B08_R0012_Att_J-4_Travel_Authorization_Form.docx
DOCX document 102 KB Posted
- Attached to
- External CADR Recompete Federal contract opportunity
- Solicitation number
- 140D0423R0012
About this file
This document contains a travel authorization request form for the United States Department of the Interior. The form requires travelers to provide information such as name, office contact details, trip dates and locations, estimated expenses including airfare, lodging, rental car, and per diem costs, and signatures for traveler certification and authorizing official approval. The related federal contract opportunity is solicitation number 140D0423R0012 for external CADR recompete services to provide neutral, consensus-building professionals, facilitators, mediators, trainers, and other conflict management experts to the Department of the Interior Departmental Offices Interior Business Center.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| B08_R0012_Att_J-10_Q_A_0003.xlsx | XLSX spreadsheet | |
| Sol_140D0423R0012_Amd_0003.pdf | ||
| Amendment_2_Final_2-10-23_0002.pdf | ||
| Sol_140D0423R0012_Amd_0002.pdf | ||
| B08_R0012_Att_J-8_Past_Performance_Questionnaire_-_Revised_2-1-23_0001.pdf | ||
| Sol_140D0423R0012_Amd_0001.pdf | ||
| 140D0423R0012_Amendment_1_Final_0001.pdf | ||
| B08_SOL_140D0423R0012_-_FINAL.pdf | ||
| B08_R0012_Att_J-6_Non-Disclosure_Agreement.pdf | ||
| B08_R0012_Att_J-9_Q_A_Template.xlsx | XLSX spreadsheet | |
| Sol_140D0423R0012.pdf | ||
| B08_R0012_Att_J-7_Sample_Task_Orders.pdf | ||
| B08_R0012_Att_J-5_No_Conflict_of_Interest_Certificate.pdf | ||
| B08_R0012_Att_J-3_CO_WD.pdf | ||
| B08_R0012_Att_J-2_DC_WD.pdf | ||
| B08_R0012_Att_J-1_Contract_Labor_Rates_Price.xlsx | XLSX spreadsheet | |
| B08_R0012_Att_J-8_Past_Performance_Questionnaire.pdf |
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Text version
United States Department of the Interior
INTERIOR BUSINESS CENTER
Washington, DC 20240
Travel Authorization Request Form
Failure to provide required information may result in delay of a response or disapproval of the request. https://www.gsa.gov/policy-regulations/regulations/federal-travel-regulation/federal-travel-regulation-and-related-files
TAB to each grey field ( ) and type in the information pertinent to the trip. Send as an e-mail attachment to the Contracting Officer’s Representative for approval prior to making any travel arrangements.
1. Traveler Information
Traveler Name (Last, First, MI)
| Office Phone |
| Building / Room # |
| Fax No. |
| Position / Title |
2. Trip Information
Travel Departure (BEGIN) Date (mm/dd/yy)
| Travel Return (END) Date |
(mm/dd/yy)
| Purpose of travel |
| Trip Leg |
| Location (City, State) |
| Arrival Date (mm/dd/yy) |
| Arrival Time |
| Departure Date |
(mm/dd/yy) Departure Time
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
3. Expense Breakdown
Estimated Expenses/Cost Breakdown
| Airfare: |
| $ |
| $ |
Additional: $
| Lodging: |
| $ |
| $ |
| Rental Car*: |
| $ |
| $ |
| Ground Transportation to / from airport |
| $ |
| $ |
| Per Diem: |
| $ |
| $ |
| Total |
| $ |
| $ |
*Anything other than compact requires justification in Remarks/Additions/Justifications
4. Remarks/Additions/Justifications
Explanation for other anticipated expenses (e.g. taxis, parking, telephone and other allowable miscellaneous expenses):
5. Traveler Certification
I certify that the information given above is accurate. I agree to the terms and conditions set forth in this document as well as the policies governing official travel under the FTR.
Traveler Signature _____________________________________ Date________________
6. Authorizing Official’s Signature
I, recommend this Travel. |_|Yes |_|No (enter name)
Authorizing Official’s Signature Date
Comments:
All travel costs and per diem costs must conform to Federal Travel Regulations (FTR) in effect at the time of travel authorization, including but not limited to daily per diem and lodging rates in effect for the area at the time of the travel. Expenses not in conformity with the FTR will not be reimbursed and should not be submitted. Receipts and other written evidence to support submitted travel expenses over $25.00 will be retained by the contractor for the duration of the contract plus one year, and made available to the CO or COR on request.
Travel not supported by receipts or other evidence will not be reimbursed and should not be submitted. The contractor will state on all invoices that include claims for travel reimbursement that these claims are fully supported by proper documentation, that the documentation is available for audit, and that the claims conform to the FTR.
ID/IQ 140D0423R0012 – Attachment 2 1
ID/IQ 140D0423R0012 – Attachment 2 2 image1.png
File details come from the government source that posted it. Updated .