Dd Form 1610, 2003, Request And Authorization For Tdy Travel Of Dod Personnel
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21. DATE OF REQUEST
REQUEST AND AUTHORIZATION FOR TDY TRAVEL OF DOD PERSONNEL
(YYYYMMDD)
(Reference: Joint Travel Regulations (JTR), Chapter 3)
(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)
5. LOCATION OF PERMANENT DUTY STATION (PDS)
6. ORGANIZATIONAL ELEMENT
7. DUTY PHONE NUMBER
(Include Area Code)
10
a. APPROX. NO. OF TDY DAYS
b. PROCEED DATE
8. TYPE OF AUTHORIZATION
9. TDY PURPOSE
(See JTR, Appendix H)
(Including travel time)
(YYYYMMDD)
11. ITINERARY
VARIATION AUTHORIZED
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
$
$
$
$
$
0.00
16. REMARKS
(Use this space for special requirements, leave, excess baggage, accommodations, registration fees, etc.)
17. TRAVEL-REQUESTING OFFICIAL
18. TRAVEL-APPROVING/DIRECTING OFFICIAL
(Title and signature)
(Title and signature)
AUTHORIZATION
19. ACCOUNTING CITATION
20. AUTHORIZING/ORDER-ISSUING OFFICIAL
21. DATE ISSUED
(Title and signature)
(YYYYMMDD)
22. TRAVEL AUTHORIZATION NUMBER
DD FORM 1610, MAY 2003
PREVIOUS EDITION IS OBSOLETE.
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