April 2012

Acknowledgement of Risk Form

I,______________________________________________, am requesting approval to travel to employee name

_______________________________________________ for official TEES business, from location of foreign travel under warning

___________________ to _________________. I understand the conditions and potential risks departure date return date

associated with this travel and have been briefed on the current Travel Warning in effect for

______________________________. location of foreign travel under warning

________________________________ _________________________ Employee Signature Date

________________________________ _________________________ Division Head Signature Date

All other signatures are obtained electronically through Concur.

Attach this Acknowledgement of Risk form to the Concur travel request.