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TRAVEL VOUCHER OR SUBVOUCHER (Rocky Mountain College)

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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PREVIOUS EDITION IS OBSOLETE.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
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PRIVACY ACT STATEMENT
AUTHORITY: 5 U.S.C. Section 301; Departmental Regulations; 37 U.S.C. Section 404, Travel and Transportation Allowances, General: DoD
Directive 5154.29, DoD Pay and Allowance Policy and Procedures; Department of Defense Financial Management Regulation (DoDFMR) 7000.14.R.,
Volume 9; and E.O. 9397 (SSN), as amended.
PRINCIPAL PURPOSE(S): To provide an automated means for computing reimbursements for individuals for expenses incurred incident to travel for
official Government business purposes and to account for such payments.
Applicable SORN: T7333 (http://privacy.defense.gov/notices/dfas/T7333.shtml).
ROUTINE USE(S): Certain "Blanket Routine Uses" for all DoD maintained systems of records have been established that are applicable to every
record system maintained within the Department of Defense, unless specifically stated otherwise within the particular record system notice. These
additional routine uses of the records are published only once in each DoD Component's Preamble in the interest of simplicity, economy, and to avoid
redundancy. Applicable SORN: http://dpclo.defense.gov/privacy/SORNs/component/dfas/preamble.html.
DISCLOSURE: Voluntary; however, failure to furnish the requested information may result in total or partial denial of the amount claimed. The
Social Security Number is requested to facilitate the possible collection of indebtedness or credit to the DoD traveler's pay account for any residual
or shortage.
PENALTY STATEMENT
There are severe criminal and civil penalties for knowingly submitting a false, fictitious, or fraudulent claim (U.S. Code, Title 18, Sections
287 and 1001 and Title 31, Section 3729).
INSTRUCTIONS
ITEM 1 - PAYMENT
Member must be on electronic funds (EFT) to participate in split
disbursement. Split disbursement is a payment method by which
you may elect to pay your official travel card bill and forward the
remaining settlement dollars to your predesignated account. For
example, $250.00 in the "Amount to Government Travel Charge
Card" block means that $250.00 of your travel settlement will be
electronically sent to the charge card company. Any dollars
remaining on this settlement will automatically be sent to your
predesignated account. Should you elect to send more dollars than
you are entitled, "all" of the settlement will be forwarded to the
charge card company. Notification: you will receive your regular
monthly billing statement from the Government Travel Charge Card
contractor; it will state: paid by Government, $250.00, 0 due. If you
forwarded less dollars than you owe, the statement will read as: paid
by Government, $250.00, $15.00 now due. Payment by check is
made to travelers only when EFT payment is not directed.
REQUIRED ATTACHMENTS
1. Original and/or copies of all travel orders/authorizations and
amendments, as applicable.
2. Two copies of dependent travel authorization if issued.
3. Copies of secretarial approval of travel if claim concerns parents
who either did not reside in your household before their travel and/or
will not reside in your household after travel.
4. Copy of GTR, MTA or ticket used.
5. Hotel/motel receipts and any item of expense claimed in an
amount of $75.00 or more.
6. Other attachments will be as directed.
ITEM 15 - ITINERARY - SYMBOLS
15c. MEANS/MODE OF TRAVEL (Use two letters)
GTR/TKT or CBA (See Note) - T
Government Transportation - G
Commercial Transportation
(Own expense) - C
Privately Owned
Conveyance (POC) - P
Note: Transportation tickets purchased with a CBA must not be
claimed in Item 18 as a reimbursable expense.
Automobile - A
Motorcycle - M
Bus - B
Plane - P
Rail - R
Vessel - V
15d. REASON FOR STOP
Authorized Delay - AD
Authorized Return - AR
Awaiting Transportation - AT
Hospital Admittance - HA
Hospital Discharge - HD
Leave En Route - LV
Mission Complete - MC
Temporary Duty - TD
Voluntary Return - VR
ITEM 15e. LODGING COST
Enter the total cost for lodging.
ITEM 19 - DEDUCTIBLE MEALS
Meals consumed by a member/employee when furnished with or
without charge incident to an official assignment by sources other
than a government mess (see JFTR, par. U4125-A3g and JTR, par.
C4554-B for definition of deductible meals). Meals furnished on
commercial aircraft or by private individuals are not considered
deductible meals.
29. REMARKS
a. INDICATE DATES ON WHICH LEAVE WAS TAKEN:
b. ALL UNUSED TICKETS (including identification of unused "e-tickets") MUST BE TURNED IN TO THE T/O OR CTO.
DD FORM 1351-2 (BACK), MAY 2011
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TRAVEL VOUCHER OR SUBVOUCHER (Rocky Mountain College)

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Completed 25 August 2020

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