Type of Unusual Expense:
□ Medically Necessary Item
(Attached Supporting Statement)
☑ Dependent Care
□ Excess Lodging/Per Diem
□ Travel & Transportation
□ Pretrial Conference Waiver
□ Other
Explanation:
The witness has a small child and would not had no one who could watch the child while she justified.
Start Date of Service (MO/DA/YR)
2/6/07
End Date of Service (MO/DA/YR)
2/6/07
Amount
Justification:
I hereby certify that the expenses and services listed on this document are appropriate and are within the Federal laws and regulations. I fully understand that I can be held personally liable or be subject to disciplinary action for improperly using government funds or services that exceed delegated authority or that violate Federal laws or regulations.
Signature of Requesting AUSA
Date
18. Name & Title of Approving Official
19. Date (MO/DA/YR)
20. Signature of Approving Official
UFWE Form
Other documents from the same file
These documents were released together, in one file.
DOJ form requesting witness dependent-care reimbursement in West Palm Beach, Feb. 2007
Government memos
A DOJ authorization form for reimbursement of a fact witness's dependent care during court proceedings in West Palm Beach.
DOJ Epstein Files, Data Set 9 · Feb. 6, 2007
EFTA00185233 U.S. Department of Justice Authorization for Reimbursement of Unusual Expenses of Fact Witnesses Request for Unusual Expense(s) of Fact Witness (For United States Attorney's Office Use Only) Control 1. Case Name Operation Leap Year 2. Court Docket Number 3. Requesting ALUSA 4. Location of Court Proceeding West Palm Beach 5. Contact Person 6. Contact Person Number 7. Witness Name & Address, Phone , SSN 8. Vendor Name & Address, Phone , TIN/SSN 9. Payment to be made to: 10. Receipt/Invoice is: 11. Type of Unusual Expense: □ Medically Necessary Item (Attached Supporting Statement) ☑ …
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