Louisiana State University
Office of Accounting Services
Accounts Payable & Travel
217 Thomas Boyd Hall
FACULTY/STAFF EMERGENCY CONTACT FORM AS297
Traveler’s Emergency Contact Information While Abroad
Please provide the appropriate information that Louisiana State University and/or outside sources may use to
communicate with you in the event of a crisis:
Traveler name as it appears on Passport:
_
Passport Number: Expiration Date:
International Cell Phone:
Additional phone numbers (cell/work/home):
Email:
Physical Address of all locations you will be staying:
Alternate Emergency Contact Information While Abroad
Please provide an alternate person that Louisiana State University and/or outside sources may use to
communicate with you in the event of a crisis:
Name: Relation to Traveler:
Physical Address:
Phone Numbers (cell/work/home):
Email:
Department Emergency Contact Information
Please provide a departmental contact for the University to work with in the event of a crisis:
Name & Title: Department:
Phone Numbers (cell/work/home):
Email:
Secondary Contact Person: Phone:
***This form can be used for any International Travel***
