July 1, 2017
(Refer to applicable Travel Directive Appendices A, B, C, as well as GAC – United States of America Mileage/Kilometre Rates.)
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 |
---|---|---|---|
3.3.1 |
Accommodation |
Corporate apartment |
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Corporate residences |
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Hotel – daily room rate |
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Hotel – weekly room rate |
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Hotel – monthly room rate |
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Hotel – service charges |
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Bed and breakfast |
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Hotels – service charges |
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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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3.3.2 |
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 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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3.3.3 |
Bottled Water |
Bottled water – reasonable amounts of bottled water (based on receipts) |
|
3.3.4 |
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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3.3.5 |
Dependant care |
Up to $35 Cdn, per household per day |
|
Up to $75 Cdn maximum, per household, per day |
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Dependant care – other |
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3.3.6 |
Home Communication |
One 10-minute call home, each contiguous 3 day period (refer to section 4.2.8) (revised January 15, 2009) |
|
One 5-minute call home, each contiguous 3 day period (refer to section 4.2.8) (revised January 15, 2009) |
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3.3.7 |
Incidental Allowance |
Canada – 100%, as per Appendix C |
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Canada – 75% (starting on the 31st consecutive day), as per Appendix C |
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USA – 100%, as per Appendix C |
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USA – 75% (starting on the 31st consecutive day), as per Appendix C |
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Other – provide explanation |
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3.3.8 |
Insurance |
See Appendix A for insurance coverage |
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Insurance coverage – other |
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3.3.9 |
Meals |
Daily Comprehensive Allowance |
|
Breakfast – meal allowance Appendix C. |
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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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Breakfast – 75% (starting on the 31st consecutive day) |
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Lunch – meal allowance Appendix C. |
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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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Lunch – 75% (starting on the 31st consecutive day) |
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Dinner – meal allowance Appendix C. |
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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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Dinner – 75% (starting on the 31st consecutive day) |
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3.3.10 |
Rest periods |
Suitable rest period |
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Overnight stop after travel time of at least 9 consecutive hours |
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3.3.11 |
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 – economy class (standard) paid by traveller |
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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 |
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3.3.12 |
Weekend Travel Home |
2 day weekend – see Appendix C |
|
3 day weekend – see Appendix C |
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4 day weekend – see Appendix C |
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3.3.13 |
Weekend Travel – Alternatives |
Accommodation – receipt required |
|
(a) By the employee |
Meals 100% |
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Meals 75% |
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Incidentals 100% |
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Incidentals 75% |
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Weekend Travel expenses – other |
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Dependant care |
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Insurance – personal responsibility and liability of the employee |
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3.3.13 |
Weekend Travel Home |
Public carrier transportation via the government travel suppliers |
|
Taxi |
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Private motor vehicle |
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(b) By the employee's spouse, common-law partner, or dependant |
Insurance – personal responsibility and liability of the employee |