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DD1614 - First Duty - Final

The document is a request and authorization form for a Department of Defense civilian's permanent duty or temporary change of station travel. It includes details about the employee's current and new positions, travel purposes, estimated costs, and required authorizations. The form also outlines the procedures for submitting claims for travel expenses and other administrative information.

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pillisubhashini26
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26 views2 pages

DD1614 - First Duty - Final

The document is a request and authorization form for a Department of Defense civilian's permanent duty or temporary change of station travel. It includes details about the employee's current and new positions, travel purposes, estimated costs, and required authorizations. The form also outlines the procedures for submitting claims for travel expenses and other administrative information.

Uploaded by

pillisubhashini26
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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REQUEST/AUTHORIZATION FOR DOD CIVILIAN PERMANENT DUTY

OR TEMPORARY CHANGE OF STATION (TCS) TRAVEL


(Reference: Joint Travel Regulations) (Read Privacy Act Statement on back before completing form.)
SECTION I - REQUEST FOR OFFICIAL TRAVEL
1. DATE (YYYYMMDD) 2. NAME (Last, First, Middle) 3. SOCIAL SECURITY NUMBER
20180919 Doe, John, M. 123-45-6789
4. NEW POSITION TITLE 5. GRADE OR RATING 6. RETIREMENT CODE (Insert retirement code from Block 30 of
employee's most recent SF-50. If unknown, employee should contact
Maintenance Mechanic (MVO) WG-9 their servicing personnel office.)

7. RELEASING OFFICIAL STATION AND LOCATION, OR ACTUAL 8. NEW OFFICIAL STATION AND LOCATION, ACTUAL RESIDENCE
RESIDENCE OR ALTERNATE DESTINATION
1995 Your Current Street HQ Garrision, Fort Greely
Your Current Town, OR 97501 P.O. Box 31269
Fort Greely, Alaska 99731

9. REPORTING DATE AT NEW DUTY STATION (YYYYMMDD) o/a 20181028


10. TRAVEL PURPOSE 11. TRANSPORTATION MODE 12a. PER DIEM FOR EMPLOYEE
BETWEEN OFFICIAL STATIONS GOVERNMENT POC YES NO
RENEWAL AGREEMENT COMMERCIAL RAIL b. PER DIEM FOR DEPENDENT(S)
RETURN FROM OVERSEAS FOR SEPARATION AIR YES NO
MILEAGE RATE:
TEMPORARY CHANGE OF STATION
OTHER NEW HIRE
$ IAW JTR
13a. ROUND TRIP TRAVEL FOR HOUSE- 14a. TEMPORARY QUARTERS 15a. HOUSEHOLD GOODS (HHG) SHIPMENT
HUNTING SUBSISTENCE EXPENSE YES NO
YES NO YES NO COMMUTED RATE
ACTUAL EXPENSE FIXED ACTUAL EXPENSE FIXED GOVERNMENT BILL OF LADING (GBL)
b. NUMBER OF DAYS (Including travel) b. NUMBER OF DAYS AUTHORIZED b. NET WEIGHT AUTHORIZED 18,000 lbs
16. OTHER AUTHORIZED EXPENSES 17. DEPENDENT TRAVEL
TEMPORARY STORAGE OF HHG UNEXPIRED LEASE CONCURRENT
NONTEMPORARY STORAGE OF HHG RELOCATION INCOME TAX ALLOWANCE DELAYED
RELOCATION SERVICES POV SHIPMENT CONUS OCONUS EARLY RETURN
PROPERTY MANAGEMENT SERVICES MISCELLANEOUS EXPENSES NOT AUTHORIZED
REAL ESTATE EXPENSES TRAVEL ADVANCE AUTHORIZED (Amount) $ IAW JTR
18a. DEPENDENT TRAVEL FROM (Home Address) b. TO (New PDS)
N/A N/A

