Leave, Travel and Accommodation Request Form

Name*

First Last

Employer*

Location*

Location - Other

Purpose of travel or leave request (committee, meeting, etc.)*

Purpose of travel or leave request (committee, meeting, etc.) - Other

Phone (best number to reach you at)*

Email*

Do you require travel arrangements and/or accommodations?*

Address*

Street Address City Province Postal Code

What transportation arrangements do you need CMG to make for you?*

Departure from:*

Destination*

Departure Date*

Check Air Canada, Porter, or VIA Rail online to select travel times.

Preferred Time of Departure*

: HH

MM

Return Date*

Preferred Time of Return*

: HH

MM

Aeroplan or Via Preference #s:

Seating Preference

Date of Birth (international travel only)

Do you need CMG to book a hotel room for you?*

Date of arrival at hotel*

Date of departure from hotel*

Special Instructions (dietary restrictions, accessibility, etc.)

Do you need CMG to arrange a leave from work?*

Dates needed for Leave from Work*

Provide name of supervising manager able to approve your leave*

Name

This field is for validation purposes and should be left unchanged.