Effective Date: July 1, 2017
(Refer to applicable Travel Directive Appendices A, B, C and D, as well as GAC – United States of America Mileage/Kilometre Rates or GAC – International Trade Kilometre Rates at Locations Abroad.)
Note: This document is intended only as a tool to facilitate discussion between the employee and authorizing manager prior to travel status. This tool may be subject to change.
Blanket Travel Authority - FISCAL YEAR: _________________________________
Blanket Travel Authority Tracking Number: _______________________________
Employee Name: __________________________________________________
Department: ______________________________________________________
Employee Signature: ________________________ Date (y/m/d): ____________
Delegated Manager Signature: ________________ Date (y/m/d): _____________
Blanket Travel Authority Geographic Location: ____________________________
Start Date (y/m/d): ___________________ End Date (y/m/d): ________________
Maximum number of consecutive travel days: _____________________________
Maximum dollar value/limitation for each individual trip: _____________________
Travel Advance: YES___ NO___ Specified Travel Advance Amount Limit: _______
Trip Purpose: _____________________________________________________
|
Article Ref. |
Category |
Yes = Y |
Detail |
|---|---|---|---|
|
3.1.1 |
Accommodation |
Hotel - daily room rate |
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Hotel - Service charges |
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Bed and Breakfast |
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Motels |
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Lodging facilities |
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Commercial accommodation - Other |
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Crown owned, leased, or operated facilities |
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Colleges |
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Universities |
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Educational institutions |
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Federal government training centers |
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Hospitals |
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Military establishment - Canadian |
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Military establishment - foreign |
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Tents |
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Trailers |
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Gov't & institutional accommodation - Other |
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Non-commercial facilities |
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Private dwelling |
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Private accommodation - Other |
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|
3.1.2 |
Additional business expense |
Facsimiles |
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Health Certificate (Health Canada) |
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Inoculations |
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Internet connections |
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Office equipment - rental |
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Office equipment - transportation |
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Entry documents (CanPass) |
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Entry documents (NEXUS) |
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Passport |
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Photocopies |
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Photos - passport and/or visa |
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Required personal effects |
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Service charge - Automated Banking Machine |
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Service charge - Automated Banking Machine |
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Service charge - credit/debit card usage |
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Service charge - government travel card usage |
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Service charge - safety deposit box |
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Service charge - traveller's cheques |
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Telephone expenses (business calls) |
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Telephone expenses (due to altered schedule/itinerary) |
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Vaccinations |
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Visa (entry permits) |
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Word processing services |
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X-rays |
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Business expense - Other |
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|
3.1.3 |
Bottled Water |
Bottled water - reasonable amounts of bottled water (based on receipts). |
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3.1.4 |
Currency exchange |
Commission charged |
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Conversion gain |
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Conversion loss |
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Fee - Automated Teller Machine service charge |
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Fee - service charge |
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Fee - travel card usage charge |
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|
Currency Exchange - Other |
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|
3.1.5 |
Dependant care |
With accommodation overnight - up to $35.00 Cdn per household, per day |
|
|
With accommodation overnight - up to $75.00 Cdn maximum, per household, per day |
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|
With accommodation overnight - Other provide explanation |
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3.1.6 |
Home Communication |
N/A |
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3.1.7 |
Incidental Allowance |
With accommodation overnight - incidental allowance as per Appendix C or D, as applicable. |
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3.1.8 |
Insurance |
N/A |
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3.1.9 |
Meals |
Daily Comprehensive allowance |
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Breakfast - meal allowance Appendix C or D, as applicable |
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Breakfast - prepaid (e.g. conference, voucher, included in room rate, etc.) |
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Lunch - meal allowance Appendix C or D, as applicable |
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Lunch - prepaid (e.g. conference, voucher, included in room rate, etc.) |
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Dinner - meal allowance Appendix C or D, as applicable |
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Dinner - prepaid (e.g. conference, voucher, included in room rate, etc.) |
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|
3.1.10 |
Rest periods |
N/A |
|
|
3.1.11 |
Transportation |
Disrupted travel pattern (residence to workplace) |
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Docking fees |
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Ferries |
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Transportation - Other |
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Parking lot |
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|
Parking meter |
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Transportation prepaid |
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Passenger - no charge |
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Tolls (e.g. road, tunnel, bridge) |
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Bus charter |
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Bus (local) |
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Shuttles |
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Subway |
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Taxi - chit utilized (do not enter charge) |
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Taxi - Receipts |
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Commercial - Other |
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Motorcycle - rental |
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Motorcycle - helmet rental |
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Other mode of transportation |
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Snowmobile - rental |
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Snowmobile - privately owned |
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Snowmobile - helmet rental |
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Watercraft - privately owned |
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Watercraft - rental |
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Crown owned and/or leased |
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Insurance charge (not otherwise covered) |
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Vehicle - Other |
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Private motor vehicle (kilometric rate) |
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|
Rental - drop-off charge |
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|
Rental - fuel charge |
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Rental - Insurance charge |
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|
Rental - compact |
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Rental - mid-size (standard) |
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Rental - large (non-standard) |
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|
Rental - Other |
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Rental - Insurance charge |
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Rental - Provincial Sales Tax |
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Rental - Quebec Sales Tax |
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Rental - Harmonized Sales Tax |
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|
Rental - Goods and Services Tax |