Off Reservation Travel

Utilize the following form to submit an official off reservation request for travel, additional requests by email or fax or phone will not be regarded as an official request.

Please provide all details and each section is required for submission. Please upload all documents for complete review and response. You will receive confirmation of submission and update by email. At this time 5/22 remember the criteria for ORT – see memo here.

“• Alternate no-contact mechanism has been exhausted (video conferencing, teleconferencing, etc.)
• Extraordinary critical attention necessary to maintain operable government services
• Job duties and responsibilities will be critically impacted”

If you are requesting for updates or have questions about this submission form, please email Tia Yazzie (tia.yazzie@nndcd.org) or call us at 928-871-7182. Thank you!

General ORT Submission forms

Requesting Individual(Required)

First and last name of requesting individual

Email(Required)

Enter Email Confirm Email

Official and valid email - no group email accounts.

Administrative Service Center(Required)

Title(Required)

Position Title

Chapter or Dept(Required)

Requesting Chapter or Dept

Traveler Name (s)(Required)

First and last names of all traveling

Phone Number(Required)

Contact phone number for questions, must be valid for questions regarding each request.

Destination(Required)

What is the destination location of your travel?

How will you be traveling?

Transportation type

Purpose of Travel(Required)

What is the purpose of your travel? Meeting, Conference, etc...

Beginning Date of Travel(Required)

Ending Date of Travel(Required)

What COVID-19 preventative measures will you be implementing during travel?(Required)

Please indicate precautions during travel: individual vaccinations, masks, social distancing, etc.

Documents need to be submitted

Travel Authorization Completely filled out with costs.

Memo detailing justification for off reservation

Destination document (Meeting invitation, Itinerary, etc..)

Agenda of event

Registration if attending conference or other

Please check off all documents submitted to complete full packet for request

Document file PDF(Required)

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 512 MB, Max. files: 7.

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