University of Wyoming
Risk Management and Insurance

Foreign Travel Notification

  In order for employees to be covered traveling on University of Wyoming business, the following form must be completed and submitted prior to onset of travel. If you have questions contact the Office of Risk Management, 307-766-5767

Travel to any country or jurisdiction which is the subject of trade or economic sanctions imposed by the laws or regulations of the United States is excluded from coverage. Countries excluded click here

First name of person filling out this form:

Last name:

Your UW email address:

Department name:

First name of traveler:

Last name:

PeopleSoft HR Employee ID:

Beginning Travel Date:

End Travel Date:

Employment Status (Select one)

Purpose of travel (Check all that apply)

List countries of travel