December 1, 2026

(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

3.1.1Accommodation 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
3.1.2Additional 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 – 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
3.1.3Bottled Water Bottled water – reasonable amounts of bottled water (based on receipts).
3.1.4Currency Exchange Commission charged
   Conversion gain
   Conversion loss
   Fee – Automated Teller Machine service charge
   Fee – service charge
   Fee – travel card usage charge
   Currency exchange – other
3.1.5Dependant Care Up to $50, per household, per day
   Up to $100, per dependant, per day
   Other (provide explanation)
3.1.6Home CommunicationN/A 
3.1.7Incidental Expense Allowance With accommodation overnight – incidental expense allowance as per Appendix C or D, as applicable.
3.1.8InsuranceN/A 
3.1.9Meals 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.)
3.1.10Rest PeriodsN/A 
3.1.11Transportation 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 by employee
   Snowmobile – helmet rental
   Watercraft – privately owned by employee
   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 vehicle
   Rental – intermediate vehicle (standard)
   Rental – large vehicle (non-standard)
   Rental – other
   Rental – Provincial Sales Tax
   Rental – Quebec Sales Tax
   Rental – Harmonized Sales Tax
   Rental – Goods and Services Tax