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E C = Cancel A = Amend V (Complete Sections A, E, …

Note:1. ACTION CODE (Indicate one type only)SECTION A - IDENTIFICATIONEACV= Establish= Amend = Cancel = Advance Only (Complete Sections A, E, and F Only)2. AUTHORIZATION DATEMONTHDAYYEAR3. TRAVEL AUTHORIZATION SOCIAL SECURITY NAME (Last)(First)(Middle Initial)6. AGENCY CODE7. AGENCY OON8. TRAVELER OON9. ESTIMATED DATES OF TRAVEL EXPENSESFROMTHRUM onthDayYearMonthDayYear10. TYPE TRAVEL (Indicate one type only)DMFGFTRTGROCTSOT11. GOVERNMENT CREDIT CARD HOLDERY = YesN = No= Domestic= Foreign= Foreign Transfer= Return Travel= Escorted Group= Outside Cont.

Note: 1. ACTION CODE (Indicate one type only) SECTION A - IDENTIFICATION E A C V = Establish = Amend = Cancel = Advance Only (Complete Sections A, E, and F Only) 2. . …

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