PerFORM Communicator File Packet v 1.00 cc:\formflow\forms\Ar'>OA/W>W>W>CV>ķ'>dd1610.frz\forms\dd1610.frz5Udd1610.fdbtemp\df000002\dd1610.fdb6S Add1610.dbftemp\df000002\dd1610.dbf6ST T Edd1610.dbttemp\df000002\dd1610.dbt6SZdd1610.fdstemp\df000002\dd1610.fds6S2*Request and Authorization for TDY Travel of DoD Personnelwhs/dior209C:\DOCUME~1\SHERMA~1\MYDOCU~1\ETM'S\FORMPA~1\DD-1610.FPKC:\WINDOWS\TEMP\KRequest and Authorization for TDY Travel of DoD Personnel000?0"x 3,3"3 3n@3*Q3|;ࡱ> 3Root EntryRoot Entry` )H)\4Contents5nOccDataSummaryInformation([  !"#$%&'()*+,-./0126789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklFBMacrosP\)\GeneralMacroStream(_f\7>ZY(Oh+'0}[LX p |   T[h[p[:Request and Authorization for TDY Travel of DoD Personnel whs/dior:Request and Authorization For TDY Travel of DOD Personnel OSD WHS DIOR209@lF@nently?0@Selected@`~\GY48DS ,  "2 -%000000- -0! 0 00!0- - 0  A 0A0-.- "Univers@ LSwUSw0-"Univers@? LSwUSw0-- 2 *5 16. REMARKS  "Univers@ LSwUSw0-- 2 *j(Use this space for special requirements, leave, excess baggage, accommodations, registration fees, etc.) "Univers@ /LSwUSw0- -%0P0P0-.- -- 2 5 11. ITINERARY-.- .-   CG Times 3LSwUSw0- - $LWLW-  LWWL -- -  --  -``.- .-   - -  $||-  || -- -   --  -.- .-   - -  $-   -- -   --  -.- .-   - -  $-   -- -   --  -000- -%0PP`0`0P-.- -- +2 \512. TRANSPORTATION MODE  -%-.- "Univers@ LSwUSw0- - .2 b. OTHER RATE OF PER DIEM -- 2 & (Specify) "Arialw@ LSwUSw0- -  2 R  -%00p0p`0`00-.- "Univers@ mLSwUSw0- - ]2 >i9REQUEST AND AUTHORIZATION FOR TDY TRAVEL OF DOD PERSONNEL              - "Univers@ LSwUSw0- - X2 L6(Reference: Joint Travel Regulations (JTR), Chapter 3)- - a2 Y<(Read Privacy Act Statement on back before completing form.)   -%p00`p`p0-.- -- "2 :u1. DATE OF REQUEST--  2 Hu -- 2 H (YYYYMMDD)- -  -%0p p 00p-.- -- 2 z5 2. NAME  -- 42 zl(Last, First, Middle Initial) "Univers@ =LSwUSw0-- -`0`-.- "Univers@d LSwUSw0-- 02 l:REQUEST FOR OFFICIAL TRAVEL      -%ppp-.- -- :2 z"4. POSITION TITLE AND GRADE/RATING- -%000-.- -- L2 5. 5. LOCATION OF PERMANENT DUTY STATION (PDS) - -%pp-.- -- 02  6. ORGANIZATIONAL ELEMENT - -%ppp-.- -- '2 u7. DUTY PHONE NUMBER\ --  2 u -- %2  (Include Area Code)- -  -%000-.- -- .2 5 8. TYPE OF AUTHORIZATION- -%pp-.- ---  2 10- - .2 a. APPROX. NO. OF TDY DAYS- - 2  -- +2  (Including travel time)--- -%ppp-.- -- - 2 ub. PROCEED DATE --- 2 u (YYYYMMDD)"Arialw@ LSwUSw0--- -%-.- -- 2 9. TDY PURPOSE -- '2 =(See JTR, Appendix H)- - -.- - - %2 VARIATION AUTHORIZED -%-.- .-   - - $  -   -- -  --  -%0``p0p0`-.- - - 2 k5 a. COMMERCIAL -%``pp`-.- - - 2 kb. GOVERNMENT -pppp-.- - - .2 yPRIVATELY OWNED CONVEYANCE -- 2 y (Check one)--.- - - !2 RATE PER MILE: T-.- - - U2 R4AS DETERMINED BY APPROPRIATE TRANSPORTATION OFFICER -- (2 p(Overseas Travel only)--.