trip plan form

Alaska State Troopers
Wilderness Trip Plan
How to use this
Trip Plan:
1.
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Fill out this Trip Plan before you leave home.
Leave the Trip Plan with someone you trust.
If you don’t come home at the expected time that person
should call the Alaska State Troopers and give them this
Trip Plan.
My name is:
Date of Birth:
My address:
Phone #:
I will leave on:
I will come back on:
I am traveling by: (Circle one)
Car - Snowmachine - Airplane - Boat - On-foot - Other _______
My car/snowmachine/airplane/boat is: (Provide a description.)
The place I am going, and the route I will be taking are:
I’m taking the following things with me: (Circle all that apply.)
Map
Tent (Color: _______)
Compass
Sleeping Bag
GPS Unit
Flashlight
VHF Radio Extra Batteries
Food for ___ days.
Extra fuel/oil
Matches
Extra Clothing
Gun: Type____________
Caliber __________
Cell Phone # __________________
Other Items: __________________
Other people who can provide information about me and my trip are:
(List names and phone numbers.)
Call the Troopers or Police if I don’t return by _______ o’clock on __________.
Their telephone numbers are: Alaska State Troopers: ___________________________.
Other Local Agency: _____________________________.