Please fill out the form below and fax it to Leslie Williamson, at
202-653-5161. Question about completing this form should be
directed to Leslie Williamson at 202-254-3600 or
lwilliamson@osc.gov.
1. General Event Information
a. Title and description of event:
b. Event sponsor(s):
d. Event location:
2. Sponsor Contact Person for Proposed OSC Presentation:
5.
Will payment of speaker's travel-related expenses be offered?
(Payment of such expenses is not required for consideration of this
request.) If yes, please complete the following:
)
amount
6.
If any payment in item 5 table will be from a source other than event sponsor, are you aware of any case(s) involving the
payment source pending at OSC?
()
()
7. Has event sponsor had any case involvement with OSC within the last five years?
()
()
8. Are you aware of any case(s) pending at OSC involving event sponsor?
()
()
12.
13.
14. Can you have the following available for the presentation?
Computer compatible w/ Microsoft Power-Point and projector?