You only need to complete this form if you are traveling overnight to an event that is paid for (fully or partially) through a WesternU account (e.g. Club, Class, SGA, College).

From whom are you receiving funding? (Check all that apply)

Enter Traveler's First Name
Enter Traveler's Last Name
Enter Traveler's WesternU ID
Enter Traveler's Year of Graduation
Enter Traveler's WesternU E-mail Address
Max Length 10 Digits. Numbers only-no dashes
Enter Conference/Event Name
Enter Conference/Event City
Enter Traveler's Year of Graduation
Please Note: If you are driving your personal vehicle to this event, you are not covered by the University's policy. If you are involved in an automobile accident, you will need to file a claim with your personal insurance carrier.

Departure Flight(s)

Date Airline Flight Number Departure City Arrival City

Return Flight(s)

Date Airline Flight Number Departure City Arrival City