UNITED STATES DISTRICT COURT DISTRICT OF NEW JERSEY OFFICE OF THE CLERK Martin Luther King Jr. Federal Bldg & U.S. Courthouse 50 Walnut Street, Room 4015 Newark, New Jersey 07101 CAMDEN OFFICE M itchell H. C ohen U .S. Courthouse WILLIAM T. WALSH CLERK O ne John F. G erry PLAZA Fourth & C ooper Streets, R oom 1050 C amden, N ew Jersey 08101 TRENTON OFFICE C larkson S. Fisher U .S. C ourthouse 402 East State Street, R oom 2020 Trenton, N J 08608 REPLY TO: TRENTON TRAVEL AUTHORIZATION (Please complete this form and submit to the Court for approval) Name: Case Caption: Travel Dates: (May be nonspecific if confidentiality is required). Purpose of Travel: (Destination/reason for trip. May be nonspecific if confidentiality is required). Pursuant to Section 702 of the Federal Courts Administration Act of 1992, Public Law 102-572, 106 Stat. 4506, you are hereby authorized to obtain government travel rates for the above-described trip in connection with your representation under the Criminal Justice Act. You are authorized to contact National Travel Service at 1-800-445-0668 to request reservations and airline tickets. You must identify yourself as a CJA Panel Attorney (or Expert) in the District of New Jersey and advise National that your tickets are to be charged to this court's account. You should instruct National where to deliver your tickets. A copy of this Travel Authorization, as well as a copy of the airline tickets which were provided by National, must be attached to your voucher for audit purposes. Date of Request U.S.D.J. Date Internal Reference Number (For Court Use Only) (Rev. 4/12) American LegalNet, Inc. www.FormsWorkFlow.com