Dd Form 1556-1 - Request, Authorization, Agreement, Certification Of Training And Reimbursement (Abbreviated)

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REQUEST, AUTHORIZATION, AGREEMENT, CERTIFICATION OF TRAINING AND REIMBURSEMENT (Abbreviated)
A. AGENCY CODE AND SUBELEMENT, AND
B. STANDARD DOCUMENT NUMBER
C. REQUEST STATUS OR PROCESS CODE (X one) D. AMENDMENT NO.
SUBMITTING OFFICE NUMBER (xx-xx-xxxx)
(Org identifier/ FY, Doc./ type code/ Serial number)
(1) Initial
(2) Resubmission
(3) Correction
(4) Cancellation
SECTION A - TRAINEE / APPLICANT INFORMATION
4. ED. LEVEL 5. CONTINUOUS FEDERAL SVC.
1. NAME (Last, First, Middle Initial)
2. 1st 5 LETTERS OF LAST NAME
3. SOCIAL SECURITY NUMBER
a. Years
b. Months
6. HOME ADDRESS (Street, City, State and ZIP Code) (optional)
7. TELEPHONE NUMBERS (Include area code)
8. POSITION TITLE
a. Home
10. PAY PLAN/SERIES/GRADE/STEP
9. POSITION LEVEL (X one)
b. Office
(Rank/ MOS/AFSC/or Navy Designator)
11. ORGANIZATION NAME
(1) Commercial
a. Executive
(2) DSN
b. Manager
14. TYPE OF
15. NO. PRIOR NON-GOVERN-
12. ORGANIZATION MAILING ADDRESS (Include ZIP Code)
c. Supervisory
13. ORGANIZATION UIC
APPOINTMENT
MENT TRAINING DAYS
16. ARE YOU HANDICAPPED
Yes
d. Non-Supervisory
OR DISABLED? (X one)
No
e. Other (Specify)
SECTION B - TRAINING COURSE DATA
17. COURSE TITLE
18. TRAINING OBJECTIVES (Benefits to be derived by the Government)
19. RECOMMENDED TRAINING SOURCE, SCHOOL OR FACILITY
a. Name
b. Mailing address (Include ZIP Code)
20 COURSE CODES
c. Location of training site (If other than 19b)
a. Purpose
f. Security Clearance
k. Training Program
21. COURSE HOURS (4 digits)
22. COURSE IDENTIFIERS
b. Type
g. Allocation Status
l. Reason for Selection
23. TRAINING PERIOD (YYYYMMDD)
c. Source
h. Priority
a. Duty
a. SAID
d. Special Interest
i. Training Level
a. Start
b. Non-duty
b. Catalog/Course
e. Training
0
c. Offering/TLN
j. Method of Training
b. Complete
c. TOTAL
SECTION C - COST INFORMATION (Costs incurred and billed are not to exceed amount in item 30.)
24. IF TRAINING DOES NOT INVOLVE EXPEDITURE OF FUNDS OTHER THAN SALARY, PAY OR COMPENSATION, skip the remainder of questions in Section C and X this box
25. DIRECT COSTS
26. INDIRECT COSTS (For information only)
27. ACCOUNTING CLASSIFICATION
a. Tuition cost
a. Travel cost
b. Books, material, other costs
b. Per diem/other costs
c. Total direct costs
0.00
c. Total indirect costs
0.00
30. TOTAL OF DIRECT &
29. SIGNATURE OF FISCAL OFFICER (Follow local procedure)
d. Funding source
28. LABOR COSTS
INDIRECT COSTS
0.00
31. JOB ORDER NO.
SECTION D - APPROVAL / CONCURRENCE / CERTIFICATION
32. SUPERVISOR: I certify training is job related and nominee meets prerequisites.
33. TRAINING OFFICER: I certify this training meets regulatory requirements.
(If not, attach waiver.)
a. Typed Name (Last, First, Middle Initial)
b. Phone number (Include area code)
a. Typed Name (Last, First, Middle Initial)
b. Phone number (Include area code)
d. Date
d. Date
c. Signature & Title
c. Signature & Title
(YYYYMMDD)
(YYYYMMDD)
34. AUTHORIZING OFFICIAL
35. COURSE ACCEPTANCE (To be completed by school official)
d. Date
c. School Official Signature
a. Action (X one)
(1) Approved
(2) Disapproved
a. Accepted
(YYYYMMDD)
b. Typed Name (Last, First, Middle Initial)
c. Phone number (Include area code)
b. Not Accepted
36. COURSE COMPLETION (To be completed by school official)
b. Actual Completion
e. Date
a. If course was not completed, X this box,
c. Grade
d. Signature & Title
Date (YYYYMMDD)
(YYYYMMDD)
leave this section blank, and return this
form with an explanation memo.
e. Date
d. Signature & Title
37. BILLING INSTRUCTIONS (Identify discount terms
%
days.)
(YYYYMMDD)
Furnish original invoice and 3 copies to:
38. CERTIFYING GOVERNMENT OFFICIAL
$
a. I certify that this account is correct and
proper for payment in the amount of:
b. Signature
c. Date Signed
(YYYYMMDD)
d. DSSN Number
e. Check Number
f. Voucher Number
TRAINING FACILITY: Invoice should be sent to office indicated in item 37. Please refer to standard document number given in item B at top of page to assure prompt payment.
DD FORM 1556-1, AUG 2002
DoD exception to SF 182
PREVIOUS EDITION IS OBSOLETE.
approved by GSA / IRMS 11-86.
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