Debit Card Travel Form

Debit Card Use Only

To submit travel notification for a credit card, access Credit Card Info > Account Services > Travel Center.

For Domestic and International Travel

In order to minimize the chances of card being blocked or flagged for unusual activity:

Please allow 2-3 business days for request to be processed prior to traveling.
Complete this form no more than 30 days prior to traveling.

* indicates a required field

Personal Information
Date of request:	5/18/2024
*Member Name:
*Member Number:
Email address:
*Contact number for questions prior to travel:

Card Information
	*Cardholder Name	*Phone Number While Traveling	*Debit Card
			-xxxx-xxxx-
Additional Cards:			-xxxx-xxxx-
			-xxxx-xxxx-
			-xxxx-xxxx-

Travel Information
*Date of Departure:
	Date of departure should not be more than 30 days from today.
*Date of Return:
*Travel Location(s):	List all states and countries you will be visiting.
Additional Information:

* indicates a required field