19. DEPENDENTS
a. NAME (Last, First, Middle Initial) b. RELATIONSHIP c. DATE OF BIRTH (YYYYMMDD)
//Nothing Follows//

20. ESTIMATED COST 21. TRANSPORTATION AGREEMENT


a. PER DIEM b. TRAVEL c. OTHER d. TOTAL SIGNED (X one)
YES NO
$ 1,287.70 $ 0.00 $ 27,111.66 $ 28,399.36 DATE SIGNED (YYYYMMDD) 20180830
SECTION II - AUTHORIZATION FOR OFFICIAL TRAVEL
22. ACCOUNTING CITATION
021 2020 (Your Line of Accounting will be here); 12A4 (RITA); 21P0 (Per Diem/Mileage); 2578 (Temp Storage); 12Q0 (FICA); 22NL (HHG);
2575 (Non-Temp Storage)

23. APPROVING OFFICIAL b. SIGNATURE


a. TITLE Resources, Human, R.
Director, Resource Management Human R. Resources
24. AUTHORIZING/ORDER-ISSUING OFFICIAL b. SIGNATURE c. ORGANIZATION ADDRESS
a. TITLE Boss, Theodore, A. HQ Garrision, P.O. Box 31269,
Deputy Commander Theodore A. Boss Fort Greely, Alaska 99731
25. TRAVEL AUTHORIZATION NUMBER 26. DATE ISSUED (YYYYMMDD)
562518 20180919
DD FORM 1614, MAY 2003 PREVIOUS EDITION IS OBSOLETE. Adobe Professional 8.0
PRIVACY ACT STATEMENT
(5 U.S.C. s 552a)

AUTHORITY: ss 5701, 5702; and E.O. 9397 (SSN).

PRINCIPAL PURPOSE(S): Used as authority to issue transportation documents, bills of lading for household goods and
automobiles, and as a supporting authorization for cash payment of travel and transportation allowances.

ROUTINE USE(S): None.

DISCLOSURE: Voluntary; however, failure to provide the requested information may preclude timely consideration of your
request.
SECTION III - ADMINISTRATIVE INFORMATION
27. CLAIMANT - FORWARD COMPLETED SETTLEMENT CLAIM TO THE FOLLOWING ADDRESS:
(Losing/Gaining Activity - provide the address to where the employee should submit this claim for final disbursement.)

By mail: DFAS Rome, ATTN: Travel, 325 Brooks Road, Rome, NY 13441-4527
By email: [email protected]
By Travel Voucher Direct located on the DFAS website at www.dfas.mil

28. REMARKS OR OTHER AUTHORIZATIONS (Use this space for special requirements, leave, excess baggage, etc., or other authorization.)
This PDT/TCS travel authorization may be amended by the gaining activity. Expenses/charges not allowed at Government
expense are the financial responsibility of the employee concerned.
//
The Travel and Transportation Reform Act (TIRA) of 1998 stipulates that the GTCC must be used by all U.S. Govt personnel (civilian and
military) to pay for cost incident to official business travel unless specifically exempted by authority of the Administrator of General Services or
the head of the agency. (JTR Vol II, App I. Part 3). However, the Traveler IS NOT a GTCC Holder. Airfare Transportation will be charged to this
PCS document. Airfare Transportation IS NOT reimbursable to the traveler. Transportation MUST BE arranged through a Govt Travel Office.
//

//
A. Emergency POC name, telephone and address: [Emergency POC and contact information listed]
B. Employee authorized one way travel from [Current Home of Record] to FORT GREELY, AK
C. Unaccompanied baggage NTE 350 lbs is authorized.
D. Employee will be considered in a duty status for usual time consumed in travel between authorized points by authorized modes. Selection of an
indirect route for personal reasons will not increase per diem.
E. A voucher for payment of authorized expenses will be submitted to DFAS (see block #27 above) within five days after entitlement is completed.
Receipts for all lodging expenses will be obtained and filed with your claim for payment of per diem and travel.
F. Employee will depart from [Current Home of Record] to FORT GREELY, AK on or about 22 Oct 2018.
G. Reimbursement will be limited to the POV reimbursement rate via the Defense Table of Distances.
H. Temporary storage of HHG NTE 90 days is authorized. Any additional days needed beyond the initial 90 must be requested in writing through
your Chain of Command justifying the need by citing compelling reasons.** Give yourself enough time to get the request in for the extension.
// Nothing Follows //

DD FORM 1614 (BACK), MAY 2003

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