SubcontractorTravelExpenseReport 1169 by PUHLP0J7

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									                Jet Propulsion Laboratory
                Invoice Management Section
                Mail Stop 601-208
                4800 Oak Grove Drive
                Pasadena, CA 91109-8099
                                          Subcontractor Travel Expense Report Instructions
Field                                        Instructions
Traveler Name                                Enter your full legal name
Company Name                                 Enter your company's name
Subcontract Number                           Enter your subcontract number
Project and Task Numbers                     Enter the project and task number for which you completed the travel (project and task
                                             number should be the same as those used for labor charges during travel)
Purpose of Trip                              Enter the purpose of the trip. Be concise, but include sufficient detail
Rental Car Disclosure                        If you rented a car, you are required to acknowledge that doing so was the best and most
                                             efficient method of transportation
Point of Departure (Outbound)                Point from which you departed (e.g., Burbank Airport)
  Date of Departure                          Date on which you departed
  Via (Plane, Auto, Etc.)                    Means of travel
  Desination                                 Where you arrived (e.g., Phoenix Airport)
  Date of Arrival                            Date on which you arrived
Point of Departure (Inbound)                 Point from which you departed (e.g., Phoenix Airport)
  Date of Departure                          Date on which you departed
  Via (Plane, Auto, Etc.)                    Means of travel
  Desination                                 Where you arrived (e.g., Burbank Airport)
  Date of Arrival                            Date on which you arrived
Mileage Reimbursement for Privately          ONLY if you drove your personal vehicle, you must find the current mileage reimbursement
Owned Vehicle                                rate by visiting the web site listed
Expenditures                                 Detail your expenses in this section
  Date                                       Date on which the expense was incurred (MM/DD/YYYY)
  Expense Category                           Please choose from the menu and enter the expense in the highlighted column
  Per Diem: M&IE                             Enter the dollar amount of any Meals and Incidental Expenses
  Per Diem: Lodging                          Enter the dollar amount of any lodging fees
  Mileage: No. of Miles                      ONLY if you drove your personal vehicle, enter the number of miles driven per day
  Mileage: Mileage Cost                      The form will calculate this cost for you
  Transportation                             Tranportation expenses includes airfare and ground transportation such as taxi, metro, local
                                             bus, and rental car
  All Other Expenses                         Expenses such as lodging tax, gas, photocopies, airline baggage fees
  Comments                                   Enter any additional detail or pertinent explanation. This field is required if the Expense
                                             Category is "Other"
  Total Expended                             The form will calculate this cost for you
Signatures                                   You must sign this report before submitting it to your company
  Traveler's Signature                       Sign the report
    Date                                     Enter the date of signature
    Email Address                            Enter your email address
    Phone Number                             Enter your phone number
  JPL Cognizant Manager Approval             Your JPL Contract Technical Manager will sign the report (see Instructions below)
    Date                                     Enter the date of signature
    Email Address                            Enter your email address
    Phone Number                             Enter your phone number

                                        Subcontractor Travel Expense Submission Instructions
Instructions
1. Complete, sign and date the report.
2. Submit the report to your company.
3. Your company will submit an invoice to JPL and a copy of your expense report in accordance with the invoicing instructions
   referenced in your subcontract once you receive approval from the JPL Cognizant Technical Manager.




Web Site: http://invoice.jpl.nasa.gov
Email: invoice@jpl.nasa.gov
Phone: (818) 354-7696                                                                                                                1
                                        Jet Propulsion Laboratory                     SUBCONTRACTOR TRAVEL EXPENSE REPORT
                                        Invoice Management Section
                                        Mail Stop 601-208
                                        4800 Oak Grove Drive
                                        Pasadena, CA 91109-8099


                     TRAVELER NAME                                                                                      COMPANY NAME



                     SUBCONTRACT NUMBER                                                                                 PROJECT AND TASK NUMBER(S)



                     PURPOSE OF TRIP                                                                                                                    RENTAL CAR DISCLOSURE
                                                                                                                         A rental car was required for this trip, in accordance with Federal Travel Regulations §301-
                                                                                                                                                                       10.450
                                                                                                                                Please select (Yes / No):
                                                                                                                                                                                If yes, please initial

                     POINT OF DEPARTURE (OUTBOUND)                                                                      POINT OF DEPARTURE (INBOUND)


                     DATE OF DEPARTURE                                                                                  DATE OF DEPARTURE
                     VIA (PLANE, AUTO, ETC.)                                                                            VIA (PLANE, AUTO, ETC.)
                     DESTINATION                                                                                        DESTINATION
                     DATE OF ARRIVAL                                                                                    DATE OF RETURN

                                                                                  MILEAGE REIMBURSEMENT FOR PRIVATELY OWNED VEHICLE
                                             Note: The standard mileage allowance for use of personal automobile covers all expenses including fuel, oil, traffic offenses and insurance.
                       Visit GSA's web site to find the current Privately Owned Vehicle (POV)                                                                               Enter the POV Mileage
                             Mileage Reimbursement Rate, and enter the rate to the right                    http://www.gsa.gov/portal/content/100715                       Reimbursement Rate --->

                                                                                                              EXPENDITURES
                                                                        PER DIEM (include tips)                 MILEAGE           TRANS-                   ALL OTHER
                          DATE            EXPENSE CATEGORY               M&IE       LODGING           NO. OF MILES MILEAGE COST PORTATION                  EXPENSES                      COMMENTS
                                                                                                                            $0.00

                                                                                                                                     $0.00

                                                                                                                                     $0.00

                                                                                                                                     $0.00

                                                                                                                                     $0.00

                                                                                                                                     $0.00

                                                                                                                                     $0.00

                                                                                                                                     $0.00

                                                                                                                                     $0.00

                                                                                                                                     $0.00

                                                                                                                                     $0.00

                                                                                                                                     $0.00

                                                                                                                                     $0.00

                                                                                                                                     $0.00

                                                                                                                                     $0.00

                                                                                                                                     $0.00

                                                                                                                                     $0.00

                                                            TOTALS            $0.00           $0.00               0.0                $0.00         $0.00           $0.00         TOTAL EXPENDED

                                                                                                               SIGNATURES
                                                      TRAVELER'S SIGNATURE                                                              JPL CONTRACT TECHNICAL MANAGER (CTM) APPROVAL
                     I certify that all travel expenses are true and that all travel shown was completed for official
                                                               JPL business.

                                                                                              Date                                                                                               Date
                           Email                                                                                             Email
                          Phone                                                                                              Phone



Web Site: http://invoice.jpl.nasa.gov
Email: invoice@jpl.nasa.gov
Phone: (818) 354-7696                                                                                 2                                                                        JPL Form 1169 R 8/11
                          COMPANY NAME



                          PROJECT AND TASK NUMBER(S)



                                                           RENTAL CAR DISCLOSURE
                            A rental car was required for this trip, in accordance with Federal Travel Regulations §301-
                                                                          10.450



                          POINT OF DEPARTURE (INBOUND)




E REIMBURSEMENT FOR PRIVATELY OWNED VEHICLE
use of personal automobile covers all expenses including fuel, oil, traffic offenses and insurance.



                  EXPENDITURES


                                                                                              COMMENTS




                                                                                                                     $0.00

                   SIGNATURES
                                          JPL CONTRACT TECHNICAL MANAGER (CTM) APPROVAL




              Web Site: http://invoice.jpl.nasa.gov
              Email: invoice@jpl.nasa.gov
              Phone: (818) 354-7696                                                                              3           JPL Form 1169 R 8/11

								
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