Request | Index

Home
Request Form
Summary
Complete

Traveler Info
Event Info
Flight Info
Hotel Info
Car Rental
* Indicates a required field.

Fields with an asterisk ( * ) are required.

Traveler Info

First Name*

Middle Name/Initial

Last Name*
Name as it appears on your government issue ID
Birthdate*

Gender*

Employee Classification*
Local Phone #*

Phone # While Traveling*

Traveler's Email*
Name Of Supervisor That Approved This Travel Request*

Company*

Department Name*
Payment Method*

Work Order Number*
(A Work Order number is required only when the Payment Method is "Invoice")
Travel Coordinator's Name (If different from Traveler)

Travel Coordinator's Email (If different from Traveler)
Travel Coordinator's Phone (If different from Traveler)

Business Travel Event Info

Purpose of Travel*
Name of Business Event*

City & State of Business Event*
Start Date*

Start Time
to
End Date*

End Time

Flight Request

From (origin city and state)

To (destination city and state)
Departure Travel Date

Depart Time Requesting

Arrival Time Requesting
Return Travel Date

Depart Time Requesting

Arrival Time Requesting
Deviation Requests - Personal travel only Personal travel only

Lodging Infomation - Non Oahu Hotels

1. Panda Travel to book hotel
2. Traveler has already booked hotel
Hotel City / Location

Hotel Category
Checkin Date

Checkin Time

Checkout Date

Checkout Time

Car Rental Info

Car Rental Type
1. Compact
2. Full-Size
Approved Exceptions Only – please explain
Pickup Location

Pickup Date

Pickup Time Approximate
Dropoff Location

Dropoff Date

Dropoff Time Approximate

Notes - Notate list of multiple destinations, other information or special instructions/requests