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Fillable Printable Temporary Quarters Expense Report

Fillable Printable Temporary Quarters Expense Report

Temporary Quarters Expense Report

Temporary Quarters Expense Report

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 your eligibility for and amount to reimburse you for expenses
incurred in connection with permanent change of station travel. Information may be transferred to appropriate Federal, State, or local
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 will not be able to reimburse you for your expenses.
GENERAL SERVICES ADMINISTRATION GSA 2511 (REV. 10/1989)
COPY 1 ATTACH TO SF 1012, TRAVEL VOUCHER
TEMPORARY QUARTERS EXPENSE REPORT
1. EMPLOYEE NAME (First, Middle, Last)
2. TRAVEL AUTHORIZATION NUMBER
3. WHICH 30 DAY INCREMENTS IS THIS CLAIM FOR? (Check one)
1st 30 DAYS 2nd 30 DAYS 3rd 30 DAYS 4th 30 DAYS
4. OCCUPANT
NUMBER OF
PERSONS
NOTE: IF EMPLOYEE OCCUPIES TEMPORARY QUARTERS AT ONE LOCATION WHILE MEMBERS OF THE IMMEDIATE FAMILY OCCUPY TEMPORARY QUARTERS IN
ANOTHER LOCATION, A SEPARATE GSA 2511 SHOULD BE MAINTAINED FOR EACH LOCATION AND THEN COMBINED INTO A SUMMARY GSA FORM 2511.
REMARKS
7. LOCATION OF TEMPORARY QUARTERS (Name of establishment, street address, city, state)
PRIVACY ACT OF 1974
INCLUSIVE DATES
NUMBER
OF DAYS
DAILY
RATE
MAXIMUM TOTAL
ALLOWANCE
EMPLOYEE
SPOUSE
OTHER FAMILY MEMBER
(12 years or older)
FAMILY MEMBER
(under 12 years)
5. ITEMIZE DAILY EXPENSES ON PAGE 2 OF THIS FORM. ATTACH RECEIPTS FOR LODGING, GROCERIES, LAUNDRY AND DRY CLEANING EXCEPT WHEN
COIN OPERATED LAUNDRY OR DRY CLEANING FACILITIES ARE USED AND ANY MEAL COSTING OVER $25, REGARDLESS OF THE NUMBER OF PEOPLE.
IF MEALS ARE TAKEN SEPARATELY, YOU MUST LIST THEM SEPARATELY. ONLY GROCERIES ACTUALLY CONSUMED SHOULD BE INCLUDED.
TOTAL ITEMIZED EXPENSES PAGE 2
6. ENTER THE LESSOR OF THE MAXIMUM TOTAL ALLOWANCE (Line 4) OR YOUR TOTAL ITEMIZED
EXPENSES (Line 5). ENTER THIS AMOUNT ON THE ACCOMPANYING SF 1012, TRAVEL VOUCHER.
TOTAL $
$
$
GSA 2511 (REV. 10/1989) BACK
COPY 1 ATTACH TO SF 1012,TRAVEL VOUCHER
INSTRUCTIONS ON COPY 1
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
BREAKFAST
LUNCH DINNER
GROCERIES
LAUNDRY LODGING
DRY
CLEANING
DAILY TOTAL
TOTALS
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
DATE
15.
16.
17.
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 your eligibility for and amount to reimburse you for expenses
incurred in connection with permanent change of station travel. Information may be transferred to appropriate Federal, State, or local
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 will not be able to reimburse you for your expenses.
GENERAL SERVICES ADMINISTRATION
GSA 2511 (REV. 10/1989)
COPY 2 EMPLOYEE COPY
TEMPORARY QUARTERS EXPENSE REPORT
1. EMPLOYEE NAME (First, Middle, Last)
2. TRAVEL AUTHORIZATION NUMBER
3. WHICH 30 DAY INCREMENTS IS THIS CLAIM FOR? (Check one)
1st 30 DAYS
2nd 30 DAYS 3rd 30 DAYS
4th 30 DAYS
4. OCCUPANT
NUMBER OF
PERSONS
NOTE: IF EMPLOYEE OCCUPIES TEMPORARY QUARTERS AT ONE LOCATION WHILE MEMBERS OF THE IMMEDIATE FAMILY OCCUPY TEMPORARY QUARTERS IN
ANOTHER LOCATION, A SEPARATE GSA 2511 SHOULD BE MAINTAINED FOR EACH LOCATION AND THEN COMBINED INTO A SUMMARY GSA 2511.
REMARKS
