Fillable Printable Form DS-2026
Fillable Printable Form DS-2026
Form DS-2026
U.S. Department of State
Office of Allowances
Hotel and Restaurant Report
DS-2026
07-2005
Instruction Page 1 of 1
The information provided in this report will be used to determine the travel Per Diem Allowance. Please complete and sign the Post Information
section, as well as Sections 1 and 2. The instructions below correspond to the required data fields in Sections 1 and 2.
INSTRUCTIONS
COMPLETING THE REPORT:
General Instructions
U.S. Department of State
Office of Allowances (A/OPR/ALS)
Room H-314, SA-1
Washington, D.C. 20522-0103
Copies of this report may be sent in advance via fax or e-mail to:
Fax: 202-261-8707
E-mail: [email protected]
The Hotel and Restaurant Report (DS-2026) is used to determine the maximum travel allowances. It is to be submitted by civilian Federal
agencies in accordance with Sections 070 and 920 of the Department of State Standardized Regulations (DSSR). Reports submitted by
Uniformed Service members must follow the procedures provided in Appendix M of the Joint Federal Travel Regulations.
Report all prices in the currency required by the facility. Provide explanation in the
If there are no suitable hotel or restaurant facilities within a reasonable distance (including hostels and guest houses), include under
(b)
(c)
Section 1 - Hotels
List prices for moderately priced hotels that are frequently used by USG employees and reported in the post log or by the military billeting office.
Post should select hotels that meet U.S. standards of size, cleanliness, security, and safety as much as possible. Post should refrain from
reporting costs for hotels that offer luxury accommodations and/or are primarily used by VIPs or Congressional delegations (hotels normally rated
as superior, first-class, or deluxe). If hotels do not have single rooms with private baths, then describe the types of rooms available in the
(a)
Provide the number of room reservations at each lodging facility using hotel reservation logs maintained by the post or the military billeting
office.
Section 2 - Restaurants and Fast Food Facilities
The restaurants used in this survey must represent those facilities most frequently used by USG travelers. You are not required to base your
restaurant selections on the meal facilities reported in the living pattern questionnaire.
Justify in the
Prices for soup and salad are intended to be small servings, as often provided with a full meal. Note in the
Explain in the
If hotels have high and low seasons, report the seasonal rates and provide dates.
(a)
(c)
(b)
(d)
(b)
(a)
List the average price levels for all main course and additional meal items requested.
(c)
(d)
(e)
Select the fast food outlets most used by USG travelers.
(a)
(b)
Department of State posts should submit the signed original of this report and other supporting documentation directly to the Department of
State, Office of Allowances:
Non-Department of State locations should submit the signed original of this report and other supporting documentation directly to the
Department of State, Office of Allowances (see address above). A copy should be sent to the parent agency's Headquarters/Washington, D.C.
office.
SUBMITTING THE REPORT:
Comments
are quoted in U.S. dollars. Round the tax rate, service charge, or tip rate percentages to two digits.
section if the hotel and/or meal prices
CommentsComments (Sections 1 and 2) a statement about the arrangements made for travelers.
rates most often given to United States Government (USG) travelers.
Typical room rates refer to discounted room
Typical meals refer to basic food items most often consumed
by USG travelers.
Comments section.
Comments
section any change in hotels listed or price levels from the previous survey.
Comments section any reporting of hotel restaurants for meals, as opposed to local restaurants. For example, the Regional
Medical Officer and/or Regional Security Officer may deem local restaurants unsanitary and/or unsafe.
Comments section if the prices listed
represent full or large portions.
Comments
Hotel AddressHotel Name
Title of Approving Officer
USG Rate Reported Includes:
Number of Reservations from Post Log or Military Billeting Office
Number of Rooms in the Hotel
Hotel Meets U.S. Equivalent Fire/Safety Standards:
Dinner
Exchange Rate: 1.55 AUD =1.00 USD
Example
If the hotel has service charges that are not included in the USG rate, fill in the
appropriate fields below.
Service Charge Percent
Service Charge Flat Amount
If the hotel charges taxes that are not included in the USG rate,
fill in the appropriate fields below.
Tax Percent
Tax Flat Amount
Approving Officer
U.S. Department of State
Office of Allowances
Hotel and Restaurant Report
Exchange Rate: List the prevailing currency exchange rate available to United
States Government (USG) personnel and describe the primary source (e.g., local
banks, USDO, etc.).
Exchange Rate =1.00 USD
Source
Source Embassy Cashier
I certify that this report is accurate, current, and has been completed in accordance with the Department of State Standardized Regulations.
Most Frequently Used Hotel
USG Discounted Room Rate
If the USG rate is not available to all USG travelers, provide the
commercial rate and explain who can use the USG rate.
Commercial Rate
Explanation
Yes
No
If a higher USG rate is in effect during specific times of the year, provide the rate
and dates when the higher rate is charged.
USG Discounted Room Rate
Yes
No
to
to
to
High Season Dates:
Taxes
Service Charges
Breakfast
Lunch
Yes
No
DS-2026
07-2005
Page 1 of 7
Typical Room Rates Available for a
USG Traveler During Majority of Year
Seasonal Rates
U.S. Agency (e.g., Department of State)
Actual
Post/Country (e.g., Sydney, Australia)
Survey Location (e.g., Cairns)
Approving Officer Signature
Other
Date (mm-dd-yyyy)
Local Currency:
Local Currency:
(mm-dd-yyyy)
(Last, First, MI) (Print or Type)
POST INFORMATION
SECTION 1 - HOTELS
Comments
Hotel Address
Hotel Name
DS-2026 Page 2 of 7
Second Most Frequently Used Hotel
Typical Room Rates Available for a
USG Traveler During Majority of Year
Seasonal Rates
USG Discounted Room Rate
If the USG rate is not available to all USG travelers, provide the
commercial rate and explain who can use the USG rate.
