Technical Exhibit (TE) 5 - Contractor Travel Expense Report.pdf

Dates of travel

Location From 0 0 0

Location To Totals

Receipts

Required

Meals & Incidentals (per diem) $0.00 no

Lodging (without taxes) $0.00 yes

Lodging Tax $0.00 yes

Rental Car (if applicable) $0.00 yes

Rental Car Fuel (if applicable) $0.00 yes

Taxi (if applicable) $0.00 yes

Authorized POV miles traveled XXXXXXXXXXX no

Authorized Mileage $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Tolls/Parking $0.00 yes

Telephone (business) $0.00 yes

Airline Ticket $0.00 yes

Airline Baggage Fee $0.00 yes

Other Expenses $0.00 yes

Total Expenses $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Contractor Traveler Signature Date

Date

Columns indicate each day of official travel

Rows indicate typical TDY expenses

Enter data only into white cells (gray cells are protected)

Total Rental car cost may be entered on the last day of official travel

Round trip airline ticket total costs may be entered on the first day of travel

Total cost of airport parking may be entered on the last day of travel

Actual POV miles should be entered on each day of use

If official travel extends beyond 7 days, use Extended-travel-sheet-1

Extended-Travel-Sheets expenses will populate to the totals on this sheet

Contractor and Government ACOR must sign and date

2nd & subsequent "Location From" cells populate from previous day's "Location To"

I certify that the contractor travel was authorized by the Government and that all expenses on this report are accurate and in accordance with the task order

Contracting Officer Representative (COR)

Purpose of Travel I certify that the expenses as stated on this report are accurate and in accordance with the task order

Explain "other" expenses

List/explain pre-paid items: (Company will deduct all prepaid amount(s) listed from employees total expenses)

Instructions

CONTRACTOR TRAVEL EXPENSE REPORT

Contractor Name

Contract and Task Order #