policyholder completed and submitted the form.

If You See the Claims and Appeals Page: - Click the "Fill Out and Submit Via DocuSign" button under the "Authorization Form for Use and/or Disclosure of Protected Health Information (HIPPA)" subheader in the "File a Claim" section. - Enter the insured's name and an email address and click the "Begin Signing" button. - Click the yellow "Continue" button, fill out the form and the required information (as noted by the red boxes), have the policyholder sign the form, and click the yellow "Finish" button. - Clicking "Finish" submits the document and sends a PDF of your signed Authorization Form for Use and/or Disclosure of Protected Health Information to the email address entered. Download or print a copy of your completed form for your records. If you do not receive a confirmation email with your completed form attached within 24 hours, please contact WorldTrips to make sure your form was properly submitted.

Mail to: WorldTrips Claims Department PO Box 240358 Apple Valley, MN 55124 U.S.A.

How Long Will It Take for My Claim to Be Processed?

How Do I Find Out About the Status of Submitted Claims?

I Submitted Everything You've Requested - Why Are My Claims Still Not Processed?

Is the Explanation of Benefits (EOB) a Bill?

What Is Subrogation?

In health insurance, subrogation is the process through which an insurance company seeks to recover medical costs from another party’s insurance. For WorldTrips, it refers to those times when you or your family may have submitted a claim for medical care for which a third party is responsible. These types of claims could be car accidents, slip and fall claims, negligence claims, or product liability claims. In cases where a claim for services in the United States is in question, WorldTrips is responsible for administering the claim.

We use Equian, an independent company, to assist us with the investigation and recovery process for these subrogated claims. [equian logo?] - What Equian Will Do? As part of the investigation process, you may receive a letter or email directly from WorldTrips and Equian asking you to provide details regarding an incident or paid medical claim. The date of your consultation or treatment and the name of the healthcare provider will be listed on the letter and the investigation will be allocated an event number.

-What You Need to Do If you have been contacted by WorldTrips and Equian, you can fill out the online subrogation questionnaire at the following link: https://selfservice.troversolutions.com You will be asked to provide your event number, which was provided in the correspondence, so please have it ready to reference. You can also call the toll-free customer service number at +1 (800) 395-5568 to provide the information to an Equian customer service representative.

Customer service hours in the U.S. are as follows: - Monday through Thursday: 8:30 a.m. until 9:00 p.m., Eastern Standard Time - Friday: 8:30 a.m. until 7:00 p.m., Eastern Standard Time - How Helping Us Will Benefit You By providing WorldTrips and Equian with the requested accident-related information, you are able to take an active role in helping to control your healthcare costs. If Equian determines another party was responsible for your injuries, it may seek reimbursement from the responsible party or insurance.

With the Patient Protection Affordable Care Act (PPACA) Law, How Can You Deny Pre-Existing Conditions?

How Do I Become Contracted with WorldTrips?

Are There Any Contract Fees or Production Requirements?

Do I Have to Carry a Health Insurance License in Every State?

Can I Sell WorldTrips' Portfolio of Products on My Personal Website?

How Can I View My Production?

When and How Are Commissions Paid?

Commissions are paid each month on the third to the last business day of the month for all commissions owed for all sales since the last commissions received. You may also be eligible for a second commission payment if you sign up to receive payment by EFT (ACH/Wire) and are owed over $100.00 on the second Wednesday of each month.

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WorldTrips is a service company and a member of the Tokio Marine HCC group of companies.

WorldTrips’ Atlas Travel Series and StudentSecure international travel medical insurance products are underwritten by Lloyd's. WorldTrips has authority to enter into contracts of insurance on behalf of the Lloyd's underwriting members of Lloyd's Syndicate 4141, which is managed by HCC Underwriting Agency, Ltd.

WorldTrips' Atlas Journey, Atlas Cruiser, and Atlas On-The-Go trip protection insurance products are underwritten by Tokio Marine HCC's U.S. Specialty Insurance Company (USSIC). USSIC is a Texas-domiciled insurance company operating on an admitted basis throughout the United States. Coverage is available to U.S. residents of the U.S. states and District of Columbia only. This plan provides insurance coverage that only applies during the covered trip. You may have coverage from other sources that provides you with similar benefits but may be subject to different restrictions depending upon your other coverages. You may wish to compare the terms of this policy with your existing life, health, home, and automobile insurance policies. Coverage may not be available in all states.

