Invitation for Formal Dinner - Excel by bci91340

VIEWS: 0 PAGES: 3

More Info
									         TAR # _______________                                                                                                              Date Received: _________________


                ORAU/ORISE Maryland Non-Employee Travel Authorization/Reservation (TAR)
                        Title:           Dr.          Mr.          Mrs.              Ms.           Miss

  Name (First   Middle Last):                                                                                                   Office Phone #:

   E-Mail:                                                                                                 Cell or Blackberry #:
Home Street Address:
                                 Street, City, State, Zip

             Are you under 25 years of age?                               YES        NO                   Do you have a Diners Club card?                 YES     NO
Do you want Airfare and/or Rental Car arrangements to be made by ORAU/ORISE?                                                             YES       NO
Method of Travel:                Plane          POV             Government Vehicle           Other         Passenger      Rental Car size:
                                                                                  Note: Additional justification MUST be provided if it is necessary to rent a car larger than mid size

        Purpose of trip:
                Start Date:                                                                Departing City/State:
                 End Date:                                                                       Return City/State:
Destination City/State:                                                                            Lodging Dates:
          See Multiple Destination Supplement                                   Please complete the Multiple Destination Supplement if there will more than 2 destinations

GSA Per Diem Rates Lodging:                                            /night                    Meals:                 /day
Will you be needing a lodging waiver?                                YES          NO         Amount Requested:                          /night
      Lodging waiver justification:
Flight Itinerary Airline/Flight #'s/Times (if known) - You may also attach a copy of your preferred travel itinerary
                Departure:
                    Return:
Does this trip include personal travel?                           YES           NO                If yes, please indicate dates:
Are you requesting ORAU/ORISE to pre-pay registration fees?                                                YES     NO   (If yes, a completed registration form is required)

Are meals included as part of the registration fee?                                        YES       NO   If yes, which meals are included:              Bkfst     Lunch       Dinner

      If you are attending a conference or formal training please attach pertainent documentation such as agenda,
                             registration information, meeting announcement, invitation, etc.
   Event:
  Website:
        Registration Fee:                                                             Date Needed:                                      Payable by credit card:          YES       NO

        Check payable to:                                                                                     FAX #:
  Phone #:                                                  Address:

     Total Estimate: $                                                                                    Request cash advance for meals
                                            from worksheet on page 2                                      Additional advance requested $
                                                                                                 NOTE: Advances are approved on a case by case basis only. Justification MUST be
                                                                                                                   provided if additional advance is requested.
Remarks/Special Circumstances/Pertinent Information:




    Traveler' Signature                                                                     Mentor's Signature
                                                                                                                                                                 Print/Type Name


Program Coordinator Approval:

ORAU/ORISE Approval _____________________________________________                                                            MIPR #
             Project/Task:                                                                                                              Travel Particpant
                                                                                                                                                                              Revised 01/01/2011
          ORAU/ORISE Maryland Non-Employee Travel Authorization/Reservation (TAR) Travel
                                                     Estimate Worksheet
                                            MUST be complete and submitted with TAR
                     Meal Per Diem*:                days @                           per day     =   $0.00          *Per Diem is calculated
                                                                                                                     at 75% for the first &
                     Meal Per Diem*:                days @                           per day     =   $0.00
                                                                                                                       last day of travel
                     Meal Per Diem*:                days @                           per day     =   $0.00              5 days of travel
                     Meal Per Diem*:                days @                           per day     =   $0.00             = 4.5 x GSA rate
                                                                                                                        9 days of travel
                     Meal Per Diem*:                days @                           per day     =   $0.00             = 8.5 x GSA rate
                             Lodging:               nights @                         per night   =   $0.00
                             Lodging:               nights @                         per night   =   $0.00
                             Lodging:               nights @                         per night   =   $0.00
                             Lodging:               nights @                         per night   =   $0.00
                             Lodging:               nights @                         per night   =   $0.00

