U.S. Department of Justice Office of the Deputy Attorney General Briefing RSVP November 12, 2020 - Miami, FL Full Name: Email Address: Phone Number: Social Security Number: Address 1: Address 2: City: State: Zip: Date of Birth: Citizenship: Country of Birth: O Yes, twill attend Co No, | cannot attend CO Yes, twill need travel arrangements Ci No, I will not need travel arrangements 0 Air O Rail Bus CO Mileage reimbursement (if you are utilizing your own vehicle) ‘Only economy, roundtrip fares and one checked luggage bag per person will be authorized. You will be responsible for any incidental charges incurred such as in-flight snacks, Pay-Per-View, Wi-Fi, ete. Airport / station of origin: Preferred date and time of departure from origin: Preferred date and time of departure from Miami: ‘Only two nights of lodging will be authorized and only hotel roorn cost and tax will be authorized. You will be required to provide a credit card for incidental charges upon check in. You will be responsible for any incidental charges incurred such as snacks, mini bar, Pay-Per-View, phone charges, etc. C Yes, twill require lodging C1 No, I will not require lodging O Yes, t will require reimbursement for ground transportation Commented [Al]: Stacie working with ODAG or confirm email box set~ Author EFTA00163242

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CO No, | will not require reimbursement for ground transportation CO Yes, my attorney will participate in the meeting (No, my attorney will not participate in the meeting If yes, what is the name of your legal representative: O Yes, t will bring one support person CO No, | will not bring a support person i Relationship: Email Address: Phone Number: Social Security Number (if any)*: Address 1: Address 2: City: State: Zip: Date of Birth: Citizenship: Country of Birth: *This information is needed in order to enter the FBI Building. CO Yes, my support person will need travel arrangements |) No, my support person will not need travel arrangements 0 Air C Rail OO Bus Ci Mileage reimbursement (if they are utilizing their own vehicle) Only economy, roundtrip fares and one checked luggage bag per person will be authorized. You will be responsible for any incidental charges incurred such as in-flight snacks, Pay-Per-View, Wi-Fi, etc. Airport / station of origin: Preferred date and time of departure from origin: Preferred date and time of departure from Miami: Only two nights of lodging will be authorized and only hotel room cost and tax will be authorized. You will be required to provide a credit card for incidental charges upon check in. You will be responsible for any incidental charges incurred such as snacks, mini bar, Pay-Per-View, phone charges, etc. CO Yes, my support person will require separate lodging _) No, my support person will not require separate lodging EFTA00163243

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CO Yes, my support person will require reimbursement for ground transportation (CO No, my support person will not require reimbursement for ground transportation By checking and signing below, | acknowledge | have read and understand that only lodging, lodging taxes, mileage, and commercial transportation expenses (airfare, bus, train, and hotel transportation only) will be authorized as outlined above. | understand that the following will not be included/provided in the authorized expenses: meals, rental vehicle, entertainment, or other incidental CO Yes, tacknowledge Signature Date: By checking and signing below, | confirm that | will not undertake travel to the meeting if the answer to either of the Covid-19 Questions below is “yes” at the time of travel. | further acknowledge that | have read and understand the COVID-19 protocols in place for this meeting, including the Temperature Screening, and confirm that | will abide by the protocols during the meeting and at all times while inside the FBI building. CO Yes, lacknowledge Signature 000 Date: the above statement COVID-19 QUESTIONS: 1L. Dol currently have a fever, cough, shortness of breath or difficulty breathing, repeated shaking from chills, muscle pain, sore throat, new loss of taste or smell, or any other flu-like symptoms? 2. In the past 14 days, have I been in close (less than 6 feet) and prolonged (more than 15 minutes) contact with someone with presumptive or confirmed COVID-19 without wearing a face covering or mask? Commented [A2]: Note to attach the “Temp Check Poster Visitors” document -- but nat the more detailed “Temperature Screening Protacol,” which appears more EFTA00163244