Commercial Rate
Explanation
Yes
No
If a higher USG rate is in effect during specific times of the year, provide
the rate and dates when the higher rate is charged.
USG Discounted Room Rate
Local Currency:
Yes
No
to
to
to
High Season Dates:
If the hotel has service charges that are not included in the USG rate, fill in
the appropriate fields below.
Service Charge Percent
Service Charge Flat Amount
If the hotel charges taxes that are not included in the USG rate,
fill in the appropriate fields below.
Tax Percent
Tax Flat Amount
Taxes
Service Charges
Other
USG Rate Reported Includes:
Number of Reservations from Post Log or Military Billeting Office
Number of Rooms in the Hotel
Hotel Meets U.S. Equivalent Fire/Safety Standards:
Breakfast
Lunch
Dinner
Yes
No
Local Currency:
(mm-dd-yyyy)
Comments
Hotel AddressHotel Name
Third Most Frequently Used Hotel
Typical Room Rates Available for a
USG Traveler During Majority of Year
Seasonal Rates
USG Discounted Room Rate
If the USG rate is not available to all USG travelers, provide the
commercial rate and explain who can use the USG rate.
Commercial Rate
Explanation
Yes
No
If a higher USG rate is in effect during specific times of the year, provide
the rate and dates when the higher rate is charged.
USG Discounted Room Rate
Local Currency:
Yes
No
to
to
to
High Season Dates:
If the hotel has service charges that are not included in the USG rate, fill in
the appropriate fields below.
Service Charge Percent
Service Charge Flat Amount
If the hotel charges taxes that are not included in the USG rate,
fill in the appropriate fields below.
Tax Percent
Tax Flat Amount
Taxes Service Charges
Other
USG Rate Reported Includes:
Number of Reservations from Post Log or Military Billeting Office
Number of Rooms in the Hotel
Hotel Meets U.S. Equivalent Fire/Safety Standards:
Breakfast
Lunch
Dinner
Yes
No
DS-2026 Page 3 of 7
Local Currency:
(mm-dd-yyyy)
Comments
1. Most Frequently Used Restaurant
Name
Prices in Local Currency:
Restaurant Information
Tax Rates
(If not Included in Prices)
Service Charge or Tip
Rates
(If Customary and not
Included in Prices)
Typical Breakfast Restaurant Prices
2. Second Most Frequently Used Restaurant
Name
Prices in Local Currency:
3. Third Most Frequently Used Restaurant
Name
Prices in Local Currency:
5. Post Facility
Name:
Prices in Local Currency:
4. Military Facility
Name
Prices in Local Currency:
Yes No
Yes No
Yes No
Yes No
Yes No
DS-2026 Page 4 of 7
List Combined Price of Bacon, 2 Eggs, Juice,
Toast, and Coffee or Tea (i.e., the Price of a
Typical American Breakfast) (If Bacon is not
Available, Please Incorporate the Price of
Another Meat)
% Flat
% Flat
SECTION 2 - RESTAURANTS AND FAST FOOD FACILITIES
Comments
Restaurant Information
Typical Lunch Restaurant Prices
1. Most Frequently Used Restaurant
Name
Prices in local Currency:
2. Second Most Frequently Used Restaurant
Name
Prices in Local Currency:
3. Third Most Frequently Used Restaurant
Name
Prices in Local Currency:
5. Post Facility
Name
Prices in Local Currency:
4. Military Facility
Name
Prices in Local Currency:
Yes No
Yes No
Yes No
Yes No
Yes No
List Prices for the Following
a la carte Items not included
in Main Course Prices
Tax Rates
(If not Included
in Prices)
Service Charge or
Tip Rates
(If Customary and not
Included in Prices)
Main Course
DS-2026
Page 5 of 7
One Side
Order
Dessert
Coffee,
Tea, or
Soda
%
Flat
%
Flat
Beef Chicken Fish
Comments
2. Second Most Frequently Used Restaurant
Name
Prices in Local Currency:
DS-2026 Page 6 of 7
Typical Dinner Restaurant Prices
1. Most Frequently Used Restaurant
Name
Prices in Local Currency:
3. Third Most Frequently Used Restaurant
Name
Prices in Local Currency:
5. Post Facility
Name
Prices in Local Currency:
4. Military Facility
Name
Prices in Local Currency:
Yes No
Yes No
Yes No
Yes No
Yes No
Restaurant Information
%
Flat
Beef Chicken Fish
Soup Salad
Two
Typical
Side
Orders
Typical
Dessert
Coffee,
Tea, or
Soda
Flat
%
Main Course
List Prices for Items not Included in Main
Course Prices
Service Charge
or Tip Rates
(If Customary
and not Included
in Prices)
Tax Rates
(If Not Included
in Prices)
Comments
Typical Fast Food Restaurant Prices
Hamburger
(Large)
Fried
Chicken
(3 Pieces)
French Fries
(Large)
Coffee, Tea,
or Soda
(Medium)
DS-2026 Page 7 of 7
Tax Rates
(If not Included in
Prices)
Service Charge or Tip
Rates
(If Customary and not
Included in Prices)
%
Flat
%
Flat
Restaurant Information
1. Most Frequently Used Restaurant
Name
Prices in Local Currency:
2. Second Most Frequently Used Restaurant
Name
Prices in Local Currency:
3. Third Most Frequently Used Restaurant
Name
Prices in Local Currency:
Yes No
Yes No
Yes No
