FS-5700-12 (9/93)

DAY TRIP AUTHORIZATION
(FSM 5710 ; FSH 5709.11 , Ch.  10)

Date:		

Make/ Model of Aircraft:		Registration No:		

Operator:		

Purpose of Trip:		

 
Route of flight:		

 
 
Passenger Name	Affiliation	

		

		

		

Forest Service sponsoring Unit:		

I certify that the person (s) listed above has an official purpose for being on this flight and any associated surface transportation.  I recognize that the Government may incur increased liability exposure under the Federal Tort Claims Act, 28 U.S.C. 2671-2680, and that ownership of the conveyance (s) in question does not alter the Government's liability (Comptroller General Decision B-2231814, January 19, 1998).  I have determined that the benefits justify the operation.

	
  Signature and title of sponsoring unit representative (FSM 5716.4)