Attachment 4 - Consent to Purchase (CTP).pdf

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Consent to Purchase (CTP) Form - Travel Date of Request:

Directions for use: This form shall be used to request travel that is within scope of the associated task order and/or contract. The contractor may insert/add additional lines as needed in a separate spreadsheet.

Required documentation: The required supporting documentation shall be submitted with this CTP request for approval before beginning travel. Failure to provide proper documentation and to follow the procedures in this contract shall result in no reimbursement to the contractor. This signed approval form shall be submitted by the contractor with the appropriate invoice.

Justification for travel:

Request Date:

Need by Date:

Urgent Request:

CTP #:

Traveler's Name(s)* Departure Location Beginning Date Arrival Location† Ending Date *Additional travelers:

This CTP is:

APPROVED

NOT APPROVED

Contracting Officer Representatives (COR) Contracting Officer (CO) Acquisition Program Manager (APM) Total Cost Reimbursable Request:

Approval Routing Chain: (Send this form via e-mail to all of the following per the PWS requirements) †Additional travel destinations:

Release v2.1 - 25 March 2021 Total Days:

Total Travelers:

Daily M&IE Rate:

Daily Lodging Rate:

Travel Days Per Diem:

Per Diem SubTotal:

Full Days Per Diem:

Estimated Airfare:

(per traveler) Gas:

Car SubTotal:

Est. Lodging Taxes:

Misc SubTotal:

POV Mileage (per traveler):

Mileage SubTotal:

Baggage Fees:

($25 per bag) Parking SubTotal:

Contract #:

Air Travel SubTotal:

Car Rental Daily Price:

Fees:

Tools:

Ticket Changes:

Other:

GroundTransportation:

Misc Parking (trip total):

Airport Parking Daily Price (per traveler):

9.0.0.2.20120627.2.874785