Please fill out the fields in the form below. 

This form supports the maximum level of encryption technology your browser allows, up to 256-bit SSL encryption to protect your personal information while it is in transit. Please view our Privacy Policy for more information.


A Travel Notice needs to be filed for each individual cardholder that will be traveling.


 

Account Information

    OK is required
  • OK Account Number is required
  • OK Name is required
  • OK Contact Phone Number is required
  • OK Email Address is required

Debit Card Information

  • OK Last 4 Digits of Debit Card is required
  • OK Name on Card is required
  • OK Authorized Name is required
  • OK Authorized Phone is required
  • Optional OK Last 4 Digits of Debit Card is required
  • Optional OK Name on Card is required
  • Optional OK Authorized Name is required
  • Optional OK Authorized Phone is required

Credit Card Information

  • OK Last 4 Digits of Credit Card is required
  • OK Name on Card is required
  • OK Authorized Name is required
  • OK Authorized Phone is required
  • Optional OK Last 4 Digits of Credit Card is required
  • Optional OK Name on Card is required
  • Optional OK Authorized Name is required
  • Optional OK Authorized Phone is required

Travel Information

  • OK Travel Location/Destination is required
  • Method of Travel

    OK Method of Travel is required
  • OK Other Method of Travel is required
  • OK Departure Date is required
  • OK Return Date is required
  • Optional OK Notes is required
  • OK is required