ATTACHMENT B - TRAVEL AUTHORIZATION REQUEST.pdf

PDF 88 KB Posted

Attached to
Q702--Long Beach Mental Health Inpatient/Outpatient Activation
Solicitation number
36C77622Q0316
Issued by

About this file

This document contains a travel authorization request template. The template requests the traveler's name, organization, position title, travel dates, locations traveled between, purpose of trip, associated task or deliverable, duration of trip excluding travel days, approximate costs including transportation, lodging, per diem and other expenses, total estimated costs, approving official's name and signature line, and a comments section.

Also provided is information for a federal contract opportunity to provide inpatient and outpatient mental health services for the Department of Veterans Affairs Long Beach Healthcare System. The solicitation number is listed as 36C77622Q0316 and is for the opportunity "Q702--Long Beach Mental Health Inpatient/Outpatient Activation." The agency is identified as the Department of Veterans Affairs Technology Acquisition Center Austin.

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Text version

Travel Authorization Request

Requestor Name:

Organization:

Position Title:

Travel Dates:

Traveling from:

Traveling to:

Purpose of trip:

Associated Task, Subtask and/or Deliverable:

Duration of Trip (excluding travel days):

Approximate Costs:

- Transportation:

- Lodging:

- Per Diem:

- Other:

- TOTAL:

Approving Official Name:

Approved: o Yes oNo

Approving Official Signature:

Comments:

File details come from the government source that posted it. Updated .