Pre- Authorization Travel Voucher
Department of California (DAV)
Department Title (Line Officer, SEC #, Committee, NSO)
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Please Select
Commander
Adjutant
Senior Vice Commander
Junior Vice Commander
Judge Advocate
Past State Commander
Chaplin
SEC1
SEC2
SEC3
SEC4
SEC5
SEC6
SEC7
NSO SUPERVISOR
Department Committee Member
Finance Committee Member
Rehab Committee Member
Name
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First Name
Last Name
Email
*
example@example.com
Phone Number
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Please enter a valid phone number.
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Request:
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-
Month
-
Day
Year
Date
Date of Travel:
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Month
-
Day
Year
Date
Date of Return:
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Month
-
Day
Year
Date
Total Authorized Days of Travel (Days include travel and return dates)
Per Diem Rate: $225.00
Per Diem Rate per day:
Per Diem Amount:
Destination: (Location of Event)
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(City, State)
Purpose of Travel:
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Type of Travel Expenses: (Select all that apply)
Airfare
Vehicle (Personal, Rentals(Economy type Vehicles Authorized only)
Shared Ride (Uber, Lyft, Economy type Vehicles Authorized Only)
Lodging (Must be within Per diem rate Only)
Meals (Not Covered by Per diem rate)
Registration Fees (If applicable)
Parking Fees
Other
Expenses: (Total amount paid out of pocket)
(example: Parking, registration fees, etc)
Total Miles Traveled: (To and From Destination)
(Mileage per diem rate: $0.700 per mile)
Milage Per Diem Rate:
Total Miles Amount:
Attached Receipts for ALL personal expenditures: (Hotel, Rental, Registration Fees, Parking, Uber, Flights, $25.00 or more)
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Travel Authorization Disclaimer: All travel related to official duties must receive pre-authorization prior to departure and be formally approved by the Department of California. Approval is strictly limited to travel that aligns with the scope of responsibilities and duties associated with the roles of Line Officers, State Executive Committee members, Employees, and Designated Team Staff. Travel must be directly related to sanctioned events, official meetings, or functions that fall within the remit of your designated position. Personal vacations or any form of personal travel will not be authorized or reimbursed under any circumstances. Failure to obtain prior approval or undertaking travel for purposes outside of authorized duties may result in denial of reimbursement and could lead to disciplinary action.
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I agree to the terms
Signature of Officer:
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Total Amount Voucher (Pending Department Approval)
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