Risk Management Plan for Travel to Countries Traveler Information

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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
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