A7_-_Travel_Indemnification.pdf

Attachment 7

FA3020-15-R-0007

Letter of Identification (LOI) for Travel - Official Travel of Government Contractors This letter is the official means of contractor employee travel for travel throughout CONUS/OCONUS. Contractor employees are not authorized to use the City Pairs Program Fares.

Contractor (Name, Address, Telephone & Fax Number) Vendor Code Date

Travel Authorization Number Date

Employee Name SSAN

Destination/Itinerary Purpose of Travel Length of Travel

Use of Commercial Travel Office is Authorized

Yes No Transportation Authorized Yes No

Rail Yes No

Lodging Eligibility Yes No POV Yes No Bus Yes No

GS Equivalency Rating

(Lodging Purposes Only) N/A Excess Baggage Authorized

N/A Pieces Weight

Installation Access Authorized Yes No Hours of Access :24 hours

Privileges Authorized (Applicable to non-ID Card holders. i.e. Access to Commissary, BX, Medical Care, etc.)

(Note: Contractor employees without ID cards will only receive privileges identified on LOI)

Commissary No Base Exchange No

Medical Services Yes Other _______________________ Contract Number Task Order Number Contract Line Item Number(s) (CLIN(s

Contracting Organization/Address

Telephone Number

Contract/Task Order Period

Contracting Officer

Telephone, Fax, E-Mail

Accounting Appropriation (Include CIC for international travel at government expense)

Estimated Cost Distribution N/A

Address any inquiries regarding this LOI (Name)

Signature

Telephone Fax E-Mail

Authorizing Authority:

(Resource ADVISOR)

Approving Authority:

(Contracting Officer )

Name Name Joint Travel Regulation (JTR), Vol 2 is available at http://www.dtic.mil/perdiem/.

Section 6311 of title 5, United States Code, authorizes collection of this information. The primary use of this information is for the AF and your employer to obtain information related to your government directed travel.

Where the employee identification number is your Social Security Number, collection of this information is authorized by Executive Order 9397.

Furnishing this information on this form, including your Social Security Number, is voluntary, but failure to do so may result in the disapproval of this request.

http://www.dtic.mil/perdiem/