Dd Form 1351-2 - Travel Voucher Or Subvoucher
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1
2Read Privacy Act Statement, Penalty Statement, and Instructions on back before
TRAVEL VOUCHER OR SUBVOUCHER
completing form. Use typewriter, ink, or ball point pen. PRESS HARD. DO NOT use
pencil. If more space is needed, continue in remarks.
1. PAYMENT
SPLIT DISBURSEMENT:
The Paying Office will pay directly to the Government Travel Charge Card (GTCC) contractor the portion of your reimbursement
representing travel charges for transportation, lodging, and rental car if you are a civilian employee, unless you elect a different amount. Military personnel are required
Electronic Fund
to designate a payment that equals the total of their outstanding government travel card balance to the GTCC contractor.
Transfer (EFT)
$
Payment by Check
Pay the following amount of this reimbursement directly to the Government Travel Charge Card contractor:
2. NAME (Last, First, Middle Initial) (Print or type)
3. GRADE
4. SSN
5. TYPE OF PAYMENT (X as applicable)
AUXILIARIST, JOHN Q
AUX
123-45-6789
TDY
Member/Employee
6. ADDRESS. a. NUMBER AND STREET
c. STATE
b. CITY
d. ZIP CODE
PCS
Other
18 MAIN ST
WARWICK
RI
02889
Dependent(s)
DLA
e. E-MAIL ADDRESS
10. FOR D.O. USE ONLY
7. DAYTIME TELEPHONE NUMBER &
8. TRAVEL ORDER/AUTHORIZATION
9. PREVIOUS GOVERNMENT PAYMENTS/
a. D.O. VOUCHER NUMBER
AREA CODE
NUMBER
ADVANCES
1110G80DTB0LR000
401-555-1212
0.00
11. ORGANIZATION AND STATION
b. SUBVOUCHER NUMBER
013-07-06
13. DEPENDENTS' ADDRESS ON RECEIPT OF
c. PAID BY
12. DEPENDENT(S) (X and complete as applicable)
ORDERS (Include Zip Code)
ACCOMPANIED
UNACCOMPANIED
c. DATE OF BIRTH
a. NAME (Last, First, Middle Initial)
b. RELATIONSHIP
OR MARRIAGE
14. HAVE HOUSEHOLD GOODS BEEN SHIPPED?
d. COMPUTATIONS
(X one)
YES
NO (Explain in Remarks)
c.
d.
15. ITINERARY
e.
f.
MEANS/
REASON
LODGING
POC
a. DATE
b. PLACE (Home, Office, Base, Activity, City and State;
MODE OF
FOR
COST
MILES
2010
City and Country, etc.)
TRAVEL
STOP
DEP
HOME WARWICK, RI
PA
06/17
06/17
AT
5
ARR
TF GREEN AIRPORT - WARWICK, RI
06/17
TP
DEP
06/17
AT
ARR
NEWPORT NEWS AIRPORT, VA
06/17
CA
DEP
06/17
TD
ARR
TRAINING CENTER YORKTOWN, VA
0.00
06/20
CA
DEP
AT
ARR
06/20
NEWPORT NEWS AIRPORT, VA
06/20
DEP
TP
06/20
AT
ARR
TF GREEN AIRPORT - WARWICK, RI
PA
e. SUMMARY OF PAYMENT
DEP
06/20
06/20
(1) Per Diem
ARR
5
MC
HOME WARWICK, RI
(2) Actual Expense Allowance
DEP
(3) Mileage
ARR
(4) Dependent Travel
16. POC TRAVEL (X one)
OWN/OPERATE
PASSENGER
17. DURATION OF TRAVEL
(5) DLA
18. REIMBURSABLE EXPENSES
12 HOURS OR LESS
(6) Reimbursable Expenses
a. DATE
b. NATURE OF EXPENSE
c. AMOUNT
d. ALLOWED
0.00
(7) Total
TAXI
25.00
06/17
MORE THAN 12 HOURS
BUT 24 HOURS OR LESS
(8) Less Advance
06/20
TAXI
25.00
06/17
LUGGAGE FEE
15.00
(9) Amount Owed
MORE THAN 24 HOURS
(10) Amount Due
06/20
LUGGAGE FEE
15.00
19. GOVERNMENT/DEDUCTIBLE MEALS
a. DATE
b. NO. OF MEALS
a. DATE
b. NO. OF MEALS
20.a. CLAIMANT SIGNATURE
b. DATE
c. REVIEWER'S PRINTED NAME
d. REVIEWER SIGNATURE
e. TELEPHONE NUMBER
f. DATE
21.a. APPROVING OFFICIAL'S PRINTED NAME
b. SIGNATURE
c. TELEPHONE NUMBER
d. DATE
22. ACCOUNTING CLASSIFICATION
2D001123560TB641322155/2/D/001/123/56/0/TB/64132/2155
23. COLLECTION DATA
26. TRAVEL ORDER/
24. COMPUTED BY
25. AUDITED BY
28. AMOUNT PAID
27. RECEIVED (Payee Signature and Date or Check No.)
AUTHORIZATION POSTED BY
DD FORM 1351-2, MAR 2008
PREVIOUS EDITION MAY BE USED
Exception to SF 1012 approved byGSA/IRMS 12-91.
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