Fillable Cg-2005 - Pcs Reporting Worksheet (Page 2 of 2) in pdf

1. Name (Last, First, MI)

2. EMPLID

3. Rate/Rank

4. Permanent Unit

FSH: For PCS assignments where transportation of the member’s dependent(s) is not authorized at Government expense to the station or to a place

near the station and no Government quarters are available for assignment to the member. SPO should start BAH W/dependents using the zip

code of the member’s dependents (previous duty station or the designated place per CG PSC (PSD-fs) authorization) and forward this FSH

authorization to PPC (MAS), via fax to (785) 339-3760. PPC (MAS) will start the member’s FSH entitlement.

Member departed from _____________________ on :________________ (date). Member reported to ___________________ on :________________

(date). Transportation of dependents is not authorized at government expense to this station or to a place near this station and no Government

FSH-B effective _______________ (date). (Starts when member’s

quarters are available for assignment to the member. Start

FSH-O or

private sector housing is acquired but not prior to PCS report date.)

COMMON PROBLEMS

Failure To …..

May Result In …..

PCS

update allotment address

nonreceipt of allotment

Reporting/

update DEERS information



denied payment of TriCare Claims

Departing



delays in payment of TriCare Claims



denied enrollment in Family Mbr. Dental Plan



denied treatment MTFs

enroll dependents in Family member Dental

denied payment of FMDP claims

Plan

update Pay Delivery Worksheet

pay not being delivered to intended place

update Dependency Worksheet

underpayment/overpayment of BAH/COLA/OHA/DLA and travel

report unknown payments or deduction(s)

underpayment or overpayment

reflected on your LES

Failure To…..

Will Result In…..

PCS

file member and or dependent travel claims

recoupment of all member and or dependent travel advances,

Reporting

including dislocation allowance (DLA). NOTE: If member received

advance for dependent travel, do not submit travel claim until

dependent(s) complete relocation. Submitting the claim without

dependent travel information will result in collection of the

dependent portion of the advance travel and per diem. If more

than 30 calendar days have elapsed since the member’s

arrival and all PCS travel is not completed, contact PPC

Customer Care for guidance.

submit BAH/Housing Worksheet

an erroneous BAH payment

Privacy Act Statement

In accordance with 5 USC Section 522a(e)(3), the following information is provided to you when supplying personal information to the U. S. Coast Guard:

Authority - 37 USC Sections 403 & 404.

Principal Purpose(s) - Used to update member’s records upon reporting to a new permanent duty station.

Routine Uses - Same.

Disclosure - Disclosure of information is voluntary, but without disclosure the member may encounter problems with pay, taxes, dependent coverage and

current identification cards.

11. Member’s Signature

12. Date

For SPO Use Only

13. Command Approval

14. Date

Action Completed

Initials:___________ Date:________________

CG-2005 (08/13)

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