(Blank form is Unclassified//FOUO, but may be classified when filled in) FD-794 vee Version 2.0 FEDERAL BUREAU OF INVESTIGATION Revised 03/11/2021 PAYMENT REQUEST The collection of information on this form is authorized by 5 U.S.C. 301 (FBI authorized to create and retain agency records) and 28 U.S.C. 530C(b)\(4) (FBI authorized to use appropriated funds for conduct of its authorized activities). Your Social Security Number is solicited as authorized by E.O. 9397 (Nov. 30, 1943), as amended by E.O. 13478 (Nov. 18, 2008). The information sought will be used by the FBI to process your request for an advance payment of funds or request for reimbursement for authorized commercial or source-related expenses. Disclosure of the requested information is mandatory; failure to provide the requested information will delay the processing of your request and may result in its denial. This information is maintained in the FBI Central Records System, Justice/FBI-002, a description of which can be found at https~ routine uses re! go.fbinet.fbi/DO/OGC/LTB/PCLU) PrivacyCivil™20L iberties%20Library/Forms/FBI002.aspx. This information may be disclosed in accordance with the renced in this notice Forfeiture or Drug Related*? Overall Classification of Form* Program/Subprogram® (if nor listed, type the 4-5 digital code) (RIRI) Violent Crimes Against Children, Violent Crimes Against Children Need help? Use the ENIGMA tool online to confirm correct P/SP by case classification. FORMATION ABOUT THE REQUESTING EMPLOYEE UEID*: Official Bureau Name*: (Last. First, Middle Initial) Date of Reque: Division: Section/RA: Unit/Squad: er: (include area code) Case Number*: Was'will the expense be paid by an alternate employee? oO Yes @ No Is this a one time non-symbol source payment*? O Yes @ No If an expense was already incurred, was it paid with personal funds? If yes, please select your preferred method of reimbursement: © Yes O No Justification*: his request is for the reimbursement of expenses incurred by the case team through the urchase of meals for a trial witnesses on 06/23/21 To be completed by FINANCE OFFICE ONLY. To be completed by FINANCE OFFICE ONLY. FD-794 (Blank form is Unclassified//FOUO, but may be classified when filled in) Page of EFTA00038874

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[ (Blank form is Unclassified//FOUO, but may be classified when filled in) FD-794 Version 2.0 FEDERAL BUREAU OF INVESTIGATION Revised 03/11/2021 PAYMENT REQUEST APPROVAL HQ Only Signature / Date Requestor Supervisor: Next Level Supervisor: Field Only Supervisor Initials: SAC/ASAC/AO/SAS: Digitally Approved via Sentinel Procurement Authority: FINANCE OFFICE ONLY SETTLEMENT OF ADVANCE Creator FOS Approver Document Number: Date: Initials: Date: Initials: Cash Receipt - OTCnet (CRO): OTCnet Deposit Ticket #: FD-794 | (Blank form is Unclassified//FOUO, but may be classified when filled in) Page of EFTA00038875