Dd Form 1610 - Request And Authorization For Tdy Travel Of Dod Personnel printable pdf download

1. DATE OF REQUEST

REQUEST AND AUTHORIZATION FOR TDY TRAVEL OF DOD PERSONNEL

(YYYYMMDD)

(Reference: Joint Travel Regulations (JTR), Chapter 3)

20160411

(Read Privacy Act Statement on back before completing form.)

REQUEST FOR OFFICIAL TRAVEL

2. NAME

3. SOCIAL SECURITY NUMBER

4. POSITION TITLE AND GRADE/RATING

(Last, First, Middle Initial)

Safety Manager GS-0018-13

Last, First, I

555-55-5555

5. LOCATION OF PERMANENT DUTY STATION (PDS)

6. ORGANIZATIONAL ELEMENT

7. DUTY PHONE NUMBER

Fort Bragg, NC

(Include Area Code)

HQ USASOC

555-555-5555

a. APPROX. NO. OF TDY DAYS

b. PROCEED DATE

8. TYPE OF AUTHORIZATION

9. TDY PURPOSE

(See JTR, Appendix H)

(Including travel time)

(YYYYMMDD)

Temporary Duty (TDY)

Attend SSS Training

20160522

11. ITINERARY

VARIATION AUTHORIZED

Fort Bragg, NC to Alexandria, VA 22 May 2016;

Alexandria, VA to Fort Bragg, NC 27 May 2016

12. TRANSPORTATION MODE

a. COMMERCIAL

b. GOVERNMENT

c. LOCAL TRANSPORTATION

CAR

RAIL

AIR

BUS

SHIP

AIR

VEHICLE SHIP

TAXI

OTHER

PRIVATELY OWNED CONVEYANCE (Check one)

RENTAL

RATE PER MILE:

ADVANTAGEOUS TO THE GOVERNMENT

AS DETERMINED BY APPROPRIATE TRANSPORTATION OFFICER (Overseas Travel only)

MILEAGE REIMBURSEMENT AND PER DIEM

IS LIMITED TO CONSTRUCTED COST OF

COMMON CARRIER TRANSPORTATION AND

PER DIEM AS DETERMINED AND TRAVEL

TIME AS LIMITED PER JTR

13.

a. PER DIEM AUTHORIZED IN ACCORDANCE WITH JTR.

b. OTHER RATE OF PER DIEM (Specify)

15. ADVANCE

14. ESTIMATED COST

AUTHORIZED

d. TOTAL

a. PER DIEM

b. TRAVEL

c. OTHER

1,100.00

850.00

2,145.00

0.00

195.00

16. REMARKS

(Use this space for special requirements, leave, excess baggage, accommodations, registration fees, etc.)

Traveler is non-exempt from the mandatory provisions of the 'Travel and Transportation Reform Act of 1998' (TTRA) which stipulates that a

government-sponsored, contractor-issued travel card shall be used by all US Government (Govt) personnel (civilian & military) to pay for costs

incidental to official business travel unless specifically exempted. Traveler has a Govt Travel Card; thus, traveler is authorized to purchase airline

tickets on IBA. Traveler is non-exempt from the mandatory provision of the TTRA. The “Travel and Transportation Reform act of 1998”

stipulates that the government sponsored, contractor-issued travel card shall be used by all U.S. Government personnel (civilian and military) for

costs incident to official business travel unless specially exempted by authority of the Administrator of General Services of the head agency.

Government travel cardholders shall obtain cash, as authorized, through automated teller machines (ATM), rather than obtaining cash advances

from a DoD disbursing officer. If the trip itinerary is canceled or changed after tickets or transportation requests are issued to the traveler, the

traveler is liable for their value until all ticket coupons have been used for official travel and/or all unused tickets or coupons are properly accounted

on the ravel reimbursement voucher. The use of Government-Contracted Commercial Travel Office (CTO) to arrange official travel is mandatory.

If the contracted CTO is not used to make official travel arrangements, the traveler must provide a statement in detail as to exactly why the CTO is

not available or otherwise not being used. Checked baggage fees authorized not to exceed one bag. Use of public transportation to/from airport to

lodging or training site is authorized. In and around travel not authorized. ACTEDS funds will not be used for rental cars. Use of excess travel

time will be charged as leave. Only Individually Billed Accounts (IBA) will be authorized. TNGGRP00005809.

17. TRAVEL-REQUESTING OFFICIAL

18. TRAVEL-APPROVING/DIRECTING OFFICIAL

(Title and signature)

Supervisor name, title (then drag sig block below)

Tamara Nazario, Career Program 12 Proponency Director

AUTHORIZATION

19. ACCOUNTING CITATION