Travel Plan

An Extra Safety Measure for University Members...

The FIU Police Department encourages students, faculty, and staff to use an extra safety measure when traveling by filing a "Travel Plan" form with the FIU Police.

Since April 1996, travelers have participated in the program by picking up Travel Plan forms, filling out two copies with details of their travel arrangements, returning one copy to the Police Department and sending the second copy to their destination.

If the traveler does not arrive as planned, those at the traveler’s destination are asked to notify the Police Department. Investigators will have all necessary information to begin a search immediately. FIU Police Department will keep the Travel Plan form in file for 10 days after the scheduled arrival date.

Forms are available at the FIU Police Department, located in SO II at the Biscayne Bay Campus, and in the Tower Building at University Park Campus. Forms may also be obtained from any police officer, or from this web site.

Travel Plan Form

Travelers can print this page and fax the travel information to the police department at (305) 348-4171, or they can fill it out and e-mail to tripplan@fiu.edu.

Personal Information

Last Name:___________________ First Name:_______________ M. Int'l.____

Address: _______________________________________________________

City, State: ___________________________ Zip Code: __________________

Home Phone: ( ____ ) ____ - _____

Work Phone: ( ____ ) ____ - _____

Cell Phone: ( ____ ) ____ - _____

E-mail Address: __________________ Date of birth (mm/dd/yyyy): __________

Social Security Number: ____ - ___ - _____

Travel Information

Destination: _____________________________________________________

Address: _______________________________________________________

City, State: _________________ Country: ____________ Zip Code: ________

Contact: _______________________________________________________

Departure Date: ______________________ Departure time: _______________

Arrival Date: ________________________ Arrival time: __________________

Transportation and route you plan to take: ______________________________

______________________________________________________________

Will you be traveling by car? Yes No

Make: ________________ Model: ________________ Year: _____________

Color: ________________ Tag No.: _______________ State: _____________

Will you be traveling by train/bus/air? Yes No

Train/ Bus/ Airline number: ____________________

Medical problems, medications, or other special needs (optional): ____________

______________________________________________________________

______________________________________________________________

Emergency contact:

Name: ________________________________ Phone: ( ____ ) ____ - _____

Address: ______________________________________________________

City, State: ___________________________ Zip Code: _________________