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 |
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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 – 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 |
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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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|
3.2.5 |
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 |
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|
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 |
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|
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 |
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|
3.2.11 |
Transportation |
Disrupted travel pattern (residence to workplace) |
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|
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 |
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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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|
Private/leased aircraft |
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|
Snowmobile – rental |
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|
Snowmobile – insurance (not otherwise covered) |
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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 – insurance (not otherwise covered) |
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|
Watercraft – rental |
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|
Crown owned and/or leased vehicle |
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|
Insurance charge (not otherwise covered) |
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|
Vehicle – other |
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|
Private motor vehicle – to public carrier/return trip home |
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|
Private motor vehicle (Appendix B kilometric rate) |
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|
Private motor vehicle – pick-up at public carrier/ return trip home |
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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 – intermediate (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 |