Intl Travel to a High Risk Country Petition

This form serves to collect information for proposed business travel to high risk countries (i.e. at level 4 advisory by the US Department of State) in accordance with FIU's International Travel Policy.

Should you need additional guidance, contact us at global@fiu.edu. In urgent cases, please call 786-232-1084.

Traveler's Name Traveler's Name First Last
Traveler's Email
Traveler's PID
Destination Country

Please include all countries you will travel to (exclude countries where you only have a layover)
Destination Cities

Please include all cities you will be traveling to
Which entry permit for the destination country do you hold?

i.e. type of visa, passport
Departure Date Departure Date / MM / DD YYYY
Return Date Return Date / MM / DD YYYY
Funding source for this trip (activity/project # that will be charged; enter n/a if paid for by third party)
Purpose of trip

Purpose of trip Research Consulting Training Other Other
Describe the activities to be carried out in all locations:
Describe the logistics in your destination country. Who (name individual and/or organization) will host you? Where will you be accommodated? How will you move from one location to the next? If you are close to isolated conflict areas, how do you plan to protect yourself/other travelers with you?

If you have a detailed itinerary, you may skip this and instead upload the itinerary (enter "see attached itinerary" in this field then)
Upload detailed itinerary (optional)

Attach Files
Describe the impact on your academic/professional work should you not be allowed to travel at this time:
Describe how you would mitigate a potential cancellation of the trip at this time (in other words, what would you be able to achieve if you had to work remotely):
Section II: Health and Safety Risks

Please view the current travel advisory for the destination(s) https://travel.state.gov/content/travel/en/international-travel.html
Describe specific risk and safety mitigation plans

What risks do you expect? How will you safeguard yourself from potential harm?
Referencing the US Dept of State's advisory for your destination, please respond specifically to security warnings for crime, civil unrest, kidnappings etc., and how you plan to avoid exposure to such risks:

https://travel.state.gov/content/travel/en/traveladvisories/traveladvisories.html/

Intl Travel to a High Risk Country Petition

Intl Travel to a High Risk Country Petition

Section II: Health and Safety Risks Please view the current travel advisory for the destination(s) https://travel.state.gov/content/travel/en/international-travel.html

Section II: Health and Safety Risks

Please view the current travel advisory for the destination(s) https://travel.state.gov/content/travel/en/international-travel.html