Comprehensive Authorization for Travel to High-Risk, International, or Volatile Regions

Full Legal Name (as appears on passport)

Employee ID Number

Department and Division

Official Job Title and Role

Corporate Email Address

Direct Contact Phone Number (with country code)

Emergency Contact Name (family or next of kin)

Emergency Contact Relationship

Emergency Contact Phone Number (with country code)

Detailed Business Justification and Trip Objectives

Have you previously traveled to high-risk or volatile regions for business?

Describe previous high-risk travel experience including countries, dates, and any security incidents encountered:

Will you be traveling with colleagues or dependents?

List all traveling companions with full names, relationship (colleague/spouse/child), and their employee IDs if applicable:

Comprehensive Travel Itinerary (add rows for each location/leg)

What is the current status of your entry visa or travel authorization?

Expected visa approval date:

Explain why visa has not been applied for and provide application timeline:

Have you notified your direct supervisor and department head of this travel request?

Language Proficiency for Destination Region

Do you require a travel advance or emergency cash reserve?

Requested advance amount (in USD):

I certify that I have undergone a medical fitness examination within the last 90 days and have been cleared for travel to high-risk regions.

Do you have any pre-existing medical conditions that could require attention during travel?

Detail all medical conditions, potential complications, and required medical support:

Are you currently taking any prescription medications that you will bring on this trip?

List all medications, dosages, and whether you have sufficient supply for entire trip plus 7-day buffer:

Which vaccinations or prophylaxis have you completed for this destination? (Select all that apply)

Specify other vaccinations and dates administered:

Blood Type

List all known severe allergies (medications, foods, insect stings) and required emergency treatment:

Research and list the nearest Western-standard medical facilities to your primary destinations (name, address, phone, distance):

Emergency Contact Hierarchy (24/7 availability required)

Primary Travel Insurance Policy Number

Does your insurance include medical evacuation (medevac) to your home country or nearest appropriate facility?

Explain medevac coverage gap and alternative arrangements:

Preferred Medical Evacuation Destination Hospital (if applicable)

Have you accessed the company's Employee Assistance Program (EAP) for pre-travel mental health support?

EAP counselor name and contact:

Dietary restrictions or requirements that impact health:

Rate the threat level (1=Low, 5=Critical) for each category at your PRIMARY destination:

Provide specific, recent examples of security incidents in your destination within the last 90 days (cite sources):

Detail your comprehensive mitigation strategy for the HIGHEST rated threat above:

Identify and provide addresses of pre-identified safe havens (hotels, embassies, secure compounds) at each destination:

Communication Check-In Schedule (Mandatory)

Have you completed the mandatory pre-travel security briefing with Global Security?

Briefing completion date:

Have you identified and vetted local contacts, fixers, or drivers?

Provide names, roles, vetting process, and backup contacts:

Do you have active Kidnap & Ransom (K&R) insurance coverage for this trip?

Explain lack of K&R coverage and alternative risk mitigation:

Which security equipment will you carry? (Select all that apply)

Ground transportation security plan (airport pickup, daily travel, route variations):

I agree to maintain situational awareness at all times, avoid predictable routines, and refrain from discussing travel plans in public spaces.

I understand that photography of government buildings, military installations, security forces, or protests is strictly prohibited and may result in detention.

I will disable geotagging on all social media posts and refrain from posting real-time location updates until after departing the location.

Are you aware of any gender, ethnic, or LGBTQ+-specific risks that require additional mitigation?

Describe specific risks and tailored mitigation strategies:

Which devices will you take on this trip? (Select all that apply)

What is the highest data classification level you will transport or access?

I confirm that all devices are encrypted using AES-256 or higher standard, with full-disk encryption enabled and active.

I confirm that all devices have up-to-date antivirus, firewall, and endpoint detection and response (EDR) software installed and active.

Will you require VPN access to corporate networks from your destination?

Specify which systems you need to access and confirm you have multi-factor authentication configured:

Have you completed a full backup of all critical data to corporate cloud storage before departure?

Are you using a 'clean' travel device (laptop/phone) with minimal data and applications?

Justify why a clean device is not feasible and describe additional security measures implemented:

Which physical security measures will you implement for devices? (Select all that apply)

Describe your protocol for secure communication with corporate headquarters and family:

Will you be using public Wi-Fi networks (hotels, airports, cafes)?

Will you purchase a local SIM card for voice/data services?

Confirm that the SIM will be used in a separate travel phone, not your primary corporate device, and that it will be destroyed after trip:

I authorize the remote wipe of all corporate devices if they are lost, stolen, or compromised. I understand this is irreversible.

I agree to submit all devices for forensic inspection and malware scan upon return before connecting to corporate network.

Plan for secure handling of physical documents (contracts, reports, notes):

Will you be conducting any photography or video recording for business purposes?

Describe what will be photographed, storage security, and approval from local partners:

I have read and understand the destination-specific travel advisory, including all warnings about terrorism, crime, and civil unrest.

I acknowledge that travel to the specified region poses elevated risks including, but not limited to, injury, illness, detention, kidnapping, or death.

I understand that despite mitigation measures, the company cannot guarantee my safety or eliminate all risks.

Which mandatory pre-travel training have you completed? (Select all that apply)

Do you have any disabilities or medical conditions requiring special accommodation for emergency evacuation?

Describe required accommodations and confirm they have been communicated to Global Security and medical providers:

Which special risk considerations apply to you? (Select all that apply)

Describe gender-specific risk mitigation plan including dress code, escort requirements, and separate accommodation if needed:

Describe LGBTQ+ safety protocol including concealment strategy, separate accommodation, and emergency contact plan:

Describe racial/ethnic risk mitigation and whether you can blend with local population or require low-profile security:

I have read and understood the company's Crisis Response Plan for the destination region, including evacuation triggers and assembly points.

I agree to participate in a post-trip debrief within 7 days of return to share security insights and update risk assessments.

I certify that this travel is voluntary and I have not been coerced. I understand I can decline travel without career repercussions.

Family Communication Plan - Primary Family Contact Name

Family Communication Plan - Instructions for family in case of emergency or loss of contact:

Authorization and Approval Chain (All signatures required)

I confirm that all information provided is accurate and complete to the best of my knowledge. I understand that any misrepresentation may result in immediate recall and disciplinary action.

Form Submission Date