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 |
|---|---|---|---|
|
3.2.1 |
Accommodation |
N/A |
|
|
3.2.2 |
Additional business expense |
Facsimiles |
|
|
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 - bank/financial institution commission |
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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 documents |
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|
Word processing services |
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|
X-rays |
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|
Business expense - Other |
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|
3.2.3 |
Bottled Water |
Bottled water - reasonable amounts of bottled water (based on receipts). |
|
|
3.2.4 |
Currency exchange |
Commission charged |
|
|
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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|
3.2.5 |
Dependant care |
Up to $35 Cdn, per household per day |
|
|
Up to $75 Cdn maximum, per household, per day |
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|
Other - Provide explanation |
|||
|
3.2.6 |
Home Communication |
N/A |
|
|
3.2.7 |
Incidental Allowance |
N/A |
|
|
3.2.8 |
Insurance |
N/A |
|
|
3.2.9 |
Meals |
Daily Comprehensive allowance |
|
|
Breakfast - meal allowance Appendix C or D, as applicable |
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|
Breakfast - prepaid (e.g. conference, flight, voucher, included in room rate, etc.) |
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|
Breakfast - High Meal Cost |
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|
Breakfast - receipted amount |
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|
Breakfast - Other |
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|
Lunch - meal allowance Appendix C or D, as applicable |
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|
Lunch - prepaid (e.g. conference, flight, voucher, included in room rate, etc.) |
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|
Lunch - High Meal Cost |
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|
Lunch - receipted amount |
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|
Lunch - Other |
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|
Dinner - meal allowance Appendix C or D, as applicable |
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|
Dinner - prepaid (e.g. conference, flight, voucher, included in room rate, etc.) |
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|
Dinner - High Meal Cost |
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|
Dinner - receipted amount |
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|
Dinner - Other |
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|
3.2.10 |
Rest periods |
N/A |
|
|
3.2.11 |
Transportation |
Disrupted travel pattern (residence to workplace) |
|
|
Docking fees |
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|
Ferries |
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|
Transportation fees - (not otherwise paid) |
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|
Parking - hotel, motel or corporate residence |
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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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|
Airfare - Airport Improvement Fee (not included in ticket) |
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|
Airfare - business class (non-standard) paid by traveller |
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|
Airfare - departure taxes (not included in ticket) |
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|
Airfare - military equipment/flight |
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|
Airfare - business class prepaid by Government of Canada |
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|
Airfare - economy class prepaid by Government of Canada |
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|
Airfare - private plane (e.g. rental / charter) |
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|
Airfare - seat selection fee for commercial, private and chartered carriers |
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|
Airfare - Security Charges (not included in ticket) |
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|
Airfare - unused segment(s) |
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|
Bus charter |
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|
Bus (inter-city) |
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|
Bus (local) |
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|
Change Fee (paid by traveller) |
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|
Excess baggage / weight (paid by traveller) |
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|
Miscellaneous Charge Order (prepaid) |
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|
Miscellaneous Charge Order (not prepaid) |
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|
Rail - next higher class to economy class (standard) |
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|
Shuttles |
|||
|
Subway |
|||
|
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 |
|||
|
Motorcycle - helmet rental |
|||
|
Other mode of transportation |
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|
Private / leased aircraft |
|||
|
Snowmobile - rental |
|||
|
Snowmobile - insurance (not otherwise covered) |
|||
|
Snowmobile - privately owned |
|||
|
Snowmobile - helmet rental |
|||
|
Watercraft - privately owned |
|||
|
Watercraft - insurance (not otherwise covered) |
|||
|
Watercraft - rental |
|||
|
Crown owned and/or leased vehicle |
|||
|
Insurance charge (not otherwise covered) |
|||
|
Vehicle - Other |
|||
|
Private motor vehicle - to public carrier/ return trip home |
|||
|
Private motor vehicle (Appendix B kilometric rate) |
|||
|
Private motor vehicle - pick-up at public carrier/ return trip home |
|||
|
Rental - drop-off charge |
|||
|
Rental - fuel charge |
|||
|
Rental - Insurance charge |
|||
|
Rental - compact |
|||
|
Rental - mid-size (standard) |
|||
|
Rental - large (non-standard) |
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|
Rental - Other |
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|
Rental - Insurance charge |
|||
|
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 |