Pre- Authorization Travel Voucher
Department of California (DAV)
Date of Request:
*
-
Month
-
Day
Year
Date
Department Title (Line Officer, SEC #, Committee, NSO)
*
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
Director of Operations
Adjutant
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Destination: (Location of Event)
*
(City, State)
Purpose of Travel:
*
Date of Travel:
-
Month
-
Day
Year
Date
Date of Return:
-
Month
-
Day
Year
Date
Total Authorized Day of Travel (Days includes miles, lodging, meals)
Per Diem Rate: $225.00 (One Day Event/DO NOT include Return Travel day select below)
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)
Registration Fees (If applicable)
Parking Fees
1 Day Event/Return Travel Allowance ($125.00)
Other
Total Expenses: (DO NOT INCLUDE HOTEL)
(example: Include 1 day event/return travel, Parking, registration fees, etc)
Hotel Expenses:
If hotel was paid for type zero (0).
Number
Per Diem Amount Due:
Total Miles Traveled: (To and From Destination)
(Mileage per diem rate: $0.725 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)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
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.
*
I agree to the terms
Signature of Officer:
*
TOTAL DUE:
Continue
Should be Empty: