Architectural Engineering program, The University of Texas at Austin

Houston Trip – Travel forms – 3 required

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Please remember that you each need to turn in PRINTED HARD-COPIES OF TRAVEL FORMS/INFO  to Chris Trevino –
You will find Chris on the 4th floor at the CAEE front desk.

Turn in forms by this coming FRIDAY Jan 24th please.

  1. Release And Indemnification Agreement Adult
  2.  Authorization For Emergency Medical Treatment Adult
  3.  Custom page with your medical insurance card info (see below)

For forms #1 and #2:
Please PRINT out the two forms and fill out to your best ability.

? Physician or Dentist info ?
Not required, but helpful.

For #3 (insurance card info): 
Please photograph front/back of your medical insurance card and put both photos on an 8.5×11 MSWord document with your NAME on the document too.  PRINT THIS new page out and put with forms #1 and #2.


Let’s go to Houston !



Written by Gregory Brooks

January 21, 2020 at 9:22 pm

Posted in Uncategorized

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