Travel Authorization Form For CJA Counsel-Experts Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Travel Authorization Form For CJA Counsel-Experts Form. This is a Massachusetts form and can be use in District Court Federal.
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Tags: Travel Authorization Form For CJA Counsel-Experts, Massachusetts Federal, District Court
OFFICE OF THE CLERK
UNITED STATES DISTRICT COURT
DISTRICT OF MASSACHUSETTS
JOHN JOSEPH MOAKLEY UNITED STATES COURTHOUSE
1 COURTHOUSE WAY - SUITE NO. 2300
BOSTON, MASSACHUSETTS 02210
TELEPHONE: 617-748-9152
SARAH A. THORNTON
CLERK OF COURT
TRAVEL AUTHORIZATION
[UNDER SEAL, if appropriate]
Case Number:
Defendant Name:
Authorized Traveler:
Authorized Travel Dates:
Purpose of Travel:
Pursuant to Section 702 of the Federal Courts Administration Act of 1992, Public Law 102-572,
106 Stat. 4506, you are hereby authorized to obtain government travel rates for the above-described trip in
connection with the representation of the above named defendant under the Criminal Justice Act (CJA).
You are authorized to contact Omega World Travel at 1-866-450-0401 to request reservations and
airline tickets. You must provide Omega with the authorization number identified below and identify
yourself as an authorized traveler under CJA for the District of Massachusetts, and advise Omega that
you are a CJA panel attorney or expert and your airline tickets are to be charged to that court's account.
Reimbursement for out of pocket expenses actually incurred during the above travel dates can be
claimed as expenses when submitting your CJA 20 voucher for payment. Receipts must be included for
any single expense over $25.00. The court will be billed and will pay for the airline tickets directly.
A copy of the this Travel Authorization, as well as the airline ticket and itinerary must be attached
to your voucher for audit purposes. The airline ticket receipt, itinerary and a copy of the Travel
Authorization must also be forwarded to Helen Costello, Operations Manager, at the above address, as
soon as possible after the travel has occurred.
A copy of this Travel Authorization, as well as a copy of the airline tickets which were provided by
Omega, must be attached to your voucher for audit purposes. Our internal authorization number for this
travel is: *
.
*These are the "identifiers" that must be provided to Omega World Travel.
Date
Judicial Officer
(TravelAuth-CJA.wpd - 9/30/2005)
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