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Travel Request Form - FRM-FIN-005
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Traveller's Name
*
First
Last
Traveller's Email
*
Traveller's Mobile Phone #
Purpose of Travel
Flights
Leg 1 From
Airport name
Leg 1 To
Airport name
Leg 1 Departure Date
Leg 1 Departure time
Provide earliest & latest times or a specific flight
Leg 2 From
Airport name
Leg 2 To
Airport name
Leg 2 Departure Date
Leg 2 Departure time
Provide earliest & latest times or a specific flight
Leg 3 From
Airport name
Leg 3 To
Airport name
Leg 3 Departure Date
Leg 3 Departure time
Provide earliest & latest times or a specific flight
Leg 4 From
Airport name
Leg 4 To
Airport name
Leg 4 Departure Date
Leg 4 Departure time
Provide earliest & latest times or a specific flight
Is check in luggage required
Yes
No
Frequent Flyer #
Only required if not previously registered
Accommodation
Town or City
Provide name of specific hotel or location if required
Check In Date / Time
Date
Time
Check Out Date / Time
Date
Time
Meals charge to room
Yes
No
Do you require a 2nd accommodation booking
Yes
No
Booking 2 Town or City
Provide name of specific hotel or location if required
Booking 2 Check In Date / Time
Date
Time
Booking 2 Check Out Date / Time
Date
Time
Booking 2 Meals charge to room
Yes
No
Car Rental (AVIS)
Location of pick-up
Date / Time of pickup
Date
Time
Location of drop off
Date / Time of drop off
Date
Time
# of passengers
Special Requirements
Automatic
Manual
Corporate
Project
Alternate Car
Do you require a 2nd vehicle booking
Yes
No
Rental 2 Location of pick-up
Rental 2 Date / Time of pickup
Date
Time
Rental 2 Location of drop off
Rental 2 Date / Time of drop off
Date
Time
Rental 2 # of passengers
Rental 2 Special Requirements
Automatic
Manual
Corporate
Project
Alternate Car
Business Unit
*
Concrete
Crossroads Civil & Asphalt
Executive
Finance & Corporate
Group Asset Management (125)
Nyrstar Contracts 104 & 105
Nyrstar Contracts 108 & 508
Plant Hire TAS + Blue Chip
Plant Hire QLD
Quarries
Qualtech
Qld Civil
Tas Con
Transport
Workshops TAS
Select from Drop Down
Concrete
*
361 Concrete Overheads
363 Cambridge Plant
364 Mobile Plant
366 Leslie Vale Plant
367 Lampton Avenue Plant
368 HB Agitator Drivers
483 CR Rocherlea
484 CR Agitator Drivers
489 CR Overheads
776 CR Raeburn Plant
777 Burnie Plant
778 Devonport Plant
Concrete Authorising Manager/Supervisor
*
Chris Wulf
Ross Evans
Christian Lawrence
Scott Wickham
Todd Rusher
Duncan Heald
Rodney Onions
Damien Arnol
Choose name of Authorising Manager/Supervisor
Crossroads Civil & Asphalt
*
480 Crossroads Overheads
481 Crossroads Civil
482 Crossroads Asphalt & Sealing
Crossroads Authorising Manager/Supervisor
*
Scott Callow
Greg Paciak
Finance & Corporate
*
125 Group Asset Management
169 Business Improvement
171 Finance & Corporate
175 ICT
174 HR & Training
176 HSE
Finance and Corporate Authorising Manager
*
Craig Lester
Emily Jeffrey
Lisa McIndoe
Mary Mickan
Paul Sheen
Sean Thomas
Belinda Irwin
Executive
Chris Wulf
Craig Lester
Emily Jeffrey
Florian Lindner
Jesse Brunskill
Executive Authorising Manager
Geoffrey Hazell
125 - Asset Overheads
*
125 Asset Overheads
GAM Authorising Manager
*
Florian Lindner
Linda Bates
Mick Watson
Chris Targett
Paul Sheen
Nyrstar Contracts 104 & 105 & 108
*
104 Nyrstar Port Pirie
105 Nyrstar Hobart
108 Nyrstar Port Pirie
Nyrstar Authorising Manager /Supervisor
Mick Watson
Christan Wood (108)
Ashley Phillis (104)
Andrew Dalco (105)
Paul Sheen
Industrial Markets - Plant Hire TAS + Blue Chip
*
460 Earthmoving Operators
109 Blue Chip
125 Asset Overheads
Plant Hire Tas Authorising Manager/Supervisor
*
Florian Lindner
Mick Watson
Craig Pailthorpe
Plant Hire QLD
*
623 QLD Plant & Workshop
625 HBQPH Overheads
644 NSW Plant Hire
Plant Hire Qld Authorising Manager
*
Florian Lindner
Tony Wishnevsky
Brendan Stewart
Qualtech
*
353 QualTech
QualTech Authorising Manager
*
Chris Wulf
Steve Hudson
Grahame Russell
Paul Bannerman
Ethan Pursell
Quarries
*
300 Quarry Overheads
335 Raeburn Quarry
345 HBMI
346 Long Hill Quarry
371 HBMI Sales
372 LHQ Sales
375 Raeburn Sales
774 Flowerdale Sand Quarry
775 Beauty Point Sand Quarry
Quarries Authorising Manager/Supervisor
*
Chris Wulf
Peter Bennett
Shane Mansergh
Craig Constable
Hugh Gilbery
Warren Dick
Shane Batchelor
QLD Civil
*
600 HBQ Construction
601 HBQ Administration
612 HBQ NSW Construction
Qld Civil Authorising Manager/Supervisor
*
Justin Leslie
Simon Barr
Daniel Huff
Corey Bell
Chris Sharpe
James Menton
Jim Keary
Jason Wells
Pavan Gowda
Nagadeepa Prabhu
Tas Con
*
460 Civil Operators
461 Civil Construction
462 Civil Salary
463 Construction Workshop
471 Construction Overheads
Tas Con Authorising Manager/Supervisor
*
Jesse Brunskill
Stephanus Vermaak
Glenn Jones
Andrew McDavitt (PM)
Chris Osborne (PM)
Garrick Smith (PM)
Brian Hyde (PM)
Marty Wilson (PM)
Ben Storey (PM)
James Kirkland (PM)
Karl Fenger (PM)
Daniel Baker (PM)
Ian Clark (Super)
John Hogan (Super)
Dale Berry (Super)
Scott Walker (Super)
Jarrad Rose (Super)
Greg Reid (Super)
Stuart Hanson (Super)
Supervisors can only sign off for current direct reports
Transport
*
101 Heavy Haulage
360 Tippers
369 Cement Tankers
Transport Authorising Manager/Supervisor
*
Florian Lindner
Wayne Goss
Nathan Clark
Darren Wilton
Workshops TAS
*
121 Workshop Admin
122 Procurement
180 Hardox
181 LA Bodyworks
182 LA Welding
183 LA Service Station
184 LA Field Service
185 Mick’s Car Hire
186 LA Heavy Machinery
187 Burnie Workshop
192 Rocherlea Workshop
193 Precast Concrete
Workshop Authorising Supervisor
*
Linda Bates
Chris Targett
Ricki Dodge
Dallas Profke
Damien Poke
Marcel McCleod
Martin Woods
Jason Bowerman
Ian Bezzant
Baden Fielding
Lachlan Burnet
Rob Thomson
Phone # of authorising manager/supervisor
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