C03 - ATTACHMENT D - TRAVEL AUTHORIZATION REQUEST.docx
DOCX document 15 KB Posted
- Solicitation number
- 36C24722Q0684
About this file
This document contains a travel authorization request form and details of a related federal contract opportunity issued by the Department of Veterans Affairs. The travel authorization form requests information such as the requester's name and organization, travel dates and locations, purpose of trip, associated tasks or deliverables, estimated costs including transportation, lodging, per diem and other expenses.
The related federal contract opportunity is a request for quote issued by the VA Veterans Health Administration for the purpose of purchasing a Virtual Patient Monitoring System. The solicitation number is 36C24722Q0684 and further details can be found in the attached Statement of Work. The agency is seeking to procure this system in accordance with the requirements in the solicitation and its attachments.
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Other files
| File | Type | Posted |
|---|---|---|
| SOW - TeleCare Companion Sta 509 CNVAMC TeleCare Companion.pdf | ||
| 36C24722Q0684.docx | DOCX document |
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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:
1. Transportation:
1. Lodging:
1. Per Diem:
1. Other:
1. TOTAL:
Approving Official Name:
Approved: o Yes oNo
Approving Official Signature:
Comments:
File details come from the government source that posted it. Updated .