eTravel New Profile Request
PRIVACY ACT STATEMENT: This statement is provided pursuant to the Privacy Act
of 1974, 5 USC § 552a.
AUTHORITY: Solicitation of the information on this form is authorized by 5 U.S.C.
Chap. 57 as implemented by the Federal Travel Regulations (FPMR 101-7), E.O.
11609 of July 22, 1971, E.O. 110012 of March 27, 1962, E.O. 9397 of November
22, 1943, and 26 U.S.C. 6011(b) and 6109.
PURPOSE: The primary purpose of the requested information is to determine
payment or reimbursement to eligible individuals for allowable travel and/or
relocation expenses incurred under appropriate administrative authorization and
to record and maintain costs of such reimbursements to the Government.
ROUTINE USE(S): The information will be used by officers and employees who
have a need for information in the performance of their official duties. The
information may be disclosed to appropriate Federal, State, local, or foreign
agencies when relevant to civil, criminal or regulatory investigations or
prosecutions, or when pursuant to a requirement by this agency in connection
with the hiring or firing of an employee, the issuance of a security clearance, or
investigations of the performance of official duty while in Government service.
Your Social Security Account Number (SSN) is solicited under the authority of the
Internal Revenue Code (26 U.S.C. 6011 (b) and 6109) and E.O. 9397, November
22, 1943, for use as a taxpayer and/or employee identification number;
DISCLOSURE: Disclosure is MANDATORY on vouchers claiming travel and/or
relocation allowance expense reimbursement which is, or may be, taxable
income. Disclosure of your SSN and other requested information is voluntary in all
other instances; however, failure to provide the information (other than SSN)
required to support the claim may result in delay or loss of reimbursement.
Enterprise Services Center
eTravel New Profile Request
MIDDLE LAST
*Note for Invitational Travelers
provide Arranger email
OFFICE PHONE
Must Use Full Legal Name
FIRST
GOVERNMENT EMAIL
SOCIAL SECURITY NUMBER
MAILING ADDRESS
CITY
STATE ZIP
ORGANIZATION INFORMATION
MINOR CUSTOMER
ROUTING TEMPLATE
USER ACCESS
Check All That Apply TRAVELER
ROUTING LIST OFFICIAL
(Reviewer, Fund Certifier, Approver)
ARRANGER
USER
TYPE
DOCUMENT
VIEW ACCESS
ARRANGER
ACCESS
REPORTS
ACCESS
APPROVER
ACCESS
TRAVEL
CARD USE
DIRECT DEPOSIT INFORMATION
All travelers and approvers must complete this section - if user is an E2 Arranger only, notate in comments section 'ARRANGE R ONLY'
FINANCIAL INSTITUTION NAME
NAME ON BANK ACCOUNT
ACCOUNT NUMBER
CHECKING
SAVINGS
9-DIGIT ROUTING NUMBER
ACCOUNT TYPE
*TRAVELER/USER SIGNATURE:
AGENCY APPROVAL
GOVERNMENT EMAIL NAME
*APPROVER’S SIGNATURE:
Form instructions are located on the ESC website (www.esc.gov/tsTravel.asp) under the eTravel System Administration
section. If you have additional questions completing the form, contact the ESC eTravel Helpdesk at 866-641-3500 opt
7. Fax completed form to 405-954-5798.
*Form must be signed by both user and approver
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