# Presentation: 106110

## DOE Required Information on Conference/ Workshop Travel

**DOE Required Information on Conference/ Workshop Travel**
- Project Number: ______Task Number: ________________________ Travel Code: __________ Task Name:_____________________
- Traveler’s Name: ________________________________________ Preparer:_____________________________________________
- Conference Sponsor and Co-sponsor: ____________________________________________________________________________
- Conference Title: _____________________________________________________________________________________________
- Conference Dates: _______________________________ Location (City, State): __________________________________________** Purpose/Objective (please circle one**):  Astrophysics & Cosmology, Engineering, High Energy Physics, Instrumentation, Mathematics & Computers
**           **
**Estimate  Cost of Proposed Trip**
- The following information must be provided before obtaining approval
- Air Fare	$_______________________           Limo$________________________ Registration 	$______________________
- Car Rental	$_______________Supervisor Approval _______________________Division Approval________________________
- Private Auto	# of miles ________________________@ .445 / mile =    $______________________________________________
- Lodging	# of days_________________________ x $ ________________ / day = $ __________________________________
- Per Diem	# of days_________________________ x $ _________________/ day = $ _________________________________
- Meals Included: Breakfast __________ Lunch: ___________ Dinner: __________
- Total Estimate Cost of Trip $____________________**    **** **** Completed travel vouchers are due 10 days after your return**
- Traveler’s Signature: _____________________________________________________ Date: ____________________
**This section is for hotel approval only if the cost is over the allowed rate**
- Request approval for lodging at a rate of $ _______________. This is ______________% of the allowable maximum rate of $ ________.
- Justification: _________________________________________________________________________________________________
- ______________________________________________________________________________________________________________________________________________________________________________________________________________________
- Traveler’s Signature: ____________________________________________ Date: ________________Division Head Approval: _________________________________________ Date: ________________ (Approve over 100%)
- Directorate Approval: ____________________________________________Date: ________________ (Approve over 150%)
**Omega World Travel**
- Traveler: ____________________________________ ID#___________________ Phone Extension: _________________________
- Date: __________________ From: _________________________ To: ________________________ Time: ___________________
- Date: __________________ From: _________________________ To: ________________________ Time: ___________________
- Date: __________________ From: _________________________ To: ________________________ Time: ___________________
- Preferred Hotel & Address:  ___________________________________________________________________________________
- _________________________________________________________________________________________________________
- Special Request: ___________________________________________________________________________________________
- Traveling With: _________________________________________ Other Details: ________________________________________
- Rental Car:   Yes______ No ______     	      Smoking: Yes ____________ No __________
- Travel office will reserve/guarantee a hotel room, but the credit card they use is to hold the room only.  Please do not place any charges on the card.
- A confirmation will be sent to you:
- Phone Call: ________________________ Fax: ________________________ Email: ________________________________________
- Comments: __________________________________________________________________________________________________

**FERMILAB**