*If extra space is needed, attach additional sheets of paper. UNITED STATES DISTRICT COURT CENTRAL DISTRICT OF CALIFORNIAU.S. COURTHOUSE 350 WEST FIRST STREET, SUITE 4311 LOS ANGELES, CALIFORNIA 90012-4565 TEL: 213-894-5708 LawyerRepsCACD@cacd.uscourts.govLAWYER REPRESENTATIVE REQUEST AND AUTHORITY TO INCUR TRAVEL EXPENSES (Complete this form and email to the address above.)Lawyer Representative (Include address; phone and fax numbers):Conference To Attend (Include dates; City and State):Eligibility for Reimbursement: (Provide an explanation of why attendance at the above conference would not be possible without reimbursement of travel expenses. If applicable, include a letter from your employer stating that reimbursement for the conference will not be made. )Total Anticipated Expenses: (Include estimated costs of transportation, lodging, conference registration, meals, etc. ) Signature of Lawyer RepresentativeDateGood cause having been found, authorization is granted to incur travel expenses. Reimbursement for registration, conference events, lodging, and meals is limited to actual and reasonable expenses and must be supported by receipts or copies thereof.APPROVED:Pamela Gamble Jackson Naturalizations and Special ProgramsDate** G-127 (10/18)LAWYER REPRESENTATIVE REQUEST AND AUTHORITY TO INCUR TRAVEL EXPENSES American LegalNet, Inc. www.FormsWorkFlow.com