Attachment J.3 CDLR A006 Travel Authorization FORM.xlsx
XLSX spreadsheet 25 KB Posted
- Solicitation number
- 6973GH-26-R-00070
About this file
This is a Travel Authorization Form (CDRL A006) template for contractor personnel travel reimbursement in compliance with Federal Travel Regulations (FTR) and GSA per diem rates. The form serves as both a pre-approval document and a post-travel reimbursement tracking tool for the FAA Flight Program Pilot Training Services contract (6973GH-26-R-00070). It requires written authorization from the Contracting Officer and/or Contracting Officer's Representative (COR) prior to any travel undertaken in contract performance.
The form captures comprehensive travel cost data across multiple expense categories: transportation mode (air, rail, POV), vehicle rental (compact car default unless FAA-authorized otherwise), privately owned vehicle mileage reimbursement, miscellaneous expenses (metro, taxi, tolls), hotel/lodging with 15 percent tax calculations, and meals/incidental expenses (M&IE) based on GSA per diem rates by city/state. The form distinguishes between estimated costs (required for pre-approval) and actual costs (required with supporting receipts for reimbursement invoicing). Per diem calculations account for travel days at 75 percent and full mission days at 100 percent. All contractors must provide traveler names, destination, duration, purpose, and cost estimates prior to departure, with actual expenses reconciled and submitted with airline tickets, hotel receipts, car rental receipts, and miscellaneous expense documentation.
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Text version
CDRL A006 TRAVEL AUTHORIZATION
| Travel Authorization Form | ||
| Employee Name: | Dates of Travel: | thru |
| Contract / Task Number: | ||
| Reason for Travel: |
| TRANSPORTATION MODE | |||
| Travel Mode: | Notes: | ||
| Confirmation Number: | |||
| Carrier Name: | |||
| Carrier Phone Number: | COMMERCIAL TRAVEL ESTIMATE: | ||
| Marker, Matilda (FAA): Travel estimate based on projected transportation expenses. | $0.00 | ||
| Reservations: | ACTUAL COST: |
Marker, Matilda (FAA): Airline Ticket Receipt required.
$0.00
Departed (city, st) Date Arrived (city, st) Date Flight #
DURATION of TRAVEL STATUS: 1.00 (days)
| VEHICLE RENTAL | |||||||
| Daily Rental Rate: | $0.00 | Rental Tax: | $0.00 | Pick-Up Date & Time: | |||
| Vehicle Class: | Compact | (compact unless otherwise authorized) | Return Date & Time: | ||||
| Rental Car Gas: | $0.00 | Rental Days: | 0 | ||||
| Daily Rental Estimate: | $0.00 | ||||||
| Auto Rental Company: | VEHICLE RENTAL ESTIMATE: | ||||||
| Marker, Matilda (FAA): Vehicle rental estimate based on compact size rental, unless otherwise authorized by FAA. | $0.00 | ||||||
| Reservation: | ACTUAL COST: |
Marker, Matilda (FAA): Auto Rental Receipt required.
$0.00
| ESTIMATED MILEAGE |
| Privately Owned Vehicle (POV) Mileage Reimbursement Rates |
| POV Reimbursement Rate: | $0.00 | per mile | POV REIMBURSEMENT ESTIMATE: | $0.00 | |
| Mileage Estimate: | 0 | Actual Mileage: | 0 | ACTUAL COST: | $0.00 |
| MISCELLANEOUS EXPENSE | |||||
| Metro Estimate: | $0.00 | Actual Expenses: | $0.00 | ||
| Taxi Estimate: | $0.00 | $0.00 | |||
| Toll Esimate: | $0.00 | $0.00 | MISCELLANEOUS ESTIMATE: | $0.00 | |
| Other: | $0.00 | $0.00 | ACTUAL COST: |
Marker, Matilda (FAA): Miscellaneous Receipts required.
Marker, Matilda (FAA): Travel estimate based on projected transportation expenses.
Marker, Matilda (FAA): Airline Ticket Receipt required.
$0.00
| HOTEL / LODGING (per diem rates) | ||||
| Hotel Per Diem: | Arrival: | |||
| Hotel Tax (15%): | $0.00 | Departure: | ||
| Hotel Est Cost Per Night: | $0.00 | Hotel Nights: | ||
| Hotel Parking: | $0.00 | |||
| Daily Estimate: | $0.00 | |||
| Hotel: | ||||
| Adress: | ||||
| Phone: | ||||
| Reservation: | HOTEL ESTIMATE: | $0.00 | ||
| ACTUAL COST: |
Marker, Matilda (FAA): Hotel Receipt required.
$0.00
| CONUS PER DIEM / Meals and Incidental Expenses (M&IE) | Foreign Per Diem Rates |
| City/State: _____M&IE: |
Marker, Matilda (FAA): Update city/state as required based on duty location.
| $0.00 | Travel Day: | |
| Marker, Matilda (FAA): First Travel Day and Last Travel Day = 2 days | 0 | $0.00 |
| Travel days (75% M&IE): |
Marker, Matilda (FAA): First and Last Travel Day per diem rate.
