Dd Form 1299 - Application For Shipment And/or Storage Of Personal Property

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APPLICATION FOR SHIPMENT AND/OR
1. DATE PREPARED (YYYYMMDD)
2. SHIPMENT NUMBER
STORAGE OF PERSONAL PROPERTY
(Read Privacy Act Statement on back before completing form.)
3. NAME OF PREPARING OFFICE
4. TO (Responsible Origin Personal Property Shipping Office)
a. NAME
5. NAME OF DESTINATION PERSONAL PROPERTY SHIPPING OFFICE
b. ADDRESS (Street, Suite Number, City, State, ZIP Code)
6. MEMBER OR EMPLOYEE INFORMATION
a. NAME (Last, First, Middle Initial)
b. RANK/GRADE
c. SSN
d. AGENCY
7. REQUEST ACTION BE TAKEN TO TRANSPORT OR STORE THE FOLLOWING:
a. HOUSEHOLD GOODS/UNACCOMPANIED BAGGAGE/ITEMS/NO. OF CONTAINERS (Enter quantity estimate)
(1) POUNDS
(2) POUNDS OF PROFESSIONAL BOOKS, PAPERS, AND EQUIPMENT
(3) EXPENSIVE AND VALUABLE ITEMS (Number of
(PBP&E) (Enter "NONE" if not applicable)
cartons)
b. MOBILE HOME INFORMATION (Enter dimensions in feet and inches)
(1) SERIAL NUMBER
(2) LENGTH
(3) WIDTH
(4) HEIGHT
(5) TYPE EXPANDO (Describe)
c. MOBILE HOME SERVICES REQUESTED (X as applicable)
CONTENTS PACKED
MOBILE HOME BLOCKED
MOBILE HOME UNBLOCKED
STORED AT ORIGIN
STORED AT DESTINATION
8. THIS SHIPMENT/STORAGE IS REQUIRED INCIDENT TO THE FOLLOWING CHANGE OF STATION ORDERS:
b. ISSUED BY
c. NEW DUTY ASSIGNMENT
a. TYPE ORDERS (X one)
PERMANENT
TEMPORARY
d. DATE OF ORDERS (YYYYMMDD)
e. ORDERS NUMBER
f. PARAGRAPH NO.
g. IN TRANSIT TELEPHONE NO. (Include Area Code)
h. IN TRANSIT ADDRESS (Street, Apartment Number, City, State, ZIP Code)
9. PICKUP (ORIGIN) INFORMATION
10. DESTINATION INFORMATION
a. ADDRESS (Street, Apartment Number, City, County, State, ZIP Code)
a. ADDRESS (Street, Apartment Number, City, County, State, ZIP Code)
(If a mobile home park, include mobile home court name)
(If a mobile home park, include mobile home court name)
b. TELEPHONE NUMBER (Include Area Code)
b. AGENT DESIGNATED TO RECEIVE PROPERTY
11. EXTRA PICKUP/DELIVERY ADDRESS (If applicable)
12. SCHEDULED DATE FOR (YYYYMMDD)
a. PACK
b. PICKUP
c. DELIVERY
13. REMARKS
14. I CERTIFY THAT NO OTHER SHIPMENTS AND/OR NONTEMPORARY STORAGE HAVE BEEN MADE UNDER THESE ORDERS EXCEPT AS
INDICATED BELOW (If none, indicate "NONE.")
c. NET POUNDS
d. POUNDS OF PBP&E
a. FROM
b. TO
(Actual or estimated)
(Actual or estimated)
15. CERTIFICATION OF SHIPMENT RESPONSIBILITIES/STORAGE CONDITIONS
I certify that I have read and understand my shipping responsibilities and storage conditions printed on the back side of this form.
c. ADDRESS OF CONTRACTOR (Street, Suite No., City, State, ZIP Code)
a. SIGNATURE OF MEMBER/EMPLOYEE
b. DATE SIGNED
d. NAME OF CONTRACTOR (Origin DPM or non-temporary storage)
16. CERTIFICATE IN LIEU OF SIGNATURE ON THIS FORM IS REQUIRED WHEN REGULATIONS SO AUTHORIZE. Property is baggage,
household goods, mobile home, and/or professional books, papers and equipment authorized to be shipped at government expense.
a. REASON FOR NONAVAILABILITY OF SIGNATURE
b. CERTIFIED BY (Signature)
c. TITLE
PREVIOUS EDITION IS OBSOLETE.
DD FORM 1299, SEP 1998
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