Attachment_5_FY18_Mil-Air_Request_Form_2018_05_01.docx

MILITARY AIR REQUEST FORM

Form must be completed in entirety. Print and sign at bottom.

Today’s date: ___________ Name: _________________

Birthdate: Gender: Rank: SSN:

Unit: _______________Duty/Day Phone: _______________________

Email Address: ______________________ Fax: __________________

Travel destination: ___________ ALD: _________________________

Travel Window: _________________________________________ No. of seats: __

Pets: ____Breed: N/A Weight: NA of Pets: NA

Type of Travel: ____ # of Days ___

Seating: ____________

Weapons: Yes ___ No ___ Type of weapon(s): ____________________________________

Crate measurements/weapons combined total weight: NA___________________________

Excess Baggage: Yes____ No ____ Total number pieces of baggage: ___

Leave en route dates/location: ___________________________________________________ (must be authorized on orders for deployments)

Emergency Point of Contact: (name, phone number, address w/zip code is required)

Name: _______________________ Phone # ___________________________

Address: _____________________________________

Continued on next page……..

If traveling from HNL to Baltimore (BWI) or Norfolk (ORF) to catch your rotator flight, you are authorized a rest over night (if no leave or TDY enroute applies).

Did you want to utilize your RON in BWI or ORF: NA Yes _______ No________

If Yes, we need your Government issued credit card and expiration to guarantee the hotel reservation.

Please provide CC #__________________________________________ Exp: _________

*Important: If you are assigned to a dedicated mission, you have a seat reserved for you on an aggregated flight and DO NOT need to book a seat on a Mil-Air rotator. If you are unsure you need to contact your UDM (unit deployment manager) prior to continuing. If you are suppose to be on an aggregated flight and erroneously book a Mil-Air flight, your Mil-Air will be canceled by PRC in STL w/out prior notice to you and you may have an incorrect commercial air reservation.

We book your reservation according to the Government information we have on the day you requested your booking. This information may change prior to your departure and you should receive that information from your UDM and then notify us to change your reservation. If you need to check with your UDM you may take this form with you. If a Mil-Air flight is needed to be reserved, complete this form and fax it to CI Travel at 808-422-6301.

For CI Travel use only:

Mil-Air Request was received (date): __________ Received by agent (initials): ___________

Date Mil-Air booked: _______________ Booked by agent (initials): __________ Referred to TTPFD dated: _______________________ WS Record Locator: ___________

Misc. Notes: