Gsa 87 Form – Fill Out and Use This PDF

2.	TRAVELER (first name, middle initial, last name)		3.	TITLE			4. PEGASYS VENDOR CODE
5.	CURRENT RESIDENCE ADDRESS		6A. OFFICE/SERVICE AND DIVISION				6B. CORRESPONDENCE SYMBOL
			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)

14. AUTHORIZED OFFICIAL ITINERARY

NOTE: DO NOT include any personal/leisure travel. See Item 15.

DATE	ITINERARY POINT		PER DIEM RATE			ACTUAL
				MEAL & INCIDENTAL	TOTAL
(MM/DD/YYYY)	(b)		MAXIMUM			EXPENSE RATE
					(e)
(a)	CITY	STATE	LODGING (c)	EXPENSES (M&IE)		(f)
				RATE (d)
	FROM:
	TO:
	TO:
	TO:
15. IS TRAVELER MAKING ANY DEVIATIONS FROM OFFICIAL ITINERARY FOR PERSONAL CONVENIENCE, (e.g. TAKING OF LEAVE, OR USING A						YES NO
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

STANDARD FORM (SF) 1038, ADVANCE OF AMOUNT AUTHORIZED $

FUNDS APPLICATION AND ACCOUNT

22.

REMARKS/JUSTIFICATONS

23.Pegasys ACCOUNT CLASS (Fields marked with "*" are required)

GENERAL SERVICES ADMINISTRATION

GSA 87 (REV. 1/2020)

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 United States Code (USC) 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 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 87 is signed. Pen and ink changes, erasures and alterations to the original and copies of the GSA 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 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.

GSA 87 (REV. 1/2020) BACK