In the State of California, operating as WorldTrips Insurance Services. California Non-Resident Producer License Number: 0G39705

IMAGES

FREE 8+ Sample Travel Authorization Forms in PDF
FREE 11+ Sample Travel Authorization Forms in PDF
Travel Authorization Form Template
FREE 31+ Travel Forms in PDF
Travel Authorization Form To Download
FREE 11+ Sample Travel Authorization Forms in PDF

VIDEO

Пример как правильно заполнить ХОДАТАЙСТВО о выдаче приглашения на въезд в Российскую Федерацию
Credit Card Authorization Form: Customizing and Sending to Client for Signature
Request letter for emergency travel document/write an application for emergency travel document/
Let's Play Fallout 2 [Blind] 092 Gecko Nuclear Power Plant
Encore: Prior Authorization Process Overview
Request Traveler Training Video

COMMENTS

Official Travel Authorization
Official Travel Authorization. Title: Official Travel Authorization. Form #: GSA87. Current Revision Date: 01/2020. Authority or Regulation: PDF versions of forms use Adobe Reader ™ . Download Adobe Reader ™. Search for another form. Print Page Email Page.
Application for Travel Document
I-131, Application for Travel Document. Alert: Beginning July 1, 2022, we will issue a new travel authorization document to Temporary Protected Status (TPS) beneficiaries: Form I-512T, Authorization for Travel by a Noncitizen to the United States, at our discretion if we find the beneficiary merits this authorization.
PDF TRAVEL REQUEST/PERMISSION TO TRAVEL FORM
TRAVEL REQUEST/PERMISSION TO TRAVEL FORM UNITED STATES DISTRICT COURT FEDERAL PROBATION OFFICE U.S. PROBATION OFFICE PERMISSION TO TRAVEL MUST BE REQUESTED TWO WEEKS IN ADVANCE OF TRAVEL Date: Name: Address: Phone Number: Destination: Departure Date: Return Date: Purpose of Trip: Persons Traveling With: Accommodations (will be verified): ...
PDF Corel Office Document
International travel may require permission of the court, parole commission, and/or the host country, so a minimum of four weeks is required. If your travel encompasses more than what is described in this request form, provide complete written details and attach to this form. If your travel request is granted, you must abide by . all
PDF TRAVEL REQUEST/AUTHORIZATION FORM Travel must be submitted 14 days
UNITED STATES DISTRICT COURT . WESTERN DISTRICT OF NEW YORK . PROBATION AND PRETRIAL SERVICES . TRAVEL REQUEST/AUTHORIZATION FORM . Travel must be submitted 14 days prior to domestic travel and 60 days prior to international travel.
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Cloned 4,036. An Employee Travel Authorization Form is a document used by an employee when requesting an authorization to travel which should company-related activities. You can use this authorization form to request an appropriate allowance or fund for your travel. It is important that you plan your travel well to prevent delays or other ...
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Make this authorization form your own in just a few minutes with Formstack's intuitive drag-and-drop builder. The travel request form template is 100% customizable, with multiple field and question options. You can also add your logo, update colors, and change fonts. It's mobile-optimized right out of the box, giving your employees the ...
Travel Authorizations
A new Request for Travel Authorization (RTA) data report is available to help with the increased need for travel related data during the COVID -19 pandemic: RTA Report Submission. Contact Purchasing - Travel Services experts on rules relating to all types of travel authorizations. [email protected].
Travel Request/Authorization Form
Travel Request/Authorization Form. Download Travel Request/Authorization Form (78.05 KB) Form Category: Supervision.
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Signatories: The travel authorization form should include as many spaces for signatures to be provided, including that of the employee making the request and all supervisory approvals. The form should also have a way to store review comments from supervisors, and other details required for the record. ... An employee travel request form needs ...
What is a business travel request form? (with free template)
Travel request forms are designed to give management an overview of the intended business trip from both a cost and a strategic point of view. The fields that typically appear on a travel request form include; Employee name and contact information. The business purpose of the trip. Destination details.
Electronic System for Travel Authorization
ESTA is an automated system that determines the eligibility of visitors to travel to the United States under the Visa Waiver Program (VWP). Authorization via ESTA does not determine whether a traveler is admissible to the United States. U.S. Customs and Border Protection officers determine admissibility upon travelers' arrival.
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Free Travel Request Forms and Templates (Word
These two steps are as follows: Provide the details of the traveler. In the travel request form, including details of the traveler. This information includes the full names, contact information, designation employee id, email id, and fax number. Besides, don't forget to mention why you are going on the trip.
Free Minor Travel Consent Form
Free Minor Travel Consent Form. A minor travel consent form is a legal document, signed by a child's parents and/or legal guardians, giving permission for the child to travel with another adult. Any time a child travels abroad without both parents and/or legal guardians, U.S. Customs and Border Protection requires the child to have this written ...
An Employee's Quick Guide To Business Travel Request Form
The travel authorization form should have as many areas as possible for signatures, including those of the employee submitting the request and all supervisory approvals. Additionally, the form should have a place to keep supervisor review comments and other information needed for the record. 5. Payment Information.
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This form may be used in lieu of the on-line Travel Authorization (TA) under the following conditions: i. Cash Advance is not requested - all requests for a cash advance require an on-line Travel Authorization in the VISION Expenses module; ii. Employee's department has authorized use of the form; the department head may require employees to ...
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This template is a well-constructed travel authorization request form that reveals information of the travel itinerary, lead counsel, etc. It clearly describes the terms and conditions related to travel. Itinerary of the travel, dates, and purpose of the trip is also provided in this travel form template. 11. Sample Travel Request Form Template
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Travel Request Form 08. Travel request form templates are used to submit requests for traveling to the higher authorities. These templates are useful for students, employees, airline customers, and others who need to submit a request before traveling. You can get traveling request authorization in PDF, DOCX, and other formats that you prefer.
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Travel Reimbursement Request Forms. Where a Travel Advance was not provided prior to the trip, an employee would have to submit a Travel Expense Reimbursement Form or Travel Expense Claim Form so that he will be reimbursed for the travel expenses incurred during the trip. Sometimes, only one form is used regardless of whether a travel advance was acquired by the employee or whether the travel ...
Travel Request/Authorization Instructions
If a travel advance is requested, the campus travel office (x. 4218) must receive the Travel Request/Authorization form at least ten (10) work days prior to the date the travel advance check is required. The department must hold a copy of the Travel Request for attachment to the traveler's Reimbursement form.
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International travel documents for children
Children traveling to the U.S. All children, including infants, must have their own travel documents such as a passport or document from a Trusted Traveler Program to enter the U.S. If you travel or are going to travel with a child, consider taking the following documents: If the child is traveling with only one of their custodial parents, they ...
Find an IRCC application package or form
Application for a Search of Citizenship Records. 2020-12. CIT 0116. Waiver Request Form (Request for Exemption from Citizenship Language and Knowledge Requirements) 2024-03. CIT 0172. Document Checklist: Application for Canadian Citizenship - Canadian Armed Forces under Subsection 5 (1.2) or 5 (1.3) 2024-03. CIT 0177.
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DFAS Form 9114 PCS and TDY En Route Travel Advance Request (PCS Traveler Only) Advance travel payments may be authorized if your orders state that you are a non-charge card-holder or travel circumstances prohibit the use of a charge card. You may request an advance any time prior to travel but an advance can only be processed 10 days prior to ...
Apply for a Child's U.S. Passport
Use our Form Filler tool to fill out your child's form on a desktop or laptop computer and then print it.If you are experiencing technical issues with the Form Filler, download a PDF. Tips to complete your child's form:. Do not sign your child's form until asked to do so by a passport acceptance agent or employee.; You can apply for a passport book, a passport card, or both documents.
File A Claim
To file a claim, you must complete, sign, and submit a Claimant's Statement and Authorization form along with supporting documents for every incident. For answers to the most common claims-related questions, see the FAQs section below and select the topic "Claims." You can complete and submit the Claimant's Statement and Authorization form and supporting documents in one of the following ways:
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Instructions. Save the desired file to your computer. You may open the file in a database program such as Microsoft Access, a spreadsheet program such as Microsoft Excel, or whichever software you use per normal.

