Travel Permit Request

IN COUNTRY - Request must be received ONE week prior to Travel
OUT OF COUNTRY - Must be received SIX weeks prior to Travel
Proof of Travel will be required (Example: Hotel Reservations, Airfare, etc.) You may email proof to your Probation Officer or bring it to the Lea County Probation Office.
You MUST be in FULL compliance with all sanctions prior to travel.

Today's Date

Name

Reason for Travel

Date Leaving

Date Returning

Names of Persons Traveling with

Vehicle (Year/Make/Model/Color)

Destination

ACCOMMODATIONS (Will be verified)

Name of Where you will be staying

Relationship (if applicable)

Address of where you will be staying

Include City/State/Zip

Phone number of where you will be staying

Country

I agree to the terms and conditions

Electronic Signature

First Name

Last Name

Email Address

Sign me up for email updates

Received by Signature: _______________________________

Date: _____________

Travel:
_____ Approved
_____ Denied

By: ___________________________

Date:_________

Submit