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.

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.

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

Yes

Nationality & Age

Are you a citizen of the United States of America?

Yes

Date of Birth

Format: MM/DD/YYYY

mm/dd/yyyy

Travel Information

Reason for Travel

First Day of Travel

Date of departure from origin address

mm/dd/yyyy

Country of Origin

Where travel begins

Start of Business Date

First day of work at business location

mm/dd/yyyy

End of Business Date

Last day of work at business location

mm/dd/yyyy

Last Day of Travel

Date of return to origin address

mm/dd/yyyy

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

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