C04d Attachment 3 Request For Travel Authorization 1284LM26Q0117.pdf
PDF 2 MB Posted
- Attached to
- USDA Forest Service Land Management Integrated Resources (LMIR) BPAs Land Mgmt Plan for Greater Sage Grouse
- Solicitation number
- 1284LM26Q0117
- Issued by
-
Department of Agriculture Forest Service
About this file
This is a Request for Travel Authorization (RTA) template used to obtain advance approval for employee travel on federal contracts. The form requires travelers to submit documentation and obtain written approval from the Contracting Officer's Representative (COR) a minimum of fourteen (14) business days prior to travel departure.
The RTA template captures essential traveler and trip information including the traveler's name, company name, contract number, line item, departure and return dates, and origin and destination locations. Travelers must document the purpose of travel and provide itemized estimated costs for transportation (airfare, mileage, rental car, other transportation), lodging, meals, registration fees, and other expenses, with a total estimated cost calculation. The form includes hyperlinks to GSA resources for mileage rates and per diem allowances to ensure compliance with federal travel regulations. The traveler must certify that the requested travel is appropriate and necessary for contract obligations, agree to comply with Contract Terms & Conditions, the Federal Acquisition Regulation, and Federal Travel Regulations, and commit to submitting receipts for reimbursement. The COR must sign and date the form to grant approval, with space provided for COR comments regarding the travel request.
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Text version
REQUEST FOR TRAVEL AUTHORIZATION (RTA)
Each traveler must submit this form and get COR written approval fourteen (14) business days in advance of travel.
Date of Request: __________
Traveler’s Name Departure Date
Company Name Return Date
Contract # Destination (From)
Line Item Destination (To)
PURPOSE OF TRAVEL
http://www.gsa.gov/mileage http://www.gsa.gov/perdiem EXPENSES Cost/day # of days EST. COST EXPENSES Cost/day # of days EST. COST
Airfare $ Lodging $
Mileage $ Meals $ Rental Car $ Registration
Fee(s)
Other Transportation
$ Other Expenses
TOTAL ESTIMATED COST $
REMARKS REGARDING EXPENSES
TRAVELER’S CERTIFICATION
By signing below, I certify the requested travel is appropriate and necessary for conducting obligations/tasks according to the contract # provided above, and agree to comply with the Contract Terms & Conditions and the Federal Acquisition Regulation and the Federal Travel Regulations. Receipts are required and must be submitted for reimbursement.
SIGNATURE DATE
COR APPROVER
SIGNATURE DATE
x x ==
COR COMMENTS
http://www.gsa.gov/mileage http://www.gsa.gov/perdiem
| Travelers Name: |
| Company Name: |
| Contract: |
| Destination From: |
| Line Item: |
| Destination To: |
| CostdayAirfare: |
| of daysAirfare: |
| fill_32: |
| CostdayLodging: |
| of daysLodging: |
| fill_33: |
| CostdayMileage: |
| of daysMileage: |
| fill_34: |
| CostdayMeals: |
| of daysMeals: |
| fill_35: |
| CostdayRental Car: |
| of daysRental Car: |
| fill_36: |
| CostdayRegistration Fees: |
| of daysRegistration Fees: |
| fill_37: |
| CostdayOther Transportation: |
| of daysOther Transportation: |
| fill_38: |
| CostdayOther Expenses: |
| of daysOther Expenses: |
| fill_39: |
| fill_40: 0 |
| DATE: |
| DATE_2: |
| Clear Form: |
| Return Date_af_date: |
| Departure Date_af_date: |
| Date of Request_af_date: |
| PURPOSE OF TRAVEL: |
| REMARKS REGARDING EXPENSES: |
| COR or TASK INSPECTOR COMMENTS: |
File details come from the government source that posted it. Updated .