CELS Local and Domestic Travel Request Form Fields marked with an * are required Travel Arranger * Banis, Jennifer Banks, Kerri Catalano, Lisa Doyle, Ginny Dzielski, Mary Faso, Amber Gordon, India Gregurich, Sue Jackson, Teosha Johnson, Kyle Knepper, Jeri Lozano, Tracy Lutes, Darlyn Lynch, Rose Mendez, Stephanie Nenoff, Julisa Petrovic, Bernadette (Nada) Pruitte-Deal, Brenda Rodriguez, Teresa Salim, Kasia Sarvey, Sue Tezak, Samantha VanMeerten, Karen White, Monica Smagacz, Julie I dont know Travel Type * Domestic - Greater than 50 miles Local - 50 Miles or less Same Day Travel Travel to Argonne Virtual Conference Traveler First and Last Name * Traveler Email * I am a student Divider Supervisor Approved * Yes N/A Divider PI Approved * Yes N/A Divider Project Code or Project Name * To search for a project code use whatstheplan. Funding Type * Divisions/Operations Overhead DOE-SC Advanced Scientific Computing Research (ASCR) DOE-SC Basic Energy Sciences (BES) DOE-SC Biological & Environmental Research (BER) DOE-Energy Efficiency & Renewable Energy (EE) DOE-Environmental Management (EM) DOE-Environmental Health Safety & Security (AU) DOE-Nuclear Energy (NE) Work for Others: Non-Federal Foreign LDRD Royalty Funds University of Chicago Other Purpose * Attendee Chairperson Invited Speaker Speaker Poster Presenter Exhibitor Type of Event * (CAS) = Conference Attendance System Virtual Meeting/Conference In-Person Meeting/Conference - with a fee In-Person Meeting/Conference - without a fee Field Activities Attn. Admin - Send to GTO to review for CAS approval. Business Purpose * Provide a detailed explanation describing the strategic and economic benefit to ANL and the U.S. government. Response must include 1) the purpose of the travel, 2) the benefit to Argonne and the DOE program, and 3) the impact of not traveling. Divider Departure Airport Departure Date * Time of Day - Departure AM PM Return Date * Time of Day - Return AM PM Business Destination City and State * Desired Flights (if known and not guaranteed) Divider Meeting/Conference Name * Meeting URL * If not applicable, enter N/A. Registration Fee Amount * If not applicable, enter N/A. Meeting Start Date * Meeting End Date * Hotel Name * Hotel Address * Hotel Exceptions * Not Applicable - Reserving with Argonne/ADTRAV Lodging arranged by sponsor, host, or 3rd party Lodging at US Embassy Lodging with family or friend Conference Hotel w/discounted rate Lodging must be coordinated w/other institutions for official business travel Note: Hotel exceptions require hotel name, address, phone number and will be shared with GTO prior to departure, be sure to forward your lodging confirmation to your admin. Ground Transportation (Home-Departure) * Personal Vehicle Uber/Lyft/Taxi Public Transportation Note: If using your personal vehicle, please submit a parking receipt. Economy & long-term parking only. Short term parking, valet, or daily parking will not be reimbursed. Ground Transportation (Home-Return) * Personal Vehicle Uber/Lyft/Taxi Public Transportation Note: If using your personal vehicle, please submit a parking receipt. Economy & long-term parking only. Short term parking, valet, or daily parking will not be reimbursed. Rental Vehicle needed? Note: Per policy, refuel prior to return, ANL will not reimburse for airport refueling. If traveling w/others, please list their names Divider 3rd Party Funding? * No Yes, Paid by Traveler & Reimbursed by Host Yes, Arranged & Paid Directly by Host Note: If yes to 3rd party, select "yes" to both options if applicable. Divider Does trip include personal time? * Yes No Divider Multiple Destinations? CLICK THIS BOX IF YOU HAVE ADDITIONAL LOCATIONS. Additional notes or special instructions to travel arranger CAPTCHA Divider If you are a human seeing this field, please leave it empty.
