Directed Energy Test and Evaluation Conference
Presentation Release Form
16-18 January 2018, Albuquerque, New Mexico

Mail or fax this form to the address provided below to be received on or before 22 December 2017

Authorization is hereby granted for the following presentation to be given at the Nineteenth Annual Directed Energy Symposium. The presentation must have proper classification markings and be assigned the appropriate Distribution Statement. (See page 2 for the approved list.) The highest level of classification to be presented at this Symposium will be SECRET / NOFORN.

1. AUTHOR INFORMATION

Author(s) Names: / Affiliation(s) (company, city, state) / Telephone # / Email address

2. PRESENTATION DETAILS (All information must be filled out completely)

Presentation Title (Unclassified):

Presentation Classification: ______Distribution Statement (see page two): ___

Derived from: ______Declassify on: _____

Abstract ID Number: (E.g.: 17-Symp-xxx or 17-EduWksp-xxx)

3. PROCEEDINGS (Check one)

The primary author, representing all authors, wishes to:

publish

not publish (check the appropriate box)

the presentation in the appropriate proceedings.Note that by checking publish, you authorize copyright transfer. Information on DEPS copyright transfer policies is available at www.deps.org under the DEPS Info tab.

4. AUTHOR SIGNATURE

Author signature confirms that the author has obtained all approvals and releases to present this information at the Annual Directed Energy Symposium, that classification markings are correct and accurate, the distribution statement is in accordance with DoD 5230.24 and the ITAR, and that appropriate classification and downgrading information is properly displayed on the first page of all classified material.

Primary Author's Name and Address / Signature and Date

Send to:

DEPS Graphics

695 Conway Ave..

Las Cruces, NM 88005

or Fax to: 1-866-338-0967

Confirmation by email at

AUTHORIZED DISTRIBUTION STATEMENTS

All presentations must have an authorized limited distribution statement on the first page. For further information about limited distribution statements, see DoD Directive 5230.24. One of the following distribution statements is required.

Distribution Statement A: Approved for public release; distribution is unlimited.

Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors (fill in reason) (date of determination). Other requests for this document shall be referred to (insert controlling DoD office).

Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only (fill in reason) (date of determination). Other requests shall be referred to (insert controlling DoD office).

Export Control Warning All technical documents that are determined to contain export-controlled technical data shall be marked per DoDI 5230.24, para. E3.1.1.8

Distribution Statement F: Further dissemination only as directed by (insert controlling DoD office) (date of determination) or higher DoD authority.

Note: If Distribution Statement F is used, DEPS will make no attempt to obtain permission from the author to publish. Presentations and papers with this distribution statement will not be included in any DEPS publications (e.g., proceedings).

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