Attachment_3_Travel_Authorization_Request.pdf
PDF 166 KB Posted
- Attached to
- The Japan F-35 Technology Security Support Team Federal contract opportunity
- Solicitation number
- N68335-19-R-0086
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Attachment 3
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Text version
CLIN SUB-CLIN
EMPLOYEE NAME:
COMPANY:
CONTRACT:
SUPPORTED IPT:
ORGANIZATION TO BE VISITED:
PURPOSE:
DATE PREPARED:
ORIGIN LOCATION:
DESTINATION LOCATION(S):
DEPARTURE DATE:
RETURN DATE:
TOTAL COST:
TYPE OF EXPENSE # OF DAYS SUB-TOTAL
SUPPORTED IPT LEAD:
JPO TRAVEL APPROVER*:
JPO COR:
TRIP REPORT REQUIRED:
*REFER TO DM# 377581 FOR UPDATED LIST OF TRAVEL APPROVERS. ACCOUNT FOR ALL EXPECTED TRAVEL EXPENSES ON THIS TRAVEL REQUEST FORM. THIS IS YOUR ESTIMATED COST FOR GOVERNMENT APPROVAL..
YOU ARE REQUIRED TO CHECK THE CURRENT PER DIEM RATES PRIOR TO YOUR AUTHORIZED TRAVEL.
DM# 218632
JPO CONTRACTOR TRAVEL AUTHORIZATION REQUEST FORM
PER DIEM RATE / DAILY EXPENSEDESCRIPTION
ADDITIONAL NOTES:
JSF SUPPORT CONTRACTS MANAGEMENT OFFICE TRAVEL AUTHORIZATION NUMBER
PROVIDE JUSTIFICATION THAT ALTERNATE MEANS, SUCH AS SECURE VIDEO TELECONFERENCING (SVTC) OR OTHER WEB-BASED COMMUNICATION, ARE NOT SUFFICIENTLY ABLE TO ACCOMPLISH TRAVEL OBJECTIVES
DAPD SCP/FMS FM (IF APPLICABLE) :
http://www.defensetravel.dod.mil/site/perdiemCalc.cfm http://www.defensetravel.dod.mil/site/perdiemCalc.cfm
Untitled
| Company: |
| IPT: |
| Purpose: |
| Name: |
| Date Prepared: |
| Originating Location: |
| Destination Location: |
| Departure Date: |
| Return Date: |
| Dropdown1: |
| 0: [AIRFARE] |
| 1: [MEALS AND INCIDENTALS] |
| 2: [LODGING] |
| 3: [LODGING TAXES] |
| 4: [ ] |
| 5: [ ] |
| 6: [ ] |
| 7: [ ] |
| 8: [ ] |
| 9: [ ] |
| Organization to visit: |
| Description: |
| 1: |
| 2: |
| 3: |
| 4: |
| 5: |
| 0: |
| 6: |
| 7: |
| 8: |
| 9: |
| # of Day: |
| 1: 0 |
| 2: 0 |
| 3: 0 |
| Current Per Diem: |
| 1: 0 |
| 2: 0 |
| 3: 0 |
| Total Expense: |
| 0: 0 |
| 1: 0 |
| 2: 0 |
| 3: 0 |
| 4: 0 |
| 5: 0 |
| 6: 0 |
| 7: 0 |
| 8: 0 |
| 9: 0 |
Signature:
| Total Cost: 0 |
| Justification: |
| SUB-CLIN: |
| Additional Note: |
| TAR#: |
| CLIN: |
| Clin: [USG] |
| Yes: Off |
| No: Off |
| Text1: YES |
| Text2: NO |
| Contract#: |
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