7. LOCATION OF TEMPORARY QUARTERS (Name of establishment, street address, city, state)
PRIVACY ACT OF 1974
INCLUSIVE DATES
NUMBER
OF DAYS
DAILY
RATE
MAXIMUM TOTAL
ALLOWANCE
EMPLOYEE
SPOUSE
OTHER FAMILY MEMBER
(12 years or older)
FAMILY MEMBER
(under 12 years)
5. ITEMIZE DAILY EXPENSES ON PAGE 2 OF THIS FORM. ATTACH RECEIPTS FOR LODGING, GROCERIES, LAUNDRY AND DRY CLEANING EXCEPT WHEN
COIN OPERATED LAUNDRY OR DRY CLEANING FACILITIES ARE USED AND ANY MEAL COSTING OVER $25, REGARDLESS OF THE NUMBER OF PEOPLE.
IF MEALS ARE TAKEN SEPARATELY, YOU MUST LIST THEM SEPARATELY. ONLY GROCERIES ACTUALLY CONSUMED SHOULD BE INCLUDED.
TOTAL ITEMIZED EXPENSES PAGE 2
6. ENTER THE LESSOR OF THE MAXIMUM TOTAL ALLOWANCE (Line 4) OR YOUR TOTAL ITEMIZED
EXPENSES (Line 5). ENTER THIS AMOUNT ON THE ACCOMPANYING SF 1012, TRAVEL VOUCHER.
TOTAL $
$
$
GSA 2511 (REV. 10/1989) BACK
COPY 2 EMPLOYEE COPY
INSTRUCTIONS ON COPY 1
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
BREAKFAST
LUNCH DINNER
GROCERIES
LAUNDRY LODGING
DRY
CLEANING
DAILY TOTAL
TOTALS
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
DATE
15.
16.
17.
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 your eligibility for and amount to reimburse you for expenses
incurred in connection with permanent change of station travel. Information may be transferred to appropriate Federal, State, or local
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 will not be able to reimburse you for your expenses.
GENERAL SERVICES ADMINISTRATION GSA 2511 (REV. 10/1989)
COPY 3 REAL ESTATE APPROVING OFFICIAL COPY
TEMPORARY QUARTERS EXPENSE REPORT
1. EMPLOYEE NAME (First, Middle, Last)
2. TRAVEL AUTHORIZATION NUMBER
3. WHICH 30 DAY INCREMENTS IS THIS CLAIM FOR? (Check one)
1st 30 DAYS 2nd 30 DAYS 3rd 30 DAYS 4th 30 DAYS
4. OCCUPANT
NUMBER OF
PERSONS
NOTE: IF EMPLOYEE OCCUPIES TEMPORARY QUARTERS AT ONE LOCATION WHILE MEMBERS OF THE IMMEDIATE FAMILY OCCUPY TEMPORARY QUARTERS IN
ANOTHER LOCATION, A SEPARATE GSA 2511 SHOULD BE MAINTAINED FOR EACH LOCATION AND THEN COMBINED INTO A SUMMARY GSA 2511.
REMARKS
7. LOCATION OF TEMPORARY QUARTERS (Name of establishment, street address, city, state)
PRIVACY ACT OF 1974
INCLUSIVE DATES
NUMBER
OF DAYS
DAILY
RATE
MAXIMUM TOTAL
ALLOWANCE
EMPLOYEE
SPOUSE
OTHER FAMILY MEMBER
(12 years or older)
FAMILY MEMBER
(under 12 years)
5. ITEMIZE DAILY EXPENSES ON PAGE 2 OF THIS FORM. ATTACH RECEIPTS FOR LODGING, GROCERIES, LAUNDRY AND DRY CLEANING EXCEPT WHEN
COIN OPERATED LAUNDRY OR DRY CLEANING FACILITIES ARE USED AND ANY MEAL COSTING OVER $25, REGARDLESS OF THE NUMBER OF PEOPLE.
IF MEALS ARE TAKEN SEPARATELY, YOU MUST LIST THEM SEPARATELY. ONLY GROCERIES ACTUALLY CONSUMED SHOULD BE INCLUDED.
TOTAL ITEMIZED EXPENSES PAGE 2
6. ENTER THE LESSOR OF THE MAXIMUM TOTAL ALLOWANCE (Line 4) OR YOUR TOTAL ITEMIZED
EXPENSES (Line 5). ENTER THIS AMOUNT ON THE ACCOMPANYING SF 1012, TRAVEL VOUCHER.
TOTAL $
$
$
GSA 2511 (REV. 10/1989) BACK
COPY 3 REAL ESTATE APPROVING OFFICIAL COPY
INSTRUCTIONS ON COPY 1
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
BREAKFAST
LUNCH DINNER
GROCERIES
LAUNDRY LODGING
DRY
CLEANING
DAILY TOTAL
TOTALS
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
DATE
15.
16.
17.
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