Risk Management Plan for Travel to Countries with U.S. Department of State Travel Warnings Office of International Programs Submit as part of your International Travel Registry to: studyabroad@umontana.edu Take this form with you when you travel Traveler Information Name: Daytime Phone: Faculty/Staff Undergraduate Graduate Destination(s): Students: UM Sponsor, Advisor, or Department Contact Name: Title: E-mail: Phone: Country-Specific Emergency Contact Information Address(es) of Nearest U.S. Embassy/ies or Consulate(s): www.usembassy.gov/ (Citizen Services) Embassy/ies Main Phone(s) (include country + city code): Emergency After-Hours Phone(s) (include country + city code): City/Country 911 Emergency Equivalent Number(s): http://studentsabroad.state.gov/content/pdfs/911_ABROAD.pdf Name(s) and Address(es) of Nearest Hospital(s): Phone(s) (include country + city code): Accommodations Address(es): Phone(s) (include country + city code): Communication: Please complete ALL methods that you plan to have access to while traveling: Cell phone number(s): Have you confirmed this will work in your destination(s)? Yes No Do you plan to purchase a local cell phone? Yes No If yes, please update your UM online International Travel Registry questionnaire by logging in at https://login.umt.edu/cas/login?service=https://umt.studioabroad.com/ In-country phone numbers (e.g. hotel, colleague, etc.): Satellite Phone Number: Alternate E-mail(s): Do you anticipate not having regular access to phone or e-mail communication? Yes If yes, what is the best way to reach you? No Do you plan to maintain regular communication with a UM faculty or staff member? Yes If yes, with whom and how often? No Country-Specific Health and Safety 1. What are the specific health and safety risks at your destination(s)? Resources required to consult include, but are not limited to: CDC: wwwnc.cdc.gov/travel/destinations/list.htm; Department of State Travel Warnings: travel.state.gov/travel/cis_pa_tw/tw/tw_1764.html; Department of State Country Profiles: travel.state.gov/travel/cis_pa_tw/cis/cis_4965.html 2. What measures will you take to mitigate these specific health and safety risks for you and those traveling with you? 3. If traveling with students, explain the academic relevance of the program for the students in light of the U.S. Department of State Travel Warning and describe plans for pre-departure and on-site orientation. 4. Have you and those traveling with you received all recommended vaccinations for travel to this destination(s)? Yes No If not, when is your appointment with a travel clinic? CDC: wwwnc.cdc.gov/travel/destinations/list.htm 5. What measures will you take to mitigate other risks (e.g. limited language, cultural considerations, possession and use of expensive equipment, etc.)? 6. Local Language(s) at your destination(s): How would you rate your VERBAL communication skills in the local language(s)? None Beginner Intermediate Advanced Fluent If your verbal skills are limited, what communication strategies will you employ? 7. Provide brief overview of the accommodations: 8. Describe the transportation methods that will be used during the travel: 9. Please describe your relevant travel experience (i.e. previous travel to this country or region): In Case of an Emergency While Traveling Outside the U.S. Medical Emergency/Schedule Doctor Visit Personal Safety/Crime Additional Travel Planning Resources Your Insurance Company’s phone number: Contact Embassy Emergency After-Hours Phone (see page 1) Contact Local Emergency Number (911 equivalent/police) (see page 1) Notify UM Office of Public Safety: +1-406-2436131 Office of Public Safety can notify the Office of International Programs and your UM Sponsor, Advisor, or Department Contact, who can provide additional assistance. UM International Travel Registry www.umt.edu/ip/international_travel_registration/default.php UM Office of Public Safety www.umt.edu/publicsafety/ UM In an Emergency www.umt.edu/ip/emergency.php Overseas Security Advisory Council www.osac.gov Search by country to access Crime and Safety reports, which include country-specific emergency contacts Smart Traveler Enrollment Program https://travelregistration.state.gov/ibrs/ui Register your travel with the U.S. Department of State, which can provide assistance during emergencies