TAA-3 (Rev 2/2006)

Trade Adjustment Assistance (TAA) Weekly Training Report/

Request for Allowances by Worker in Training
Name Social Security No.: - -
Week beginning Sunday / / Week ending Saturday / /
Mark daily as appropriate: X = attended all scheduled classes; A = absent, did not
Training Attendance attend all scheduled classes; leave blank if no classes scheduled, unless participating in
distance learning – if so, record approximate number of hours
School Name Sun. Mon. Tues. Weds. Thurs. Fri. Sat.
Facility #1

Facility #2

If participating in a program of distance learning, did you fully participate in training-related Yes
activities and satisfy all requirements of the training institution during the week indicated above? No
If you did not attend all scheduled classes or satisfy program requirements, explain why.

Were you on a break from training (in between courses, semesters, terms, quarters or academic years)
during any part of the week claimed? Yes No – I attended this week and expect to attend next week.
If yes, scheduled/part of approved program When did you last attend training?
break is unscheduled When are you scheduled to resume training?
Indicate other reason(s) for not attending. Did you withdraw or terminate from training? If so, when?

Transportation and Subsistence Allowance for Training Outside Commuting Area

Transportation allowance shall not exceed the lesser of the actual cost for travel by the least expensive means of transportation
reasonably available between your home and the training facility or the cost per mile at the prevailing mileage rate authorized under
the federal travel regulations. Allowable travel includes travel at the beginning and end of the training program and for daily
commuting, in lieu of subsistence allowance, but not exceeding the amount otherwise payable as subsistence for each day of
commuting. See www.gsa.gov-POV mileage reimbursement rates. Do not claim if group transportation paid for by the Connecticut
Department of Labor has been arranged for you. Training must be outside the commuting area.

Subsistence allowance shall not exceed the lesser of your actual per diem expenses for subsistence when the training facility is
located outside the commuting area or 50 percent of the prevailing per diem rate authorized under the federal travel regulations for the
locale of the training. See www.gsa.gov-per diem rates. Subsistence includes lodging, meals and incidental expenses.
IMPORTANT: Transportation allowance for daily commuting is in lieu of subsistence allowance. Attach copies of receipts
for daily subsistence and public transportation expenses.
Sun. Mon. Tues. Weds. Thurs. Fri. Sat.
Enter total miles traveled to and Daily
from training each day and, if you Miles
traveled by public transportation, Daily
also enter daily cost. Cost
Enter actual daily subsistence expenses,
except for days of daily commuting and
unexcused absence from training facility.
Have you or will you receive payment or reimbursement for either transportation or subsistence from any Yes
other source? Did the training facility provide lodging and/or meals? If yes to either, explain on reverse side. No
FOR OFFICE USE ONLY
50% of federal per diem Transportation
rate for locale of training payable:

Subsistence
payable:

If claiming transportation and/or subsistence, I have not received payment or reimbursement for travel or maintenance expenses
under another federal law and I am not entitled to be paid or reimbursed from any other source. If I receive any such reimbursements
from another source, I will notify my TAA representative. I certify that the information contained in this form is true and correct. I
understand the law provides penalties for the withholding of facts and willful misrepresentation to obtain allowances to which I am not
entitled.

Signature Date