BPA F 2250.01e
(09-2017)
(Page 1 of 1) / U.S. DEPARTMENT OF ENERGY
BONNEVILLE POWER ADMINISTRATION

CONTRACT WORKER -AUTHORIZATION FOR OFFICIAL TRAVEL

/
Electronic Form Approved
by Forms Mgmt. 09/27/2017
Privacy Act Statement:
Authority: 42 U.S.C. 7101, et seq.; Federal Travel Regulation; DOE M 552.1-1A DOE Travel Manual.
Purpose: BPA will use this information to document and authorize official business travel of contract workers.
Routine Uses: A record from this system may be disclosed to the Internal Revenue Service for notification regarding taxable reimbursements. A record in this system may be disclosed to BPA/DOE employees and contractors in performance of their jobs who have a need for the records in the performance of their duties. A record in this system may be disclosed to the appropriate local, state, or federal agency when the records alone, or in conjunction with other information, indicate a violation or potential violation of law, whether civil, criminal, or regulatory in nature. Other routine uses of this information may be found in Privacy Act System of Records DOE-26 Official Travel Records.
Disclosure: Compliance is voluntary; however, failure to furnish this information may delay or preclude authorization for travel or reimbursement for travel expenses.
Directions for Completion of Form:
Note: This is a two-part form and is to be used for either Part A (yearlong limited open) or Part B (trip-by-trip or training) authorizations (not both).
Part A is to be used for day-to-day travel (mission operational purpose) and may be used for the full fiscal year.
Part B is for a single trip and is only to be completed as would be needed for a specific trip or for travel associated with training.
Contract Workers should always carry an approved copy of this authorization when traveling for BPA.Listed below are the Purpose Categories

PURPOSE CATEGORIES

Mission (Operational): Travel to a particular site in order to perform operational activities. Travel to attend a meeting to discuss general agency operations, review status reports, or discuss topics of general interest. Examples: Contract worker’s day-to-day operational activities, as defined by the worker’s assignment, to include, but not be limited to: hearings, site visit, information meeting, inspections, audits, investigations, and examinations.
Training: Travel in conjunction with educational activities to become proficient or qualified in one or more areas of responsibility. 5 USC 4101(4) states that ‘training’ means the process of providing for and making available to a worker, and placing or enrolling the worker in an planned, prepared, and coordinated program, course, curriculum, subject, system, or routine of instruction or education, in specific, professional, technical, mechanical, trade, clerical, fiscal, administrative, or other fields which will improve individual and organizational performance and assist in achieving the agency’s mission and performance goals.
1. Traveler’s Name (Last, First, Middle Initial) (Must be Legal Name) / a. HRMIS No. / b. Dept. ID
c. Official Duty Station (City, County, State) / d. Residence (City, County, State) / e. Employer (Supplier Name)
PART A– TRAVEL AUTHORIZATION FOR MISSION OPERATIONAL PURPOSES (Up to full Fiscal Year)
1. AREA: / check all that apply: / BPA Service Area / CONUS
2. TRANSPORTATION: / check all that apply: / Commercial Carrier / Privately Owned Vehicle BPA Vehicle
3. Authorized Dates of Travel (NTE Current Fiscal Year)
4.Explain BPA’s Work Product that Supports this Travel:
Prior to Travel please email(as an attachment)/send completed form to:
5. BPA Manager’s Signature (I certify that this Authorization for Official Travel is justified and in BPA’s best interest.) / a. Date
BPA F 2250.01e
(09-2017)
(Page 1 of 1) / U.S. DEPARTMENT OF ENERGY
BONNEVILLE POWER ADMINISTRATION

CONTRACT WORKER -AUTHORIZATION FOR OFFICIAL TRAVEL

/
Electronic Form Approved
by Forms Mgmt. 09/27/2017
BPA F 2250.01e
(09-2017)
(Page 1 of 1) / U.S. DEPARTMENT OF ENERGY
BONNEVILLE POWER ADMINISTRATION

CONTRACT WORKER -AUTHORIZATION FOR OFFICIAL TRAVEL

/
Electronic Form Approved
by Forms Mgmt. 09/27/2017
6. Contract Worker’s Employer Signature(Authorization from Supplier) / a. Date
BPA F 2250.01e
(09-2017)
(Page 1 of 1) / U.S. DEPARTMENT OF ENERGY
BONNEVILLE POWER ADMINISTRATION

CONTRACT WORKER -AUTHORIZATION FOR OFFICIAL TRAVEL

/
Electronic Form Approved
by Forms Mgmt. 09/27/2017
BPA F 2250.01e
(09-2017)
(Page 1 of 1) / U.S. DEPARTMENT OF ENERGY
BONNEVILLE POWER ADMINISTRATION

CONTRACT WORKER -AUTHORIZATION FOR OFFICIAL TRAVEL

/
Electronic Form Approved
by Forms Mgmt. 09/27/2017
PART B–AUTHORIZATION FOR OFFICIAL TRAVEL(Single Trip or Travel Associated with Training)
1. PURPOSE / Check one: / Training
NOTE: Training attendance approval is based on a case by case basis and is also required
Other (Specify)
2. TRANSPORTATION: / Check all that apply: / Commercial CarrierRental CarPrivately Owned VehicleBPA Vehicle
3. Authorized Dates of Travel / 4. Estimated Number of Travel Days / 5. Temporary Duty Location
6. Estimated Costs
Lodging / M & IE / Transportation / Registration Fee / Other / Total
$ / $ / $ / $ / $ / $
7. Explain BPA’s Work Product that Supports this Travel:
8. BPA Manager’s Signature (I certify that this Authorization for Official Travel is justified and in BPA’s best interest.) / 8a.Date
BPA F 2250.01e
(09-2017)
(Page 1 of 1) / U.S. DEPARTMENT OF ENERGY
BONNEVILLE POWER ADMINISTRATION

CONTRACT WORKER -AUTHORIZATION FOR OFFICIAL TRAVEL

/
Electronic Form Approved
by Forms Mgmt. 09/27/2017
BPA F 2250.01e
(09-2017)
(Page 1 of 1) / U.S. DEPARTMENT OF ENERGY
BONNEVILLE POWER ADMINISTRATION

CONTRACT WORKER -AUTHORIZATION FOR OFFICIAL TRAVEL

/
Electronic Form Approved
by Forms Mgmt. 09/27/2017
Prior to Travel please e-mail(as an attachment)/send completed form to:
9. Contract Worker’s Employer Signature(Authorization from Supplier) / 9a. Date
BPA F 2250.01e
(09-2017)
(Page 1 of 1) / U.S. DEPARTMENT OF ENERGY
BONNEVILLE POWER ADMINISTRATION

CONTRACT WORKER -AUTHORIZATION FOR OFFICIAL TRAVEL

/
Electronic Form Approved
by Forms Mgmt. 09/27/2017
BPA F 2250.01e
(09-2017)
(Page 1 of 1) / U.S. DEPARTMENT OF ENERGY
BONNEVILLE POWER ADMINISTRATION

CONTRACT WORKER -AUTHORIZATION FOR OFFICIAL TRAVEL

/
Electronic Form Approved
by Forms Mgmt. 09/27/2017

FILE CODE:TT-11 RETENTION: See Agency File Plan.