ID08200023 Appendix O - Travel Authorization-Report.pdf

Description

I. Be submitted in advance of the travel with sufficient time to permit review and approval

II. Be summarized by traveler

III. Contain the request date and Travel Authorization Number (TAR)

IV. Include the requesting individual’s name and e-mail

V. Include the Task Order Number, Contract Number, ACT Number

VI. Specify the Contract and Project Titles

VII. Specify the traveler’s e-mail address, title and primary duty location

VIII. Provide the purpose and description of travel

IX. State the destination(s), origin, departure date, return date, and number of days

X. Include travel estimates to include, airfare, lodging, rental car, per diem, mileage, and any reimbursable items (cab fare, parking, gasoline, etc…)

XI. Specify the associated Contract Line Item Numbers (CLINs)

XII. Provide the COR’s approval signature or e-mail attached

XIII. Contain the PCO approval or evidence of approval

XIV. Provide trip report to include but limited reason for the trip, location, when, and what was learned , and objective student and customer feedback.

Requests for travel approval shall:

REQUEST FOR TRAVEL AUTHORIZATION

Prime Contract #: Travel Authorization #:

Task Order #

Order ID #: Request Date:

CLIN

Prime Contractor:

Subcontractor:

Traveler (s) Name:

Traveler (s) Email:

Traveler (s) Title:

Traveler (s) Duty Location:

Government Requestor:

Purpose of Travel:

Origination Point:

Destination:

Dates of Travel: From: To #of days:

Costs: # of Days Rate Amount Explanation

Air Fare:

Baggage Fees:

Lodging:

Lodging Tax:

Per Deim - First/Last Day 75%: Per Diem:

Rental Vehicle:

Gas:

Mileage:

Parking:

Tolls:

Misc. (Baggage, Fees, Taxes, etc.): Total Cost Estimate:

Total Cost Estimate: -$

Signatures:

Employee Signature Date:

Printed Name

Government Supervisor Date:

Printed Name

Program Manager Date:

Printed Name

COR Signature Date:

Printed Name

Contracting Officer Date:

Printed Name

Note: Government authorization is required prior to any travel. The Contractor must contact the Contracting Office (Contracting Officer Name) at (email) at least 14 business days prior to travel departure.