Marker, Matilda (FAA): First Travel Day and Last Travel Day = 2 days $0.00 Mission Days:
Marker, Matilda (FAA): Actual work days excluding first and last travel day.
Marker, Matilda (FAA): Hotel Receipt required.
0 $0.00 M&IE COST:
Marker, Matilda (FAA): IAW GSA per diem rates for full mission days plus travel days. The first and last calendar day of travel is calculated at 75 percent.
$0.00
| GOVERNMENT AUTHORIZATION (Travel shall be paid in accordance with FTR.) | Federal Travel Regulations (FTR) |
| Task Manager / POC: |
Marker, Matilda (FAA): Task Manager or contract POC requesting and approving travel requirements.
| ESTIMATED TOTAL COST: | $0.00 | ||
| COR: | |||
| Marker, Matilda (FAA): Contracting Officer Representative ensuring funds are obligated to cover estimated travel expenses. | ACTUAL COST: |
Marker, Matilda (FAA): Airline Ticket, Hotel, Car Rental, Gas, Misc Expense Receipts are required.
| $0.00 |
| CO: |
Marker, Matilda (FAA): Contracting Officer approving estimated travel expenses.
Marker, Matilda (FAA): IAW GSA per diem rates for full mission days plus travel days. The first and last calendar day of travel is calculated at 75 percent.
Marker, Matilda (FAA): Vehicle rental estimate based on compact size rental, unless otherwise authorized by FAA.
Marker, Matilda (FAA): Airline Ticket, Hotel, Car Rental, Gas, Misc Expense Receipts are required.
Difference: $0.00
&7TRAVEL AUTHORIZATION FORM
https://www.gsa.gov/travel/plan-book/transportation-airfare-rates-pov-rates-etc/privately-owned-vehicle-pov-mileage-reimbursement-rateshttp://www.gsa.gov/portal/content/104877http://www.gsa.gov/portal/content/104790https://www.gsa.gov/travelhttps://aoprals.state.gov/web920/per_diem.asp data dropdown
| VEHICLE OWNERSHIP | VEHICLE CLASS | TRANSPORTATION |
| Privately Owned Vehicle (POV) | Economy | Privately Owned Vehicle (POV) |
| Government Furnished Vehicle | Compact | Government Furnished Vehicle |
| Rental Vehicle | Intermediate | Rental Vehicle |
| Standard | Air | |
| Full Size | Train | |
| Other |
Instructions
| TRAVEL AUTHORIZATION FORM INSTRUCTIONS |
| Complete form per section to obtain a travel cost estimate and approval prior to traveling. |
| Update travel form with actual cost and submit with invoice along with travel receipts. |
| TRAVEL REQUIREMENTS |
All required travel will be specified in individual task orders issued. The cost of transportation, lodging, subsistence and incidental expenses (per diem) incurred by the Contractor personnel when requested to travel in the performance of a contract will comply with the limitations as set forth in the FAA Travel Policy and Federal Travel Regulations (FTR).
PRIOR APPROVAL OF TRAVEL
Before undertaking any travel in performance of contracts, the Contractor must obtain a written approval from the Contracting Officer and/or Program Office COR. The Contractor will provide, at a minimum, the number of persons in the party, traveler name(s), destination(s), duration of stay, purpose, and estimated cost via Travel Authorization Form.
PER DIEM RATES must be used to estimate travel expense.
| TRANSPORTATION MODE |
| Enter transportation mode information and cost estimate based on airline ticket, etc. |
| Enter departure and arrival information. |
| After trip, update form with actual cost and submit with invoice. |
| VEHICLE RENTAL |
| Enter vehicle daily rental rate. |
| Enter compact car only, unless otherwise authorized by FAA. |
| Enter estimated rental car gas, tax, and pick-up/drop-off time. |
| The estimated rental cost will populate based on data entered. |
| After trip, update form with actual cost and submit with invoice. |
| ESTIMATED MILEAGE |
| Enter personal vehicle mileage estimate. |
| After trip, update form with actual cost and submit with invoice. |
| MISCELLANEOUS EXPENSE |
| Enter estimated miscellaneous expenses. |
| After trip, update form with actual cost and submit with invoice. |
| HOTEL / LODGING (per diem rates) |
| Enter hotel per diem rate based on duty location (look up city/state). |
| Enter hotel parking estimate (fee x days). |
| Enter other hotel information. |
| Enter arrival and departure dates. |
| The estimated hotel cost will populate based on data entered. |
| After trip, update form with actual cost and submit with invoice. |
| PER DIEM / Meals and Incidental Expenses (M&IE) |
| Update City/State per diem rate as required based on duty location (look up city/state). |
| Enter (2) for first and last travel day. |
| Enter number of actual working days excluding first and last travel day. |
| Invoice for full M&IE based on actual travel dates. Meal receipts are not required. |
| The first and last calendar day of travel is calculated at 75 percent. (OKC example) | |
| Total | First & Last Day of Travel |
| $0 | $0.00 |
http://www.gsa.gov/portal/content/104877https://www.gsa.gov/travel
File details come from the government source that posted it. Updated .