GSA Form 87 Official TDY Travel Authorization

GSA form 87 or the "Official Tdy Travel Authorization" is a form issued by the U.S. General Services Administration.

The form was last revised in August 1, 2014 and is available for digital filing. Download an up-to-date fillable GSA Form 87 in PDF-format down below or look it up on the U.S. General Services Administration Forms website.

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1. AUTHORIZATION NUMBER
OFFICIAL TRAVEL AUTHORIZATION
(Note: See Privacy Act Statement on reverse)
2. TRAVELER (first name, middle initial, last name)
3. TITLE
4. PEGASYS VENDOR CODE
6B. CORRESPONDENCE SYMBOL
5. CURRENT RESIDENCE ADDRESS
6A. OFFICE/SERVICE AND DIVISION
7. OFFICIAL DUTY STATION (City, State)
8. CONTACT TELEPHONE NUMBER
9. TYPE
10. PEGASYS DOCUMENT NUMBER (If Applicable)
ORIGINAL
AMENDMENT
11. TRAVEL PURPOSE (Check only one)
Conference - Other than Training
Training
Mission (Operational)
Special Agency Mission
Employee Emergency
Relocation
Educational Travel
Tour Renewal
12. BRIEF DESCRIPTION OF REASON FOR TRAVEL
13. TRANSPORTATION AUTHORIZED (check all that apply)
Air
Rail
Bus
Rental Car
GOV
Taxi
Other (Specify)
For personal convenience. Mileage and per diem limited to constructive
POV (Check One)
Advantageous to the Government
cost of common carrier (air/rail).
Rate per mile $
http://www.gsa.gov/mileage
14. AUTHORIZED OFFICIAL ITINERARY
NOTE: DO NOT include any personal/leisure travel. See Item 15.
ITINERARY POINT
PER DIEM RATE
DATE
ACTUAL
TOTAL
(MM/DD/YYYY)
(b)
EXPENSE RATE
MAXIMUM
M&IE
(e)
(a)
(f)
CITY
STATE
LODGING (c)
RATE (d)
FROM:
TO:
TO:
TO:
YES
NO
15. IS TRAVELER MAKING ANY DEVIATIONS FROM OFFICIAL ITINERARY FOR PERSONAL CONVENIENCE, (e.g. TAKING OF LEAVE, OR USING A MODE
OF TRANSPORTATION NOT ADVANTAGEOUS?
(If "Yes", explain in Item 22.) (Note: deviations from the official itinerary requires a comparative cost statement on the travel voucher.)
16. IF AIR TRANSPORTATION IS AUTHORIZED, IS THE LOWEST PRICED CONTRACT CARRIER BEING USED BETWEEN ITINERARY LOCATIONS?
(If "No", justify in Item 22)
17. IS OTHER-THAN-COACH (first, business) OR ACELA AUTHORIZED? (If "Yes", justify in Item 22.)
18. IS ACTUAL EXPENSE (not to exceed 300% per diem) AUTHORIZED? (If "Yes", justify in Item 22)
19. DOES TRAVELER HAVE A GOVERNMENT TRAVEL CHARGE CARD? (If "No", justify in Item 22.)
20. ESTIMATED COST
AIR/RAIL $
PER DIEM $
OTHER $
TOTAL $
21. TRAVEL ADVANCE OBTAINED BY:
ATM/TRAVEL CARD
SF 1038, ADVANCE OF FUNDS APPLICATION AND ACCOUNT
AMOUNT AUTHORIZED $
22. REMARKS/JUSTIFICATONS
23. Pegasys ACCOUNT CLASS (Fields marked with "*" are required)
AGREEMENT
BUILDING
ORGANIZATION
SUB-OBJECT
PROJECT
WORK
AGREEMENT
CONTRACT
BBFY*
EBFY
FUND*
REGION* PROGRAM*
ACTIVITY*
SYSTEM
LINE
CODE*
CLASS*
CODE
ITEM
NUMBER
NUMBER
NUMBER
NUMBER
24B. DATE
24A. TRAVELER/ARRANGER SIGNATURE
25B. DATE
25A. AUTHORIZING OFFICIAL SIGNATURE
GENERAL SERVICES ADMINISTRATION
GSA 87 (REV. 8/2014)
1. AUTHORIZATION NUMBER
OFFICIAL TRAVEL AUTHORIZATION
(Note: See Privacy Act Statement on reverse)
2. TRAVELER (first name, middle initial, last name)
3. TITLE
4. PEGASYS VENDOR CODE
6B. CORRESPONDENCE SYMBOL
5. CURRENT RESIDENCE ADDRESS
6A. OFFICE/SERVICE AND DIVISION
7. OFFICIAL DUTY STATION (City, State)
8. CONTACT TELEPHONE NUMBER
9. TYPE
10. PEGASYS DOCUMENT NUMBER (If Applicable)
ORIGINAL
AMENDMENT
11. TRAVEL PURPOSE (Check only one)
Conference - Other than Training
Training
Mission (Operational)
