DD Form 1610, Request and Authorization for TDY Travel of DoD Personnel, May 2003`

16. REMARKS (Use this space for special requirements, leave, excess baggage, accommodations, registration fees, etc.)

11. ITINERARY

12. TRANSPORTATION MODE

b. OTHER RATE OF PER DIEM (Specify)

REQUEST AND AUTHORIZATION FOR TDY TRAVEL OF DOD PERSONNEL

(Reference: Joint Travel Regulations (JTR), Chapter 3)

(Read Privacy Act Statement on back before completing form.)

1. DATE OF REQUEST

(YYYYMMDD)

2. NAME (Last, First, Middle Initial)

REQUEST FOR OFFICIAL TRAVEL

4. POSITION TITLE AND GRADE/RATING

5. LOCATION OF PERMANENT DUTY STATION (PDS) 6. ORGANIZATIONAL ELEMENT 7. DUTY PHONE NUMBER

(Include Area Code)

8. TYPE OF AUTHORIZATION

10a. APPROX. NO. OF TDY DAYS

(Including travel time)

b. PROCEED DATE

(YYYYMMDD)

9. TDY PURPOSE (See JTR, Appendix H)

VARIATION AUTHORIZED

a. COMMERCIAL b. GOVERNMENT

PRIVATELY OWNED CONVEYANCE (Check one)

RATE PER MILE:

AS DETERMINED BY APPROPRIATE TRANSPORTATION OFFICER (Overseas Travel only)

ADVANTAGEOUS TO THE GOVERNMENT

MILEAGE REIMBURSEMENT AND PER DIEM

IS LIMITED TO CONSTRUCTED COST OF

COMMON CARRIER TRANSPORTATION AND

PER DIEM AS DETERMINED AND TRAVEL

TIME AS LIMITED PER JTR

13.

14. ESTIMATED COST

15. ADVANCE

AUTHORIZED

17. TRAVEL-REQUESTING OFFICIAL (Title and signature) 18. TRAVEL-APPROVING/DIRECTING OFFICIAL (Title and signature)

AUTHORIZATION

19. ACCOUNTING CITATION

20. AUTHORIZING/ORDER-ISSUING OFFICIAL (Title and signature) 21. DATE ISSUED (YYYYMMDD)

22. TRAVEL AUTHORIZATION NUMBER

b. TRAVEL

c. OTHER

d. TOTAL

$ $

DD FORM 1610, MAY 2003

PREVIOUS EDITION IS OBSOLETE.

a. PER DIEM

RAIL AIR BUS SHIP AIR VEHICLE SHIP

3. SOCIAL SECURITY NUMBER

c. LOCAL TRANSPORTATION

CAR

RENTAL

TAXI OTHER

a. PER DIEM AUTHORIZED IN ACCORDANCE WITH JTR.

Adobe Professional 8.0

0.00

16. REMARKS (Continued) (Use this space for special requirements, leave, excess baggage, accommodations, registration fees, etc.)

PRIVACY ACT STATEMENT

(5 U.S.C. 552a)

DD FORM 1610 (BACK), MAY 2003

AUTHORITY: 5 U.S.C. 5701, 5702, and E.O. 9397.

PRINCIPAL PURPOSE(S): Used for reviewing, approving, and accounting for official travel. SSN is used to maintain a numerical identification system

for individual travelers.

ROUTINE USE(S): None.

DISCLOSURE: Voluntary; however, failure to provide the requested information may delay or preclude timely authorization of travel request.

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