Transcription of DD FORM 1351, JUL 1999 - Executive Services …
1 I. AMOUNT PAID k. RECEIVED IN CASH (Signature of payee) travel voucher (See Privacy Act Statement on back.)c. SOCIAL SECURITY NUMBERj.$a. PER SUBVOUCHER AMOUNT PAIDa. PAYEE (Last Name, First, Middle Initial)e. travel ORDER d. ORGANIZATION AND STATION2. voucher PAYMENT FORa. ADVANCE OF travel ALLOWANCES (TDY/TAD)b. ADVANCE OF travel ALLOWANCES (PCS)c. ACCRUED PER DIEM FOR TDY/TADd. SETTLEMENT OF TDY/TAD TRAVELe. SETTLEMENT OF PCS TRAVELf. TRANSPORTATION OF DEPENDENTSg. DISLOCATION ALLOWANCEh. TRAILER ALLOWANCE4. PAID BY 5. INDIVIDUAL PAYMENT 6. PAYMENTS CONSOLIDATED7. APPROVED FOR PAYMENT (When required by individual service regulations)a. TYPED NAME (Last, First, Middle Initial) b.
2 PER c. SIGNATURE8. REMARKS (Continue on back if more space is needed)9. ACCOUNTING CLASSIFICATION(S)10. COMPUTED BY11. AUDITED BY12. POSTED TO travel RECORD BY13. DATE ENTERED (YYYYMMDD)1. BUREAU voucher NUMBERf. ADVANCE OF travel ALLOWANCES ELECTED BY ABOVE-NAMED MEMBER AS FOLLOWS: j. DATE PAID (YYYYMMDD)g. CHECK NUMBERh. CHECK DATE (YYYYMMDD)THROUGHATTACHEDTRAVEL ALLOWANCE PAYMENT LISTS ATTACHEDb. RANK OR GRADEb. TITLEDD form 1351, JUL 1999 PREVIOUS EDITION IS OBSOLETE. Adobe Professional X dd form 1351 (BACK), JUL 1999 PRIVACY ACT STATEMENT(5 552a)AUTHORITY: 5 5701, 5702; 37 404; and 9397 (SSN).
3 PRINCIPAL PURPOSE(S): Used to substantiate claims for payment of advance funds and reimbursement for travel andtransportation expenses incurred in an official travel status. When submitted by the same traveler, the travel voucher may be usedas the payment voucher to cover more than one reimbursement USE(S): The information provided herein may be provided to law enforcement personnel investigating those suspected offraudulently obtaining allowances. Information may also be disclosed under certain circumstances to other Federal agencies,Members of Congress, State and local government, and and State : Voluntary; however, the information requested is considered necessary for the accurate tracking of TDY/PCS traveland/or transportation payments.
4 Failure to furnish information requested may delay the processing of the claim and could result ininaccurate payment of the total or partial amount REMARKS (Continued)
