EFTA00010277.pdf
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Questionnaire for Official Foreign Travel
United States Attorneys' Offices and the Executive Office for United States Attorneys
Last Revised: April 28, 2016
A separate questionnaire is required for each EOUSA/USAO employee who is traveling.
Part I. Traveler Information and Scope of Travel
Full Name
Office e. . EOUSA USAO-ALN, etc.
E-mail Address
Position Title
Telephone Number
De
• •
'
e)
Departure Date (from Home or Office)
Return Date (to Home or Office)
Country of Birth
Place of Birth
Foreign Locations
City
Province (if applicable)
Country
Destination I
Destination 2
Destination 3
Destination 4
Q I : Are you traveling to more than four destinations? If yes,
attach an additional sheet listing the additional destinations.
O
YES
®
NO
Q2: Have you completed your travel reservations? If yes, please
attach a detailed flight itinerary, your lodging information, and
any other transportation reservations. If no, please STOP and
make your travel reservations before proceeding.
0
YES
O
NO
Q3: Have you already obtained OIA's approval? If yes, please
attach OIA's approval e-mail. If you are traveling for civil
purposes, you do not need OIA's approval to travel. For others,
submit a completed questionnaire to OIA to obtain approval.
O
YES
0
NO
Q4: Do you have an official passport that is valid for at least six
months from the date you will arrive in the foreign country?
0
YES
O
NO
Q5: Have you submitted a request for an official passport to
EOUSA and is the request currently pending?
O
YES
®
NO
Q6: Has the Department of State granted you a waiver of the
requirement for an official passport? If yes, please attach the
State Department's e-mail granting a waiver.
O
YES
®
NO
EFTA00010277
Q7: Do any of your destinations require a visa for travel under
an official passport? If applicable, submit the required materials
to EOUSA to obtain visas prior to departure.
O
YES
®
NO
Q8: For the passport under which you…
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