                                                           Airfare (US carrier only):            =   $0.00
                          Rental Car:               days @                           per day     =   $0.00
                                                               Estimate @ $50/day
                              Personal Vehicle Mileage
     Round-Trip to/from Destination                miles @                           per mile    =   $0.00
                                                                currently .51/mile
          Round-Trip to/from Airport               miles @                           per mile    =   $0.00
                                                               currently .51/mile
                     Airport Parking:               days @                           per day     =   $0.00
                                                               Estimate @ $10/day
                                                                           Hotel Parking:        =   $0.00
                                        Ground Transportation (taxi, metro, etc.):               =   $0.00
                                                          Rental Vehicle Gasoline:               =   $0.00
                                             Misc (taxes, materials/supplies, etc.):             =   $0.00
                                                                     Registration Fee:           =   $0.00
                                               TOTAL ESTIMATED EXPENSES:                         =   $0.00

                                    Per Diem & Lodging rates are verified at www.gsa.gov
                                         Mileage is verified at www.randmcnally.com
                To expedite processing, please obtain proper approval signatures PRIOR to submission.
          It is not necessary to submit original Travel Authorization/Reservation documents, copies of these forms are acceptable
Please submit your travel request at least 2 weeks prior to your departure date for CONUS travel and 75 days
                                   prior to departure for OCONUS travel.
                      Please submit TAR & any other pertinent information to:
                               ORAU/ORISE Maryland, ATTN: Travel
                       4692 Millennium Drive, Suite 101, Belcamp, MD 21017
         E-Mail: ORAUMarylandTravel@orau.org ♦ Fax: (410) 306-9306 ♦ Phone: (410) 306-9208

Do you know about the Diners Club International Corporate Card? It is a credit card offered to ORAU/ORISE participants for
travel purposes. With this card you can pay for travel expenses like rental cars, airfare, registration fees and lodging as well as
obtaining a cash advance to cover your meals. If you submit your properly completed TES in a timely manner, you will receive
your reimbursement in time to pay your bill. It's a great offer that many travelers take advantage of. Please visit our website
http://www.orau.org/maryland or contact our office for an application.

                                                                                                                               Revised 01/01/2011
      ORAU/ORISE Maryland Non-Employee Travel Authorization/Reservation (TAR)
                           Multiple Destination Supplement
               Initial Starting Information:
                                                         Date                                    City/State

                 Final Return Information:
                                                         Date                                    City/State

Destination 1
             Start Date:                                   Departing City/State:

             End Date:                                   Destination City/State:

             GSA Per Diem Rates: Lodging                   /night            Lodging Dates:
                                       Meals               /day               Lodging Waiver Needed?          YES      NO

     Lodging waiver justification:                                                  Amount Requested                   /night

        Flight Itinerary (if known):

Does this portion of the trip include personal travel?          YES   NO   If yes, please indicate dates:


Destination 2
             Start Date:                                   Departing City/State:

             End Date:                                   Destination City/State:

             GSA Per Diem Rates: Lodging                   /night            Lodging Dates:
                                       Meals               /day               Lodging Waiver Needed?          YES      NO

     Lodging waiver justification:                                                  Amount Requested                   /night

        Flight Itinerary (if known):

Does this portion of the trip include personal travel?          YES   NO   If yes, please indicate dates:


Destination 3
             Start Date:                                   Departing City/State:

             End Date:                                   Destination City/State:

             GSA Per Diem Rates: Lodging                   /night            Lodging Dates:
                                       Meals               /day               Lodging Waiver Needed?          YES      NO

     Lodging waiver justification:                                                  Amount Requested                   /night

        Flight Itinerary (if known):

Does this portion of the trip include personal travel?          YES   NO   If yes, please indicate dates:


Destination 4
             Start Date:                                   Departing City/State:

             End Date:                                   Destination City/State:

             GSA Per Diem Rates: Lodging                   /night            Lodging Dates:
                                       Meals               /day               Lodging Waiver Needed?          YES      NO

     Lodging waiver justification:                                                  Amount Requested                   /night

        Flight Itinerary (if known):

Does this portion of the trip include personal travel?          YES   NO   If yes, please indicate dates:
                                                                                                                    Revised 01/01/2011

								
To top