U.S. Department of Justice¶
Office of the Deputy Attorney General¶
Briefing RSVP¶
November 12, 2020 - Miami, FL¶
| Please fill out the following form and return to the BriefingRSVP@usdoj.gov email box by November 2, 2020. | |||
| Full Name: | Email Address: | ||
| Phone Number: | Social Security Number: | ||
| Address 1: | Address 2: | ||
| City: | State: | Zip: | Date of Birth: |
| Citizenship: | Country of Birth: | ||
Can you attend?¶
Will you need travel arrangements?¶
□ Yes, I will need travel arrangements¶
If yes, which mode of transportation do you prefer?¶
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.¶
Do you require lodging?¶
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.¶
□ No, I will not require lodging¶
Do you require ground transportation? DOJ will reimburse the costs of parking, ground transportation from home to airport/station, from airport/station to hotel and/or to FBI Building but not for any other local travel. Please keep all receipts.¶
□ Yes, I will require reimbursement for ground transportation¶
Commented [A1]: Stacie working with ODAG or JMD to confirm email box set-up…¶
Author¶
EFTA00163242¶
□ No, I will not require reimbursement for ground transportation¶
Will your attorney participate in the meeting? Please note that DOJ will not be able to support any costs related to your attorney’s participation.¶
□ 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:¶
You are authorized to bring one support person for your travel, although that person will most likely not be able to enter the FBI building due to COVID-19 protocols. Will you be traveling with a support person?¶
□ Yes, I will bring one support person □ No, I will not bring a support person¶
Information on support person traveling with you [if any]¶
Support Person’s Name:¶
| 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.¶
Will your support person need travel arrangements?¶
□ Yes, my support person will need travel arrangements □ No, my support person will not need travel arrangements¶
If yes, which mode of transportation do they prefer?¶
□ 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:¶
If bringing a support person, will your support person require separate lodging?¶
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.¶
□ Yes, my support person will require separate lodging □ No, my support person will not require separate lodging¶
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EFTA00163243¶
If bringing a support person, will your support person require ground transportation? DOJ will reimburse the costs of parking, ground transportation from home to airport/station, from airport/station to hotel and/or to FBI Building but not for any other local travel. Please keep all receipts.¶
□ Yes, my support person will require reimbursement for ground transportation¶
□ No, my support person will not require reimbursement for ground transportation¶
Acknowledgement and Signature (Block 1)¶
By checking and signing below, I acknowledge I 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. I understand that the following will not be included/provided in the authorized expenses: meals, rental vehicle, entertainment, or other incidental charges.¶
| Yes, I acknowledge the above statement | Signature | Date: |
Acknowledgement and Signature (Block 2)¶
By checking and signing below, I confirm that I 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. I further acknowledge that I have read and understand the COVID-19 protocols in place for this meeting, including the Temperature Screening, and confirm that I will abide by the protocols during the meeting and at all times while inside the FBI building.¶
□ Yes, I acknowledge Signature ___ Date: ___¶
the above statement¶
COVID-19 QUESTIONS:¶
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Do I 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?
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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 not the more detailed “Temperature Screening Protocol,” which appears more internal? |
| Author |
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EFTA00163244¶