ATTACHMENT B - Travel Authorization Request.pdf

PDF 88 KB Posted

Attached to
Q702--Cheshire County- Keene and Brattleboro Outpatient Clinic & Burlington, VT Outpatient Clinic IOT&A
Solicitation number
36C77626Q0215
Issued by

About this file

This is a Travel Authorization Request form template used for documenting and obtaining approval for employee travel related to federal contract work.

The form captures essential travel details including the requestor's name, organization, position title, travel dates, origin and destination locations, and the purpose of the trip. It requires identification of the associated task, subtask, and deliverable related to the travel, as well as the duration of the trip excluding travel days. The form itemizes approximate costs across four categories: transportation, lodging, per diem, and other expenses, with a total cost field. An approving official must review the request and indicate approval or denial via checkbox, provide their name and signature, and may include comments regarding the travel authorization. This template serves as the standard documentation mechanism for pre-authorization of travel expenses on federal contracts.

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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 .