Fillable Printable Travel Itinerary Sample
Fillable Printable Travel Itinerary Sample
Travel Itinerary Sample
University of Oregon Police Department•2141 E 15
th
Ave., Eugene, OR 97403
(541) 346-2919•police.uoregon.edu
Travel Itinerary
The driver shall file a proposed itinerary and list of all passengers with the University of Oregon Police Department
before departing on a trip away from campus. No itineraries may be planned that include driving between the hours
of midnight and 4 a.m. (OAR 571-010-0110). Travel Itinerary Notes:
-Vehicles must be equipped with Emergency Trip-kits while on University business travel. Departments are
responsible for providing trip-kits prior to departure.
-Van training required if driving state owned van, contact Environmental Health & Safety at 346-3192 for
scheduling.
-Drivers on University business travel are expected to observe all posted speed limits and to operate their vehicles
in accordance with all applicable laws and state regulations.
If you have any questions about travel itineraries please call UOPD Dispatch at 541-346-2919.
Fax to UOPD CERC 541-346-8199
Driver Information
Name:__________________________________ Department:_____________________________
E-mail:__________________________________ Phone:_________________________________
EMERGENCY CONTACT
Name: __________________________________ Phone:_________________________________
Borrowed
Owned Rental
State Owned
Vehicle Information
Vehicle License: _______________________State____________
Vehicle Owner (If not State Owned):__________________________
Trip Information
Purpose of Trip: __________________________________________________________________
Departure Location: _________________________ Departure Date/Time: ___________________
Arrival Location: ____________________________ Arrival Date/Time: ______________________
Returning Date: ____________________________ Return Time: __________________________
Passengers
Other Certified Drivers
