NMB Form No. 14
Revised 07/99

Authorization No._____________

NATIONAL MEDIATION BOARD

OFFICIAL TRAVEL/REFEREE COMPENSATION AUTHORIZATION

TO: Arbitration Services
National Mediation Board
Washington, DC 20572 		FROM: NAME:

ADDRESS:





Referee Signature & Date
Part A
OFFICIAL TRAVEL AUTHORIZATION/CASELOAD
Board
No. 		Travel Dated
FROM: _______ TO: _______ 		Itinerary
Carrier: __________ From: __________ To: __________



Number of cases heard and
not decided as of previous
month: ___________________ 		Estimated cost to Government
Total transportation:
(Government Travel Agency)
Total Per Diem and Miscellaneous Items --
Rental car approval required in writing:

TOTAL ESTIMATED COST
$_______________


$_______________

$_______________ 		T
R
A
V
E
L 		O
N
L
Y
Part B
COMPENSABLE SERVICE
Compensable service to be rendered during the month of ________________ is _______ days.
Please revise my allocation for the month of ______________ to reflect less days worked
from ______ to______ days.
Part C
FOR NATIONAL MEDIATION BOARD USE ONLY
  Compensation of $ _____________ obligated.

Travel of $ _____________ obligated. Travel Authorization for this month ONLY. Travel cannot be transferred.
_____________________________________________
Approved by & Date

NOTE: Failure to submit NMB Form No. 14 by the first day of the month PRECEDING the month covered by the request, will result in non-reimbursement by the National Mediation Board. No additional travel or work days will be authorized until a voucher for all travel and days authorized has been submitted or you have advised that your allotted days not claimed on a voucher may be released. See NMB Release No. 90/40.

In additional, if you have cases heard and not decided in excess of six months on all NMB assignments, all days authorized on NMB Form 14 must be used exclusively for study and preparation.
(SEE INSTRUCTIONS ON BACK OF FORM)
INSTRUCTIONS FOR COMPLETING NMB FORM NO. 14

(Official Travel/Referee Compensation Authorization)

     NMB Form No. 14, Official Travel/Referee Compensation Authorization Form, was created to assure adequate funding of obligations required by the Budget and Accounting Act of 1921, as amended, and the Federal Managers' Financial Integrity Act.

     Referees holding official appointments by the National Mediation Board who desire to work or travel must submit an NMB Form 14 to the Arbitration Services, National Mediation Board, Washington, DC 20572, by the first day of the month preceding the month covered by the authorization request.

     When authorization requests are approved, the National Mediation Board will complete Part C of Form NMB 14, assign an authorization number, and return a copy to you. The authorization number may be cited when ordering transportation tickets. The authorization may be used at hotels/motels to obtain government rates when they are offered.

     When a referee does not use all days authorized for a certain month, the National Mediation Board must be notified by the end of the following month by completion of Part B of Form NMB 14. Failure to do so will result in your not receiving authorization for work days or travel in subsequent months.

     Any questions concerning the above may be directed to Arbitration Services, National Mediation Board at (202) 692-5055.
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