Yes, my support person will require separate n No, my support person will not require separate lodging
lodging
If bringing a support person, will your support person require airport transportation?
o Yes, my support person will require transportation to/from the airport
o No, my support person will not require transportation to/from the airport
Acknowledgement and Signature
taxes, mileage, and
By checking and signing below, I acknowledge I have read and understand that only lodging, lodging
authorized as outlined
commercial transportation expenses (airfare, bus, train, and hotel transportation only) will be
tand that the followi ng will not be includ ed/pro vided in the author ized expens es: meals, rental vehicle,
.
above I unders
entertainment, or other incidental charges.
Click here to enter Your full name Click here,to enter signature
fi Yes, I acknowledge the above
date
statement
1
3
EFTA01650144