Official Travel Authorization

PER DIEM LOOK-UP

2 Choose a date

I-131, Application for Travel Document

Form Details

Employee Travel Authorization Form

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About Travel Consent Forms

Travel Authorizations

Request for Travel Authorization (RTA)

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How to register your travel:

United States Probation and Pretrial Services

What is a business travel request form? (with free template)

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Travel Request Forms and Templates

What is Travel Request Form?

Importance of Using Travel Request Forms

Steps to Write a Travel Request Form

Information to be Included in a Travel Request Form

Personal information

Travel request information

Indicate travel expenses and information regarding sponsorship

Mention the names of all the authorized persons

Ensure you incorporate all terms and conditions

Put Accurate Information in a Travel Request Form

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Related Documents

Free Minor Travel Consent Form

How to Use the Minor Travel Consent Form

The Legal Implications of Traveling Without a Minor Consent Form

1. International Legal Considerations:

2. Domestic Legal Implications:

Minor Travel Consent Form Notary Requirements

Unaccompanied Minors

More Tips for Parents of Minors Traveling Abroad

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An Employee’s Quick Guide To Business Travel Request Form

Travel request form template Structure

1. Employee Information

2. General Information for Travel

3. Information on anticipated travel expenses

4. Signatories

5. Payment Information

Who is responsible for the travel request form?

An employee

The initial stage of approval

The following level of endorsement

Why a business travel request form is important?

1. Possibility

2. Authorized