Drug Court Travel Request

Submit this request before traveling and provide complete details for all destinations, appointments, fees, and testing plans.

Client and Travel Dates

First name

Last name

Departure date

Departure time

Return date

Return time

Detailed destinations, places, and times

Who will you be spending time with?

Reason for request

Possible triggers for relapse

Relapse prevention plan

Have you been excused from all Drug Court appointments during this period?

YesNo

How much money will you spend on this trip?

Are you current on Drug Court fees?

YesNo

Have you found a testing center for an overnight stay?

YesNoNot Needed

Client signature

Type your full legal name.

Approved by

Optional

Today's date

Please click Submit only once. A confirmation message will appear after your request has been processed.