Chicago HIDTA Travel/Training Request Form

Requestor: Initiative:

Contact #:	Email:

Name of Training or Conference:

Location: Date(s)

Type of Travel:

Explain how this travel/training will benefit the Chicago HIDTA. Attach any relevant registration forms, pamphlets or brochures. Give detailed reasons for investigative or other travel.

Cost:	(Estimated or actual cost)

Registration Fee:	$

Air Fare:	$

Lodging:	$

Per Diem:	$

Ground Transportation:	$

Other:	$

Total:	$

W-9 on file: Yes: if no, please contact the Finance Office (312) 448-5664

AUTHORIZATION

Above travel/training follows ONDCP Policy by benefitting the HIDTA Program and/or improving the efficiency and effectiveness of HIDTA Initiatives.

Immediate Supervisor: _____________________Approved Denied:	Date:

Training Coordinator _____________________Approved Denied: Date:

Director/Deputy Director: __________________ Approved Denied: Date:

***Copy of Approved Request must be Submitted with Reimbursement Packet***