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DSO 1012 Travel Voucher Completion Instructions

DSO 1012 Voucher Form

(Be sure to download the voucher form and review the Travel Voucher Checklist on the fd.org site before filling in the information below.)

Item Number:

  1. Last name, first name, and middle initial (if applicable).
  2. Mailing address, including zip code.
  3. a-b Dates actually traveled in M/D/YYYY format (dates listed should match dates on travel authorization).
  4. Travel authorization number from your travel authorization (10-digit number, e.g., DSO24-00001).
  5. Schedule of Expenses and Amounts Claimed:
  6. Airfare - Enter the amount of airfare that you paid and need to be reimbursed for. If DSO paid for your airfare, then leave this cell blank.
  7. Total Mileage - If you used your privately owned vehicle to drive to/from the transit station or the event, please enter the total miles driven.
  8. First Table of Expenses - Meals and Lodging - Use a new line for each expense item. For each line, enter the following:
    • Date of item on description line in M/D/YYYY format;
    • Description of expense such as lodging or meals and incidental expenses (M&IE);
    • If applicable, enter the amount of lodging paid for each day (do not include taxes).
  9. Second Table of Expenses - Other Expenses - (e.g., hotel taxes, bus fare, ride-share, taxi, train, subway, and baggage fees) - Use a new line for each expense item. For each line, enter the following:
    • Date of item on description line in M/D/YYYY format;
    • Description of expense;
    • If traveling by train or subway, the amount of those fees;
    • Hotel taxes (if applicable);
    • Taxis, ride share (e.g., Uber or Lyft);
    • Parking fees;
    • Baggage fees - provide receipts for baggage fees.
  10. Type your name in the signature box of the DSO 1012 voucher form.

Items 1 through 6 (except for the middle initial field) are required for submission.

Do not complete any fillable fields on the DSO Section tab of the DSO 1012 voucher form. These fields are reserved for use by DSO staff.

Please submit DSO forms and supporting documents via email to DSO_Travel@ao.uscourts.gov. Please include your full name and travel authorization number in the Subject line of the email.

Please attach items such as the following:

  1. Completed DSO 1012 form (Excel format);
  2. Completed DSO 213 form (Excel format) - if you have never submitted this form or if your personal or banking information have changed since you last completed the DSO 213 form, please submit a new DSO 213 form.
  3. Travel authorization memorandum;
  4. Airline ticket receipt. Ticket receipt must show traveler's name, round-trip flight information, cost of ticket and National Travel fee, and method of payment;
  5. Baggage receipts - if claiming baggage fees, attach the receipt, regardless of amount, reflecting the baggage fees;
  6. Hotel receipt;
  7. Receipts for any expense that is $75 and over.
  8. Mileage - a screenshot of the route and miles driven using a mapping tool such as Google Maps. The mileage claimed should match the miles reflected on the screenshot of the mapping tool.

Failure to provide any of these items may result in a delay in your reimbursement. Please provide any additional documentation or information which may be helpful for processing your travel voucher.