CABS Request Form - UNC Non-Affiliated

If you are a UNC affiliate, please use the form located on the CPC Intranet.

Traveler's Information

First Name

Last Name

E-mail Address

Home Street Address

City

State

(2-digit Code)

Zip Code

Social Security #

(SS# required for processing - Enter here or enter 0's and contact Kaitlin Dean)

CPC Contact

Purpose Of Trip

Departing From

(City, State, Country)

Destination

(City, State, Country)

Will You be Requesting a Travel Advance?

(Yes or No)

UNC Approved Travel Agent Information

Agent Name

Agent E-mail Address

Agent Phone #

A copy of your flight itinerary is required for processing. Please send to CPC's Travel Coordinator, or mail to room 205E West or fax to 919-966-3014.

NOTE: Be sure to provide the Travel Agency with your e-mail address so you can receive an e-ticket.