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
No = N
N/A

Detail

3.1.1

Accommodation

 

Hotel - daily room rate

     

Hotel - Service charges

     

Bed and Breakfast

     

Motels

     

Lodging facilities

     

Commercial accommodation - Other

     

Crown owned, leased, or operated facilities

     

Colleges

     

Universities

     

Educational institutions

     

Federal government training centers

     

Hospitals

     

Military establishment - Canadian

     

Military establishment - foreign

     

Tents

     

Trailers

     

Gov't & institutional accommodation - Other

     

Non-commercial facilities

     

Private dwelling

     

Private accommodation - Other

3.1.2

Additional business expense

 

Facsimiles

     

Health Certificate (Health Canada)

     

Inoculations

     

Internet connections

     

Office equipment - rental

     

Office equipment - transportation

     

Entry documents (CanPass)

     

Entry documents (NEXUS)

     

Passport

     

Photocopies

     

Photos - passport and/or visa

     

Required personal effects

     

Service charge - Automated Banking Machine

     

Service charge - Automated Banking Machine

     

Service charge - credit/debit card usage

     

Service charge - government travel card usage

     

Service charge - safety deposit box

     

Service charge - traveller's cheques

     

Telephone expenses (business calls)

     

Telephone expenses (due to altered schedule/itinerary)

     

Vaccinations

     

Visa (entry permits)

     

Word processing services

     

X-rays

     

Business expense - Other

3.1.3

Bottled Water

 

Bottled water - reasonable amounts of bottled water (based on receipts).

3.1.4

Currency exchange

 

Commission charged

     

Conversion gain

     

Conversion loss

     

Fee - Automated Teller Machine service charge

     

Fee - service charge

     

Fee - travel card usage charge

     

Currency Exchange - Other

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

     

With accommodation overnight - Other provide explanation

3.1.6

Home Communication

N/A

 

3.1.7

Incidental Allowance

 

With accommodation overnight - incidental allowance as per Appendix C or D, as applicable.

3.1.8

Insurance

N/A

 

3.1.9

Meals

 

Daily Comprehensive allowance

     

Breakfast - meal allowance Appendix C or D, as applicable

     

Breakfast - prepaid (e.g. conference, voucher, included in room rate, etc.)

     

Lunch - meal allowance Appendix C or D, as applicable

     

Lunch - prepaid (e.g. conference, voucher, included in room rate, etc.)

     

Dinner - meal allowance Appendix C or D, as applicable

     

Dinner - prepaid (e.g. conference, voucher, included in room rate, etc.)

3.1.10

Rest periods

N/A

 

3.1.11

Transportation

 

Disrupted travel pattern (residence to workplace)

     

Docking fees

     

Ferries

     

Transportation - Other

     

Parking lot

     

Parking meter

     

Transportation prepaid

     

Passenger - no charge

     

Tolls (e.g. road, tunnel, bridge)

     

Bus charter

     

Bus (local)

     

Shuttles

     

Subway

     

Taxi  - chit utilized (do not enter charge)

     

Taxi  - Receipts

     

Commercial - Other

     

Motorcycle - rental

     

Motorcycle - helmet rental

     

Other mode of transportation

     

Snowmobile - rental

     

Snowmobile - privately owned

     

Snowmobile - helmet rental

     

Watercraft - privately owned

     

Watercraft - rental

     

Crown owned and/or leased

     

Insurance charge (not otherwise covered)

     

Vehicle - Other

     

Private motor vehicle (kilometric rate)

     

Rental - drop-off charge

     

Rental - fuel charge

     

Rental - Insurance charge

     

Rental - compact

     

Rental - mid-size (standard)

     

Rental - large (non-standard)

     

Rental - Other

     

Rental - Insurance charge

     

Rental - Provincial Sales Tax

     

Rental - Quebec Sales Tax

     

Rental - Harmonized Sales Tax

     

Rental - Goods and Services Tax