Special Agency Mission
Employee Emergency
Relocation
Educational Travel
Tour Renewal
12. BRIEF DESCRIPTION OF REASON FOR TRAVEL
13. TRANSPORTATION AUTHORIZED (check all that apply)
Air
Rail
Bus
Rental Car
GOV
Taxi
Other (Specify)
For personal convenience. Mileage and per diem limited to constructive
POV (Check One)
Advantageous to the Government
cost of common carrier (air/rail).
Rate per mile $
http://www.gsa.gov/mileage
14. AUTHORIZED OFFICIAL ITINERARY
NOTE: DO NOT include any personal/leisure travel. See Item 15.
ITINERARY POINT
PER DIEM RATE
DATE
ACTUAL
TOTAL
(MM/DD/YYYY)
(b)
EXPENSE RATE
MAXIMUM
M&IE
(e)
(a)
(f)
CITY
STATE
LODGING (c)
RATE (d)
FROM:
TO:
TO:
TO:
YES
NO
15. IS TRAVELER MAKING ANY DEVIATIONS FROM OFFICIAL ITINERARY FOR PERSONAL CONVENIENCE, (e.g. TAKING OF LEAVE, OR USING A MODE
OF TRANSPORTATION NOT ADVANTAGEOUS?
(If "Yes", explain in Item 22.) (Note: deviations from the official itinerary requires a comparative cost statement on the travel voucher.)
16. IF AIR TRANSPORTATION IS AUTHORIZED, IS THE LOWEST PRICED CONTRACT CARRIER BEING USED BETWEEN ITINERARY LOCATIONS?
(If "No", justify in Item 22)
17. IS OTHER-THAN-COACH (first, business) OR ACELA AUTHORIZED? (If "Yes", justify in Item 22.)
18. IS ACTUAL EXPENSE (not to exceed 300% per diem) AUTHORIZED? (If "Yes", justify in Item 22)
19. DOES TRAVELER HAVE A GOVERNMENT TRAVEL CHARGE CARD? (If "No", justify in Item 22.)
20. ESTIMATED COST
AIR/RAIL $
PER DIEM $
OTHER $
TOTAL $
21. TRAVEL ADVANCE OBTAINED BY:
ATM/TRAVEL CARD
SF 1038, ADVANCE OF FUNDS APPLICATION AND ACCOUNT
AMOUNT AUTHORIZED $
22. REMARKS/JUSTIFICATONS
23. Pegasys ACCOUNT CLASS (Fields marked with "*" are required)
AGREEMENT
BUILDING
ORGANIZATION
SUB-OBJECT
PROJECT
WORK
AGREEMENT
CONTRACT
BBFY*
EBFY
FUND*
REGION* PROGRAM*
ACTIVITY*
SYSTEM
LINE
CODE*
CLASS*
CODE
ITEM
NUMBER
NUMBER
NUMBER
NUMBER
24B. DATE
24A. TRAVELER/ARRANGER SIGNATURE
25B. DATE
25A. AUTHORIZING OFFICIAL SIGNATURE
GENERAL SERVICES ADMINISTRATION
GSA 87 (REV. 8/2014)
PRIVACY ACT STATEMENT
In compliance with the Privacy Act of 1974, the following information is provided: Basic authority for requiring
the requested information is contained in 5 USC 5701-5733, particularly sections 5721-5733, 30 USC 905 and
Executive Order 9397. Disclosure of the data by you is voluntary. The principal purpose for collecting the
data is to determine the amount to reimburse an employee for expenses incurred in connection with temporary
duty travel. Information may be transferred to appropriate Federal, State, local or foreign agencies when
relevant to civil, criminal or regulatory investigations or prosecutions. There is no personal liability to you if
you do not furnish the requested information; however, we shall not be able to reimburse you for your
expenses.
INSTRUCTIONS FOR PREPARATION OF GSA FORM 87 OFFICIAL TRAVEL AUTHORIZATION
Block 1. Format: Region/YY/MM/DD/First three letters of traveler’s last name and initial of first name. Example: Fred
Smith, Region 2 begins travel on 02/18/2015. Authorization number = 02150218SMIF.
Block 2. Name must match traveler’s ID that would be presented at the airport upon check-in.
Block 3. Enter traveler's job title. Example: Division Director
Block 4. Enter Pegasys vendor code. (Begins with “E” and is followed by 8 or 9 digits.) Click
here
for instructions on
obtaining or verifying your vendor code.
Block 5. Enter mailing address where any reimbursement checks are to be mailed.
