Attachment 20 FEMA Post Travel Expense Summary.pdf

PDF 730 KB Posted

Attached to
Housing Inspection Services Federal contract opportunity
Solicitation number
HSFE80-12-R-0033
Issued by
Federal Emergency Management Agency Recovery Section

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Attachment 20 FEMA Post Travel Expense Summary

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Other files attached to Housing Inspection Services, newest first.
File Type Posted
HSFE80-12-R-0033_0005.pdf PDF
HSFE80-12-R-0033_0004.pdf PDF
Attachment_17_Operations_Costs_Model.pdf PDF
Attachment_15_Performance_Requirements_Summary_Matrix.pdf PDF
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Attachment_17_Operations_Costs_Model_LIVE_101612.xlsx XLSX spreadsheet
Attachment_4_Deliverables.pdf PDF
HSFE80-12-R-0033_0003.pdf PDF
Attachment_1_HIS_Performance_Work_Statement.pdf PDF
SOLICITATION_QA_POSTING_10192012.pdf PDF
Attachment_17_Operations_Costs_Model_LIVE_101612.xlsx XLSX spreadsheet
HSFE80-12-R-0033_Amendment_0002.pdf PDF
SOLICITATION_QA_POSTING_100412.pdf PDF
SOLICITATION_QA_POSTING_100312.pdf PDF
SOLICITATION_QA_POSTING_100112(2).pdf PDF
SOLICITATION_QA_POSTING_9212012(2).pdf PDF
Attachment_8_Shelter_IHP_Inspection_Guidelines.pdf PDF
SOLICITATION_QA_POSTING_9212012.pdf PDF
QUESTIONS ANSWERS.pdf PDF
Attachment 17 Operations Costs Model LIVE.xlsx XLSX spreadsheet
HSFE80-12-R-0033 0001.pdf PDF
Attachment 17 Operations Costs Model.pdf PDF
Attachment 2 Performance Requirement Summary.pdf PDF
Attachment 22 Production Update Format.xlsx XLSX spreadsheet
Attachment 5 A English Customer Service Survey.doc DOC document
Attachment 15 Performance Requirements Summary Matrix.xlsx XLSX spreadsheet
Attachment 14 FEMA Forms for Property.pdf PDF
Attachment 13 NEMIS ACE Interface.pdf PDF
Attachment 19 FEMA Travel Mileage Log.pdf PDF
Attachment 5 B Spanish Customer Service Survey.docx DOCX document
Attachment 6 Privacy Awareness Training.pdf PDF
Attachment 8 Shelter IHP Inspection Guidelines.pdf PDF
Attachment 4 Deliverables.pdf PDF
Attachment 12 119-7-1 Personal Property Manual.pdf PDF
HIS QA FBO POSTING2.pdf PDF
HSFE80-12-R-0033 HIS RFP.pdf PDF
Attachment 10 Automatic FEMA Corrections fbo.pdf PDF
Attachment 5 A English Customer Service Survey fbo.pdf PDF
Attachment 11 B Mobile Device Rules of Behavior User Agreement fbo.pdf PDF
HSFE80-12-R-0033 HIS RFP.pdf PDF
Attachment 21 HIS History fbo.pdf PDF
Attachment 18 Past Performance Questionnaire Template fbo.pdf PDF
Attachment 16 Inspection Invoice Template fbo.pdf PDF
Attachment 11 A Mobile Tablet Requirements fbo.pdf PDF
Attachment 19 FEMA Travel Mileage Log fbo.pdf PDF
Attachment 5 B Spanish Customer Service Survey fbo.pdf PDF
Attachment 9 B 009-0-4 Declaration and Release form Spanish former 90-69C fbo.pdf PDF
Attachment 14 FEMA Forms for Property fbo.pdf PDF
Attachment 1 HIS Performance Work Statement fbo.pdf PDF
Attachment 13 NEMIS ACE Interface fbo.pdf PDF
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INSPECTOR POST TRAVEL EXPENSE SUMMARY

UCSC Post Travel Form Office Use Only FAST Office Use Only Enter all payments made to or on behalf of the traveler (Numeric values) Enter all payments made on behalf of the traveler Note: Personal non-disaster related travel expenses are not reimbursable.

NOTE: If traveler chooses to include personal travel, record times/dates based only on the business portion of the trip. Provide explanation of personal travel.

Description of Expense Description of Expense Column Total Expense Total Expense Column Airfare * Airfare Expenses POV Mileage Mileage Expenses Rental Car * (excludes insurance) Rental Car Expenses Excluding Insurance Other Transportation (Bus, Metro, Taxis etc.)

Other Transportation Expenses Parking/Tolls Parking and Toll Expenses Training Expenses * Conference Registration Expenses Lodging (room + tax only) * Lodging Expenses Per Diem, Meals & Incidental Exp.

Meals and Incidentals Expenses Inspections Completed Foreign Per Diem Expenses Misc. (laundry, phone, tips baggage etc) Long Term Expenses

TOTALS:

Miscellaneous Expenses Inspector's certification: I certify the above are actual expenses incurred by me while on official Government business per the dates shown, and that the original receipts are attached for each expense of $75.00 or more, per CFO Bulletin120.1 and Federal Travel Regulations.

Traveler's certification: I certify that the above is a true statement, that the expenses claimed were incurred by me while on official University business on the dates shown, and that I have attached original receipts for each expense of $75.00 or more, as required by University policy. I certify that the private vehicle driven has adequate liability insurance per UC policy (G-28).

< Less Payments on behalf of Traveler > Less payments on behalf of traveler text Due to Traveler

Comments Comments Header Last Name, First Name, Middle Initial Important: Form must be filled out in Adobe Reader 8 or above for form functionality Total from Add'l Pages Less cash advances given to traveler text Fund Organization Account Activity Amount Reimburse mileage - $.51/mile Access the GSA Per Diem Rates for reimbursement validation Can add an updated link here.

Revised 4/4/2012 (Enter numeric values only) ** Use additional forms for further expenses and explanations ** Use additional forms for further expenses and explanations

* Must submit original itemized receipts regardless of amount *Must submit original receipts.

Section J. Attachment 20

InspectorName:
InspectorPhone:
AddressLine1:
CityStateZip:
Destination:
ContractorName:
AirfarePrepaid:
TrainingPrepaid:
LodgingPrepaid:
TotalPrepaid:
TripNumber:
DocNumber:
VendorNumber:
DateDue:
e:
AirfareTotal:
CommentsAirfare:
Mileage:
Calculated Total Personal Car Mileage:
CommentsMileage:
RentalCar:
RentalCarTotal:
CommentsRentalCar:
Transportation:
TransportationTotal:
CommentsTransportation:
Parking:
ParkingTotal:
Training:
TrainingTotal:
Lodging:
LodgingTotal:
Meals:
MealsTotal:
InspectionsCompleted:
InspectionsCompletedTotal:
Misc:
MiscTotal:
TotalDay1:
TotalDay2:
TotalDay3:
TotalDay4:
TotalDay5:
TotalDay6:
TotalExpenseAll:
TotalAdditionalPages:
LessPayments:
PaymentDue:
PrintButton1:
ResetButton1:
SignatureDate:
SecondTierSignature:
SignatureDate1:
Signature:
ReturnTime:
ReturnDate:
DepartureTime:
DepartureDate:
InspectorNumber:
OtherAuthorizedSignature:
TravelerEmail:
CurrentDate:
Cell1:
Cell2:
Cell3:
Cell4:
Cell5:
DateTimeField1:
Reimburse:
ReimburseTotal:
OtherPrepaid:
DateTimeField2:

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