Travel Information Request Form

Title*
(Mr, Mrs, Ms, Mx etc.)
Name (first, middle, last):*
(as it appears on your ID)
Professional Title/Position*
University/Affiliation*
Email*
Phone*
Mailing Address (this is where the reimbursement check will be mailed)*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Who is hosting this visit/event*
Arrival Date*
MM slash DD slash YYYY
Departure Date*
MM slash DD slash YYYY
Hotel Check-In Date
MM slash DD slash YYYY
Hotel Check-Out Date
MM slash DD slash YYYY
Comments:
What kind of traveler are you?*
- Local Traveler (Driving to Milwaukee)
- Long-Distance Traveler (Flight, Train, or Bus to Milwaukee)
This field is hidden when viewing the form
Local Traveler Section
Mileage reimbursement for personal vehicle:
Starting location (if different than mailing address)*
Parking at UWM requires a parking pass which will be given to you upon arrival:
Start Date for Parking:
MM slash DD slash YYYY
End Date for Parking:
MM slash DD slash YYYY
Birthdate*
Month
Day
Year
This field is hidden when viewing the form
Long Distance Traveler Section
Gender:*
(male, female, unspecified, undisclosed)
Birthdate*
Month
Day
Year
International Traveler*
- Yes
- No
Preferred Flight Days and Times:*
Please provide name of departure airport and flight details, i.e. carrier, flight number or a screenshot of your preference below
File
Add any screenshots here.
Drop files here or

Max. file size: 5 MB.

Local Traveler Section