Cot/ipcot Orders Request Worksheet

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COT/IPCOT Orders Request Worksheet
The following information is required to process COT/IPCOT orders. Any item not filled out properly will
result in a delay of your orders and this request will be returned to you for corrections. This COT/IPCOT leave
request must be submitted to MPS no later than 15 days prior to proceed date to ensure orders can be
generated prior to your depature.
Name:___________________________________Rank______________SSN:_____________________
Squadron/Office Symbol: ________________________ Duty Title:_______________________________________
Duty Phone:__________________
Type of Orders: COT
IPCOT
(Select One)
COT Travel:
Dependents must have been command sponsored at my previous location and must be command sponsored at
JBER to be eligible for COT entitlements. /Initial: ______
My PCS orders to JBER must state that COT deferment was authorized. / Initial: ______
I understand that the Air Force will not reimburse me for travel for dependents that are not entitled to
COT/IPCOT entitlements (relocating dependents to an overseas location is not an exceptions). /Initial: ______
If your previous assignment was unaccompanied, your dependents are not authorized COT travel
IPCOT Travel:
Dependents must have been command sponsored during my first tour at JBER and be command sponsored
during my second tour at JBER to be eligible for IPCOT travel entitlements. /Initial: ______
I understand that the Air Force will not reimburse me for travel for dependents that are not entitled to
COT/IPCOT entitlements. /Initial: ______
I am requesting _______days of leave.
Proceed Date (first day of leave): __________________________ Return Date: ________________________
Itinerary:
From: _____________________________
Finance Verification
COT/IPCOT Entitlement
To: _______________________________
Date: ___________________
Return
To: ___________________
Tech Signature: _____________________________
Home of Record: ____________________
Tech Rank and Name: ________________________
NOTE: Transoceanic travel by government or government procured
aircraft is directed IAW AFI 24-101 and JFTR, para U3120/U5107-8. Self-procurement of transoceanic travel is not authorized.
Leave Address: ________________________________________________________________________________
City: _______________ State: _______ Zip Code: _____________ Emergency Phone: _______________________
Completed by SATO (Travel cost for one ticket)
$ _________________ Number of tickets: _____________
SATO Tech Signature: ______________________________________
STAMP:______________________________________________
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