J.6 Travel Authorization Form.pdf

Travel Expense Report Form

Company Name: Notes:

Traveler Name:

Traveler Address: Work Phone:

Cell Phone:

E-mail:

Address Given: Home Office Is employee traveling with Customer or Company Personnel? Yes No

List other persons travelling with Employee:

Purpose of Travel:

Project Number / Task Order:

Departing From: Destination Location:

Planned Departure Date: Planned Return Date:

Local Travel

Please note:

*First Date and Last Date are chargeable at 75% M&IE.

*Lodging will not be paid for local travel (50 miles or less)

*Provide both the Expense Report and the TAR Form with the Electronic Version of the Invoice.

I certify that this expense report is accurate and complete.

I certify that these expenses will not cause my funding limit to exceed the 75% threshold and I have sufficient funding for this TA.

COR Approval Date:

CO Approval Date:

Task Order Manager Review: Date:

*Local Travel will only be reimbursed for mileage in excess of requester's normal commuting distance. The request must specify miles to be traveled and the specific purpose of the travel (e.g., attendance at a specific meeting, etc.).

Please attach this form to the invoice.

*Expenses shall not exceed the official Government travel rates without prior COR Approval.

Misc. $ -

Parking at airport $ - $ - Mileage/Fuel $ -

Taxi $ - $ -metro $ -

M&IE per day $ - 1 $ -

Hotel taxes per day $ - M&IE per day FIRST DAY (75%) $ - 1 $ -

Lodging per day $ - $ - Airline Ticket $

M&IE per day LAST DAY (75%) $ - 1 $ -

Expense Item Vendor Cost Duration Total

To be completed before travel

Delta/Alamo Car Rental Car Rental

Estimation Estimation