DEPARTMENT OF DEFENSE (DOD) TRANSPORTATION AGREEMENT
TRANSFER OF PROFESSIONAL SCHOOL PERSONNEL OUTSIDE CONUS (OCONUS)
(Outside the 48 Contiguous States and the District of Columbia)
PRIVACY ACT STATEMENT
(5 U.S.C. s552a)
AUTHORITY: 5 U.S.C. s5701, s5722, s5724, and E.O. 9397 (SSN).
PRINCIPAL PURPOSE(S): Used to establish Government time in service requirements in order for the employee to be eligible
for travel and transportation expenses when transferred to positions outside the Continental United States (OCONUS).
ROUTINE USE(S): In addition to being used by officials and employees of the applicant's Service in determining eligibility for
travel and transportation expenses, the information contained herein may be provided to law enforcement personnel
investigating those suspected of fraudulently obtaining allowances.
DISCLOSURE: Voluntary; however, completion of this form is necessary before transfer can be authorized and expenses
paid. The personal information requested is necessary to properly identify the employee.
A. EMPLOYEE NAME
(Last, First, Middle Initial)
B. TYPE OF AGREEMENT
PERMANENT CHANGE OF STATION (PCS) ONLY
RENEWAL IN CONJUNCTION WITH PCS
C. EMPLOYEE SSN
D. REPORT DATE TO NEW OR FIRST PERMANENT
E. LAST PDS LOCATION
DUTY STATION (PDS)
F. ACTUAL RESIDENCE AT TIME OF APPOINTMENT
(To be determined at time of initial agreement)
1. 5 U.S.C. s5722, provides, under certain conditions, for payment of travel and transportation expenses of the employee,
appropriate allowances for the employee's immediate family, movement and storage of household goods (HHG) and personal
effects, and certain other allowances incident to employment at a location outside the U.S., except movement and storage
of HHG is not allowed for round-trip renewal agreement travel. Under the law, the allowances are not authorized unless an
employee agrees in writing to remain in the Government service for a prescribed period of time. Accordingly, to establish
eligibility for the authorized allowances, the following agreement must be executed.
2. I understand and agree that:
a. After I serve for _______ school year(s), the prescribed tour of duty, I will be eligible for return travel and transportation
allowances for myself, my dependents, and my household effects, to my actual residence stated above, unless I am returned
early for reasons beyond my control that are acceptable to the agency concerned, or I am returned by agency authority.
b. I will remain in Government service for at least one school year plus any necessary time in the area because of required
arrival before the start of the school year and the required time while awaiting transportation for departure from the area at
the conclusion of the school year. For teachers (except dormitory counselors), the school year consists of not more than
190 work days including not less than 175 days of classroom instruction. If I fail to remain in service the required minimum
period of time, or if I am removed for cause before expiration of the required minimum period of service, I am obligated and
will, upon demand, repay to the Government a sum of money equivalent to what the Government paid for travel and
transportation expenses and related allowances associated with the transfer of myself and my dependents, e.g., HHG
storage and shipment, privately owned vehicle shipment, real estate and/or relocation expenses, miscellaneous expenses,
and any other related allowances incident to my transfer, from beginning point of travel to my PDS. The employing Agency
may withhold any final pay due to me to apply against or liquidate any indebtedness arising from a violation of this
3. I understand that the period of service specified above is for the sole purpose of establishing my eligibility for travel and
transportation allowances, and other related allowances which may be authorized.
4. I understand and agree that the address specified above is for the sole purpose of establishing my eligibility for payment
of travel and transportation expenses, and other related allowances which may be authorized during my continuous period of
overseas service and this address is not subject to later change for personal reasons.
(Continued on Back)
G. EMPLOYEE SIGNATURE
H. DATE SIGNED
DD FORM 1616, NOV 1999
PREVIOUS EDITION IS OBSOLETE.
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