Va Form 0893 - Advance Review Of Offer To Donate Support For Official Travel

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ADVANCE REVIEW OF OFFER TO DONATE SUPPORT FOR OFFICIAL TRAVEL

NOTE: This VA Form 0893 is to be used to accept a gift of travel under 31 U.S.C. §1353 or 5 U.S.C. §4111 and does NOT replace travel authorization documents.

USE THIS FORM IN CONJUNCTION WITH THE CURRENT VA TRAVEL MANAGEMENT SYSTEM.

INSTRUCTIONS: Please complete and have office head sign on page 2. Forward to Assistant General Counsel (023)(VACO) or Regional Counsel (Field). They will

review and return form to you. You must then provide form to one of the officials with gift acceptance authority listed on the the bottom of page 2. Upon completion of

your travel, this form (with all necessary signatures) must be included with your claim for reimbursement of travel expenses (travel voucher). Faxing a copy of this form

to the current VA travel management system is acceptable.

INFORMATION ABOUT VA EMPLOYEE (Traveler)

NAME OF VA EMPLOYEE

POSITION TITLE

DEPARTMENT/OFFICE

DUTY STATION

INFORMATION ABOUT DONOR AND/OR HOST ORGANIZATION

NAME OF ORGANIZATION HOSTING THE EVENT

NAME OF DONOR ORGANIZATION (If different from Host)

HOST ORGANIZATION POINT OF CONTACT (POC)

DONOR ORGANIZATION POINT OF CONTACT (POC)

HOST POINT OF CONTACT E-MAIL ADDRESS

DONOR POINT OF CONTACT E-MAIL ADDRESS

HOST POINT OF CONTACT DAYTIME PHONE NUMBER

DONOR POINT OF CONTACT DAYTIME PHONE NUMBER

EXT:

INFORMATION ABOUT MEETING OR EVENT SPONSORED BY (DONOR) HOST ORGANIZATION

NAME AND ADDRESS OF EVENT

DATE OF EVENT

TIME OF EVENT

PURPOSE OF EVENT (Include 1, How this event will further VA's interests, and 2, how this event relates to your official duties)

OTHER ENTITIES ATTENDING OR PARTICIPATING

ROLE OF EMPLOYEE-TRAVELER (e.g. attendee, speaker, trainer, etc.)

DID DONOR OFFER TO PAY COSTS FOR OTHER ATTENDEES SIMILARLY SITUATED (e.g. if you are going to be a speaker, did donor offer similar travel gifts to all

speakers at the event?)

YES

INSTRUCTIONS: Fill out dollar amount and appropriate Gift Code for each applicable category. Include amounts for spouse if donor has offered

to support spouse travel.

GIFT

NO. OF

COST PER NIGHT

CODE

NIGHTS

LODGING

TOTAL LODGING

SELF