PWS_Appendix 7 - Travel Authorization Form.pdf
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- Attached to
- Capacity Services Communications III (CSC III)
- Solicitation number
- HC108426R0001
- Issued by
-
Defense Information Systems Agency
About this file
This is a Travel Authorization Request (TAR) Form template used to request and document approval for employee travel expenses. The form captures essential traveler information including the traveler's name, email, requesting authority contact details, local task supervisor, and travel dates with the total number of days required.
The form requires documentation of all estimated travel costs organized by category: per diem rates (based on GSA standards available at www.travel.dod.mil), lodging with daily rates and applicable taxes, airfare including all airline fees and travel agent costs, rental car expenses, gas, parking, mileage reimbursement at the GSA rate of $0.700 per mile, registration fees, and other direct costs (ODC). The calculations section computes per diem totals based on travel days and on-site days, lodging totals including taxes, mileage totals, and a grand total for all travel costs. The form requires COR (Contracting Officer's Representative) approval via signature and date, with a note requiring justification for any ODC expenses or lodging costs exceeding government-approved per diem rates. Additional required fields include contract number/task order, MIPR number, DAI position name, trip purpose, destination, and comments section for government-directed site support notation.
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Text version
Comments:
Requesting Authority (Name of Government/Site POC) Name / E-mail:
Name of Traveler:
E-mail of Traveler:
Local Task Supervisor:
Start of Travel: End of Travel:
Destination (Primary 1st then secondary):
Number of Days:
Airfare ($):
Per Diem Rate (Daily Rate $):
Travel Days: On Site Days: Per Diem Total:
Lodging (Daily Rate $):
Rental Car ($) :
Lodging Tax (daily, $):
Lodging Total:
Gas ($):
Parking ($):
Mileage (in miles): GSA Mileage Rate (per mile):
Mileage Total (in $):
Registration Fees ($):
Other Direct Costs (ODC):
Total Travel Costs:
Estimated Costs: Per Diem rates available at: //www.travel.dod.mil
COR Approval: (Signature/Date):
(Note: Provide justification to request approval for any additional ODC expenses or lodging costs above Government approved per diem rates.)
Contract Number/Task Order:
Travel Authorization Request (TAR) Form
Calculations:
Per Diem:
Lodging:
Total Tax:Total Lodging:
(Include all airline fees and any travel agent costs if applicable)
Total Number of Nights:
Purpose for Trip:
DAI Position Name:
MIPR#:
https://www.travel.dod.mil/ https://www.travel.dod.mil/
Estimated Costs: Per Diem rates available at: //www.travel.dod.mil
(Note: Provide justification to request approval for any additional ODC expenses or lodging costs above Government approved per diem rates.)
Travel Authorization Request (TAR) Form
Calculations:
Per Diem:
Lodging:
(Include all airline fees and any travel agent costs if applicable) 8.2.1.3144.1.471865.466429
| TextField2: Government Directed Site Support |
| Purpose for trip: |
| First day of travel: |
| Last Day of Travel: |
| Number of days traveling - fills in automatically.: |
| Airfare: |
| Enter the daily per diem rate for the trip here. : |
| TravelDays: |
| OnSiteDays: |
| PerDiemTotal: |
| LodgingRate: |
| RentalCar: |
| LodgingTax: |
| LodgingTotal: |
| Gas: |
| Parking: |
| Miles: |
| MileageRate: |
| TotalMileage: |
| Registration: |
| ODC: |
| SubTotal: |
| SignatureField1: |
| TextField3: |
| LodgingTotalTax: |
| Lodging: |
| NumNights: |
| TextField4: |
| TextField5: |
File details come from the government source that posted it. Updated .