LaserNetUS Travel Support Request

LaserNetUS Travel Support Request

Please provide the following information to support the processing of a request for LaserNetUS travel funding

Traveler Information

Title

Prof., Dr., Mr., Mrs., Mx., etc.

First Name*

Please provide your given name(s) as written on identification documents used for travel.

Last Name*

Please provide your surname / family name as written on identification documents used for travel.

Email*

This is our primary method of communication. Please ensure you add us to your trusted senders list to ensure our emails reach you.

Phone

Please include country code if not US, e.g. +44 (0)1234 567 8901

Affiliation*

The name of your primary home institution

Position at home Institution*

(e.g. Research Associate, Professor, etc.)

Home Institution Address*

Home Institution City*

Home Institution State/Province

Home Institution ZIP/Postal Code

Home Institution Country*

Please contact us if this is different to your country of legal residence.

Select

Are you currently, or have you been in the past, a SLAC Employee, Affiliate, or User?*

Yes

Are you a citizen of the United States of America?*

Yes

Citizenship*

Provide all citizenships if you are a citizen of more than one country.

Select

Country of Birth*

Select

Date of Birth*

Format: MM/DD/YYYY

Reason for Travel*

Select

LaserNetUS Facility*

Select

LaserNetUS Experiment Number*

First Day of Travel*

Date of departure from origin address

Country of Origin*

Where travel begins

Select

Start of Business Date*

First day of work at business location

Business Location - City*

City where business is being conducted

Business Location - State/Province*

Business Location - Country*

Select

End of Business Date*

Last day of work at business location

Last Day of Travel*

Date of return to origin address

Requested Travel Support

Use this section to document the requested funding to support your travel. All requests amounts must be in US Dollars.

Please ensure that the total funds requested are consistent with the approved travel budget by the DOE-FES Program Manager.

Airfare (US$)

Please note that in order to be reimbursed for any of your airfare, flights must be purchased on a U.S. carrier (see https://travel.slac.stanford.edu/fly-america-act) at the lowest logical coach (economy) fare.

Lodging (US$)

Accommodation rates must not exceed the GSA per diem rate (see https://www.gsa.gov/travel/plan-book/per-diem-rates).

Rental Car and Rental Car Fuel (US$)

Ground Transportation (US$)

Taxi/Car Service/Rideshare/Train, airport/hotel parking, etc.

Meals and Incidental Expenses (US$)

Receipts must be submitted for reimbursement of expenses, which must not exceed the GSA per diem rate (see https://www.gsa.gov/travel/plan-book/per-diem-rates). Note that SLAC cannot reimburse alcohol charges, and they should not be included on receipts used for expense claims.

Other Eligible Travel Expenses (US$)

Subject to approval and compliance with SLAC Sponsored Guest Travel Policies. This may include for example mileage when using privately owned vehicle (POV) at GSA rate, parking fees at the business location, local transportation to/from the airport

Description of other expenses*

Send me a copy of my responses

Traveler Information

Nationality & Age

Travel Information

Requested Travel Support