Block 6a. Enter name of traveler's office/service and division. If invitational travel enter “INVITATIONAL”
Block 6b. Enter traveler's correspondence symbol, if applicable.
Block 7. Enter city and state of traveler's official duty station location/residence.
Block 8. Enter contact number where traveler may be reached.
Block 9. Enter Pegasys document number, if applicable.
Block 10. Check whether this is the original authorization or an amendment to the original. Travel amendments are
necessary when original travel plans change after the original GSA Form, 87 is signed. Pen and ink changes, erasures and
alterations to the original and copies of the GSA Form 87 are not permitted. Amendments should be issued as soon as a
change in the travel plans is known. An amendment may not be used to change an employee name when the employee
originally scheduled to take the trip is replaced by another employee; instead, a new set of travel orders must be prepared.
Block 11. Check one purpose for which travel is performed. If travel requires more than one purpose, select the one most
important.
Block 12. Describe brief description for reason travel is required, e.g., "To attend the Association of Government
Accountant's Professional Development Conference". Generalizations such as "Official Business" or similar phrases are not
acceptable.
Block 13. Select all methods of transportation authorized. If selecting POV, select whether POV use is advantageous to
the government or for personal convenience, along with authorized mileage rate.
Block 14. Enter authorized official itinerary in this block. The authorized itinerary starts at the traveler's official duty station
(or residence), continues with all points where official business will be conducted and ends with the traveler's return to the
official duty station/residence. DO NOT include personal/leisure itinerary locations. Annotate with the words "see attached
itinerary" when space is insufficient and continue the itinerary on bond paper. Complete columns as follows: (a) Enter
month, day and year (MM/DD/YYYY); (b) Enter city and state for each itinerary point where official business will be
performed; (c) Enter daily lodging rate; (d) Enter daily meals and incidental expense (M&IE) rate; (e) Enter total per diem
rate. (f) Enter actual expense rate. If a special rate (e.g., reduced per diem or actual expense subsistence) has been
established for a particular travel assignment, explain in block 22.
Blocks 15 thru 19. Check "yes" or "no" and provide justification, as applicable.
Block 20. Enter estimated cost for air/rail, per diem (lodging and meals), other expenses and total trip.
Block 21. Select method on how travel advance will be obtained and enter amount authorized.
Block 22. Enter any remarks or required justifications.
Block 23. Enter the Pegasys accounting classification. Required fields are marked with “*”
Blocks 24a and b. The traveler or travel arranger (invitational travel only) will sign and date these blocks.
Blocks 25a and b. The travel authorizing official will sign and date these blocks.
Electronic signature should be used to the maximum extent possible. Paper copies may be signed and dated when it is not
possible to electronically sign the form.
GENERAL SERVICES ADMINISTRATION
GSA 87 (REV. 8/2014) BACK

Download GSA Form 87 Official TDY Travel Authorization

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