Vendor/Contractor Travel Registration Form

Effective Thursday, March 5, UTHealth students, trainees, faculty, staff, vendors, and contractors are required to complete and submit a Travel Registration Form prior to any international or domestic travel for work-related or personal reasons. This information is being used to assess risk, provide guidance, and keep travelers informed of updated health advisories related to COVID-19.

All fields marked with * are required.

Section A. - Traveler Information

* First Name

* Last Name

* UTHealth Role:

If other, please list your UTHealth Role

* Email:

UTHealth Phone:

* Cell Phone:

* School/Unit:

* Department/Division

Section B. - Travel Details

* Type of Travel:

* Purpose of Travel

* Location:

*Travel Dates

* Departure Date:

* Return Date:

*Travel Destination

* Country:

* City:

State:

*Please provide additional information on your travel

*Acknowledgement

I certify that the information provided on this Travel Registration is accurate to the best of my knowledge and that I have reviewed the relevant UTHealth policies for this trip.

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