Date: MEMORANDUM FOR RECORD SUBJECT: Acceptance of Travel Benefits In Accordance With 31 U.S.C. 1353 Travel benefits have been offered by [non-Federal source] to accommodate the participation of [employee name] in [name of meeting or similar event] on [date of meeting] in [place of meeting]. This meeting is not essential to DoD Component's mission and is not promotional vendor training or other marketing. The travel is related to the employee's official duties and the employee will be participating in an official capacity. This travel is in the interest of the Government and travel authorization has been issued. Travel benefits will be provided in kind or by check or similar instrument made payable to the "U.S. Treasury.” I have considered the identity of [non-Federal source], the purpose of the meeting, the identity of other expected participants, and the monetary value and character of the travel benefits. I have also considered whether there is any matter pending at [DoD Component] that may affect the interest of [non-Federal source], and if so its nature and sensitivity and the significance (if any) of [employee name]'s role in the matter. I have considered any impact the performance or nonperformance of [employee name]'s official duties might have on the source. Based on these considerations, I find that [non-Federal source]is not disqualified due to a conflict of interest and make the following determinations: Acceptance of these travel benefits would not cause a reasonable person with knowledge of all the relevant facts to question the integrity of the [DoD Component]'s programs or operations; and. Acceptance of these travel benefits is permissible under applicable travel regulations. Acceptance of these travel benefits is approved, subject to Ethics Counsel review and concurrence. This memorandum will be coordinated with Ethics Counsel prior to acceptance. Travel Approving Authority of Contact: _______________ Traveler’s Point Phone: _______________ Ethics Counselor Coordination: Concur _____________ Non-concur _________
Date: MEMORANDUM FOR RECORD SUBJECT: Acceptance of Travel Benefits In Accordance With 31 U.S.C. 1353 Travel benefits have been offered by [non-Federal source] to accommodate the participation of [employee name] in [name of meeting or similar event] on [date of meeting] in [place of meeting]. This meeting is not essential to DoD Component's mission and is not promotional vendor training or other marketing. The travel is related to the employee's official duties and the employee will be participating in an official capacity. This travel is in the interest of the Government and travel authorization has been issued. Travel benefits will be provided in kind or by check or similar instrument made payable to the "U.S. Treasury.” I have considered the identity of [non-Federal source], the purpose of the meeting, the identity of other expected participants, and the monetary value and character of the travel benefits. I have also considered whether there is any matter pending at [DoD Component] that may affect the interest of [non-Federal source], and if so its nature and sensitivity and the significance (if any) of [employee name]'s role in the matter. I have considered any impact the performance or nonperformance of [employee name]'s official duties might have on the source. Based on these considerations, I find that [non-Federal source]is not disqualified due to a conflict of interest and make the following determinations: Acceptance of these travel benefits would not cause a reasonable person with knowledge of all the relevant facts to question the integrity of the [DoD Component]'s programs or operations; and. Acceptance of these travel benefits is permissible under applicable travel regulations. Acceptance of these travel benefits is approved, subject to Ethics Counsel review and concurrence. This memorandum will be coordinated with Ethics Counsel prior to acceptance. Travel Approving Authority Traveler’s Point of Contact: _______________ Phone: _______________ Ethics Counselor Coordination: Concur _____________ Non-concur _________
1353_dod_factsheet_and_draft_memo.docx