OC Travel Passenger Information Thank you for choosing OC Travel! To ensure your travel arrangements are booked accurately, please complete the information below for yourself. This form should be completed by the individual traveler named on the reservation. If you are traveling with others, each traveler should complete a separate Passenger Information Form. Please enter your information exactly as it appears on the government-issued identification or passport you will use for this trip. Incorrect information may result in airline or supplier change fees, denied boarding, travel delays, or other complications. Once I receive your completed information, I’ll use it to finalize your travel arrangements and ensure your reservations are booked accurately. Warmly, Kim O’Connell OC Travel Traveler Information Please complete the following information exactly as it appears on the government-issued identification or passport you will use for this trip. First Name (Legal)*Middle NameLast Name (Legal)*Suffix*NoneJr.Sr.IIIIIIVVPreferred Name / NicknameIf you'd like me to address you by a different name during our communications.Date of Birth* Date Format: MM slash DD slash YYYY Please enter the traveler's date of birth as it appears on their government-issued identification or passport.Contact InformationEmail* Cell Phone*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Government Identification*PassportDriver's License / REAL ID (Domestic Travel)Passport NumberCountry of CitizenshipCountry of IssuePassport Expiration DateWill you be traveling with a REAL ID?YesNoNot sureFor domestic U.S. air travel, beginning May 7, 2025, travelers must present a REAL ID-compliant driver's license or another acceptable form of identification, such as a valid U.S. passport.Trusted Traveler ProgramsTSA PreCheck / Known Traveler NuGlobal Entry NumberRedress NumberFrequent Flyer Programsexample: Delta SkyMiles #123456789Hotel Loyalty ProgramsExample: Marriot Bonvoy #123456789Cruise Loyalty ProgramsEmergency ContactName (First and Last)*Relationship*Primary Phone*Secondary PhoneAccessibility & Medical NeedsChoices* Wheelchair Assistance Scooter Walker Cane Limited walking distance Accessible hotel room Accessible bathroom Hearing assistance Vision assistance Traveling with service animal CPAP machine None Dietary NeedsChoices* Vegetarian Vegan Gluten Free Dairy free Kosher Halal Nut allergy Shellfish allergy Other Tell Me MoreSpecial CelebrationsCelebrations Birthday Anniversary Honeymoon Retirement Graduation Family Reunion Other Tell Me MoreTravel PreferencesSeat Preference Choice*WindowAisleNo preferenceBed Preference*One KingOne QueenOne Full (Double) bedTwo Queen BedsTwo Double (Full) BedsTwin BedsSofa Bed AcceptableNo Preference (Best Available)Is this preference required, or simply preferred?*RequiredPreferred, but I am flexibleRoom Preferences High Floor Quiet Room Balcony Terrace Ocean View Oceanfront Connecting Rooms Near Elevator Away From Elevator Anything Else?Additional CommentsCertificationPlease review the statement below before submitting your information. I certify that the information provided on this form is complete and accurate and matches the government-issued identification or passport that will be used for travel. I understand that incorrect traveler information may result in airline or supplier change fees, denied boarding, travel delays, or other expenses for which I am responsible.Certification* I have read and agree to the certification above. Signature*