Heading and agency block
Voucher or schedule number, paid date, the FPMR instructions note, and department or agency, bureau or service, and location shown on subvouchers.
SF1113A
Public Voucher for Transportation Charges - Memorandum
- Agency
- GSA
- Revision
- Rev. 11/1986
- Fillable fields
- 73
- Pages
- 1
- Official source
- GSA form page
- Checked
- October 20, 2026
Standard Form 1113A (SF 1113A): Public Voucher for Transportation Charges (Memorandum)
Standard Form 1113A (SF 1113A), Public Voucher for Transportation Charges (Memorandum), is a U.S. General Services Administration (GSA) form. Its footer prints STANDARD FORM 1113A (REV. 11-86) and PRESCRIBED BY GSA, FPMR (41 CFR) 101-41, and GSA's page lists FPMR 101-41 as its authority. GSA hosts it in its forms library.
The voucher is addressed THE UNITED STATES, DR., TO the payee, with the carrier's bill number and SCAC number, and lists attached subvouchers by alpha prefix and serial number with their amounts. It carries a Payee's Certificate that the payee signs, blocks for the agency to record differences and the amount verified, and a detachable memorandum slip that the form says will be mailed with the check. The form says to see FPMR (41 CFR) 101-41 for instructions on completing it.
You can fill it out free in your browser on this page and download the result without an account.
What's on SF 1113A
Payee and service
Payee's name and address, carrier's bill number, carrier's SCAC number, and services furnished, freight or passenger, check one.
Subvoucher list
Alpha prefix and serial number of each subvoucher with its amount, and a Total claimed line.
Payee's Certificate
A certificate that the account is correct and just, services were rendered or tickets furnished, payment has not been received, and charges are not in excess of those that apply.
Verification and accounting
Differences with amounts, Amount verified-correct for, Verified by (signature or initials), and accounting classification.
Memorandum slip
Below a cut line: a note that the enclosed check settles the voucher, a name and address box, and Department, Bureau or Establishment, Bill No. and Amount: $ lines.
How to fill in SF 1113A
- 1
Check the instructions
The form says to see FPMR (41 CFR) 101-41 for instructions on completing it.
- 2
Enter the agency and payee
Fill in the department or agency block, the payee's name and address, the carrier's bill number and SCAC number, and check Freight or Passenger.
- 3
List the subvouchers
Enter each subvoucher's alpha prefix, serial number and amount, then the total claimed. The form says Do NOT bill GBL and GTR charges on the same form.
- 4
Sign the Payee's Certificate
Date it and enter the payee, then sign after Per and give the signer's capacity, as in the form's example A.B.C. Railway Co., per John Doe, Controller.
- 5
Complete the memorandum slip
The note says that if the payee supplies data identifying the check with the account in his office, the slip will be mailed with the check. It has name, address, bill number and amount lines.
The form refers to FPMR (41 CFR) 101-41 for instructions. These steps follow its printed blocks.
Why fill Form SF1113A on indox
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
- Fill the form right in your browser, no software to install
- Free to fill and free to download, with no account
- The official blank straight from the GSA, not a copy someone retyped
- Works on a phone, tablet or computer
Where it goes and what the form says
Where it goes
The PDF prints no address. Its agency block names the department or agency, bureau or service, and location shown on the attached subvouchers.
Basis for the charges
The certificate refers to tariffs lawfully on file with any Federal or State transportation regulatory agency, or rates, fares and charges established pursuant to section 10721 of the interstate Commerce Act, as amended, or other equivalent contract arrangement, or exemption from regulation.
The check
The slip says the enclosed check settles the voucher submitted for payment of the account described in the memorandum, and that no acknowledgment of receipt of the check is necessary.
Edition
The footer prints REV. 11-86 and 1113-110, matching the 11/1986 revision date on GSA's page.
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SF1034
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Who uses SF 1113A?
The form has blocks for the payee, for whoever verifies the voucher and for the check memorandum.
Official sources and the blank
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Questions about Form SF1113A
Who issues SF 1113A?
The footer says PRESCRIBED BY GSA, FPMR (41 CFR) 101-41, and GSA's page lists FPMR 101-41 as its authority. GSA hosts it in its forms library.
What does the payee certify?
The form says the payee certifies that the account, as evidenced by the attached subvouchers, is correct and just, that services have been rendered or tickets furnished as indicated, that payment has not been received, and that the charges are not in excess of those that apply.
How does a company sign SF 1113A?
The form says the name of the person writing the company or corporate name and the capacity in which they sign must appear, for example A.B.C. Railway Co., per John Doe, Controller, or Auditor.
What is the memorandum slip for?
The form says that if the payee supplies data that will identify the check with the account in his office, the slip will be mailed with the check. It says no acknowledgment of receipt of the check is necessary.
Can GBL and GTR charges go on one voucher?
The form says Do NOT bill GBL and GTR charges on the same form.