Advanced High Power Lasers
Presentation Release Form
24-27 June 2013, Santa Fe, NM

1. PRESENTATION SUBMITTED TO:

Free Electron Lasers Conference (FEL) Ultrashort Pulse Laser Workshop (UPL)

Gas Lasers Conference (GAS) Solid State and Diode Laser Technology Review (SSDLTR)

Plenary Session (Invited)

2. AUTHOR INFORMATION

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

3. 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.:13-xxx-yyy where xxx is your conference indicator, shown above, and yyy is a numerical identifier)

4. 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 publication requires copyright transfer. Copyright transfer information is available at www.deps.org.

5. PRIMARY AUTHOR SIGNATURE

Author signature confirms that the author has obtained all approvals and releases to make this presentation at the Advanced High Power Lasers meeting, 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.

Author’s Name and Address / Signature and Date

Fax to:

Fax # 1-866-338-0967

Or mail to:

DEPS Graphics

475 W. Van Patten Ave.

Las Cruces, NM 88005

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 limited distribution statements is recommended.

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).

Distribution Statement X: Distribution authorized to U.S. Government Agencies and private individuals or enterprises eligible to obtain export-controlled technical data in accordance with DoD Directive 5230.25, reference (c), (date of determination). Controlling DoD office is (insert).

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

If the following distribution statements is used, DEPS will refer requests for copies to the author.

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

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