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Dd Form 1351-2

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Dd Form 1351-2
Dd Form 1351-2
DD FORM 1351-2, MAY 2011
TRAVEL VOUCHER OR SUBVOUCHER
PREVIOUS EDITION IS OBSOLETE.
Exception to SF 1012 approved byGSA/IRMS 12-91.
Adobe Designer 8.0
Read Privacy Act Statement, Penalty Statement, and Instructions on back before 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
Electronic Fund
Transfer (EFT)
Payment by Check
SPLIT DISBURSEMENT: The Paying Office will pay directly to the Government Travel Charge Card (GTCC) contractor the portion of your reimbursement represen-
ting travel charges for transportation, lodging, and rental car if you are a civilian employee, unless you elect a different amount. Military personnel are required to
designate a payment that equals the total of their outstanding government travel card balance to the GTCC contractor.
NOTE: A split disbursement is only necessary when a GTCC is used while on official travel for the Government.
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)
TDY
PCS
Dependent(s)
Member/Employee
Other
DLA
6. ADDRESS. a. NUMBER AND STREET
b. CITY
c. STATE
d. ZIP CODE
e. E-MAIL ADDRESS
7. DAYTIME TELEPHONE NUMBER &
AREA CODE
8. TRAVEL ORDER/AUTHORIZATION
NUMBER
9. PREVIOUS GOVERNMENT PAYMENTS/
ADVANCES
11. ORGANIZATION AND STATION
12. DEPENDENT(S) (X and complete as applicable)
ACCOMPANIED
UNACCOMPANIED
a. NAME (Last, First, Middle Initial)
b. RELATIONSHIP
c. DATE OF BIRTH
OR MARRIAGE
13. DEPENDENTS' ADDRESS ON RECEIPT OF
ORDERS (Include Zip Code)
14. HAVE HOUSEHOLD GOODS BEEN SHIPPED
(X one)
YES
NO (Explain in Remarks)
15. ITINERARY
a. DATE
b. PLACE (Home, Office, Base, Activity, City and State;
City and Country, etc.)
c.
MEANS/
MODE OF
TRAVEL
d.
REASON
FOR
STOP
e.
LODGING
COST
f.
POC
MILES
DEP
ARR
DEP
ARR
DEP
ARR
DEP
ARR
DEP
ARR
DEP
ARR
DEP
ARR
16. POC TRAVEL (X one)
OWN/OPERATE PASSENGER 17. DURATION OF TRAVEL
12 HOURS OR LESS
MORE THAN 12 HOURS
BUT 24 HOURS OR LESS
MORE THAN 24 HOURS
18. REIMBURSABLE EXPENSES
a. DATE b. NATURE OF EXPENSE c. AMOUNT d. ALLOWED
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
f. DATE
21.a. APPROVING OFFICIAL'S PRINTED NAME d. DATE
10. FOR D.O. USE ONLY
a. D.O. VOUCHER NUMBER
b. SUBVOUCHER NUMBER
c. PAID BY
d. COMPUTATIONS
e. SUMMARY OF PAYMENT
(1) Per Diem
(2) Actual Expense Allowance
(3) Mileage
(4) Dependent Travel
(5) DLA
(6) Reimbursable Expenses
(7) Total
(8) Less Advance
(9) Amount Owed
(10) Amount Due
22. ACCOUNTING CLASSIFICATION
23. COLLECTION DATA
24. COMPUTED BY 25. AUDITED BY
26. TRAVEL ORDER/
AUTHORIZATION POSTED BY
27. RECEIVED (Payee Signature and Date or Check No.)
28. AMOUNT PAID
b. SIGNATURE c. TELEPHONE NUMBER
d. REVIEWER SIGNATURE
e. TELEPHONE NUMBER
Dd Form 1351-2
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