Form Ao 1012 - Travel Voucher - 2011 Page 2
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1
2INSTRUCTIONS TO TRAVELER
(Unlisted items are self-explanatory)
PAGE
Complete
1
Show amount incurred for each meal, including taxes and tips,
Col. (c) If the voucher includes per
Complete
Col. (d-f)
information if
relating to the meal being itemized.
SCHEDULE
only
diem allowances for members
OF
1
this is a
(g)
By calendar day, total the daily cost of meals.
of employee's immediate
for
OF
continuation
By calendar day, show the daily cost of incidentals, such as tips for
(h)
actual
family, show members' names,
sheet.
maid services, forgotten items (eg., toothbrush), etc.
expense
EXPENSES
ages and relationship to
(i)
Show the daily lodging cost excluding taxes for claims under actual
travel
PAGES
employee and martial status
expense method or per diem method.
AND
of children (unless information
(j)
Show total subsistence expense incurred for actual expense travel.
TRAVEL AUTHORIZATION NO.
AMOUNTS
is shown on the travel
(m)
Show locality per deim amount or total of lodging plus M & IE rate if
authorization.) See Guide,
required by authorization, or total of actual expenses not to exceed
CLAIMED
Vol 19, CH 4 for more
the applicable maximum rates.
information.
(n)
TRAVELER'S LAST NAME
Show other expenses such as local transportation (fares for bus, taxi,
limousine, or subway, etc.) offical telephone calls, baggage handling,
car rental, or relocation expenses other than subsistence.
MILEAGE
ITEMIZED SUBSISTENCE EXPENSES
AMOUNT CLAIMED
RATE:
DESCRIPTION
TIME
(Departure/Arrival city, per
MEALS
0.510
MISC.
TOTAL
DATE
(Hour and
diem computation, or other
BREAK-
SUBSIS-
SUBSISTENCE
NO. OF
am/pm)
explanations of expense)
FAST
LUNCH
DINNER
TENCE
LODGING
EXPENSE
TOTAL
MILEAGE
SUBSISTENCE
OTHER
MILES
(a)
(b)
(c)
(d)
(e)
(f)
(g)
(h)
(i)
(j)
(k)
(l)
(m)
(n)
SUBTOTALS
0.00
0.00
0.00
If additional space is required, continue on another AO 1012-A, BACK, leaving the front blank.
TOTALS
0.00
0.00
0.00
Enter grand total of columns (l), (m),
and (n), below and in Item 10 on the
front of this form.
TOTAL
AMOUNT
0.00
CLAIMED
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