- - - 42 2ADVANTAGEOUS TO THE GOVERNMENT-.- - - ?2 2%MILEAGE REIMBURSEMENT AND PER DIEM IS- - 42 2LIMITED TO CONSTRUCTED COST OF- - 92 2!COMMON CARRIER TRANSPORTATION ANDG- - 92 2!PER DIEM AS DETERMINED AND TRAVELG- - *2 2TIME AS LIMITED PER JTR -%0MM00-.- .-   - - $>H>H->HH> -- -  --  -%0MM00-.- --  2 513. -%MjjMM-.- .-   - - $ZeZe-ZeeZ -- -  --  -%-.- "Arialw@ ]LSwUSw0-.-   - - $- -- -  --  -0qpp00-.- -- $2 514. ESTIMATED COSTD  -%p p p-.- -- 2 u 15. ADVANCE-- 2 u AUTHORIZED- -%0  P0P0 -.- - -- 42 *517. TRAVEL-REQUESTING OFFICIAL--  2 * 0-- '2 *(Title and signature)-- -%  PP -.- -- B2 *'18. TRAVEL-APPROVING/DIRECTING OFFICIAL-- (2 * (Title and signature)-- -P0P-.- -- 2 \g AUTHORIZATION     -%0``00`-.- -- *2 j519. ACCOUNTING CITATION- -%000-.- --- @2 5&20. AUTHORIZING/ORDER-ISSUING OFFICIAL-- *2  (Title and signature) - -  2 v 0-- -%-.- -- 2 21. DATE ISSUEDD-- 2 S (YYYYMMDD)O-- -%-.- -- 62 22. TRAVEL AUTHORIZATION NUMBER - -%PP  -.- - - 2  b. TRAVEL- "Univers@ LSwUSw0--  2 $0--  2   -%P P P-.- - - 2 U c. OTHERL- --  2 U$ - -  2 \  -%pp  -.- -- - 2  d. TOTALL- ---  2 $ --  2   -! p p!p-.- ----  2 u$ --  2   -%---.- .-   - - $((-(( -- -  --  -%---.- .-   - - $((-(( -- -  -- -.- - - (2 0DD FORM 1610, MAY 2003     -.- "Univers@ LSwUSw0-- 32 <PREVIOUS EDITION IS OBSOLETE. -%0 0 0-.- - - 2 5 a. PER DIEM - --  2 5$ --  2 < -  -p0pap``p00-.- - -  2 y5RAIL -p`ppp``-.- - -  2 yeAIRL -pppp-.- - -  2 yBUSL -pppp-.- - -  2 ySHIP -pp!p  p-.- - -  2 yAIRP -p pQpPPp  -.- - - 2 y%VEHICLE -pPpppPP-.- - -  2 yUSHIP -% pp  p-.- -- .2 z%3. SOCIAL SECURITY NUMBER - -%``pp`-.- - - +2 kc. LOCAL TRANSPORTATION -pppp-.- - -  2 wCAR- - 2 RENTAL -pppp-.- - -  2 yTAXI -pppp-.- - - 2 yOTHER.- .-   - - $  -   -- -  --  -  .- .-   - - $<G<G-<GG< -- -  --  -PP.- .-   - - $lwlw-lwwl -- -  --  --.- .-   - - $- -- -  --  -.- .-   - - $- -- -  --  -.- .-   - - $- -- -  --  -- -] -000- -%jjj-.- - - N2 n/a. PER DIEM AUTHORIZED IN ACCORDANCE WITH JTR.  -0WWOWWOWWOWWOWWOWWOWWOWWOWWOWWOW FormFlowFormFlow 2.05v>v>gTgT DATE @ NAME @. TITLEE @. STATION @. ORG_ELMT @. PHONEK@. TYPE_auth @. PURPOSE @. NO_DAYSD@.  PROCEED @  AUTHORIZ@ &gT &gT &gT&gT ITINERAR @.  COMMERCL@ (gT! (gT (gT(gT RATECC. OFFICER@ *gT*gT *gT*gT PERDIEM@ 6,gT6,gT L,gTL,gT OTHER_PD@ 4-gT4-gT J-gTJ-gT REMARKS @. REQUEST @. APPROVE @. ACCOUNT @.  AUTH_OFF @. !AUTH_DAT @ "T_ORD_NO @. #SPECIFY @. TRAVELDB. OTHERtDB. TOTALt. 6gTgT6gTgT[PD_COST]+[TRAVEL]+[OTHER]gTgTgTgTPD_COST+3TRAVEL+YOTHERrgTgT@@ @0ADVANCEKB. REIMBURS@ 9gT$9gT 9gT9gT ADVANTAG@ :gT!:gT :gT:gT PD_COSTDB. ssnult @. xgovtCL@ >=gT!>=gT T=gTT=gT xlocalL@ <>gT!<>gT R>gTR>gT asdeterm @. rmkscont @. $dBASESwiss"DutchUnivers (WN)"CG Times (WN)Modern2GillSans"Helv"Tms RmnRomanCourier1CG TimesUnivers"Arial"1111Ya $εų\KhC=J`?)0Ɵ11N3Ɵ111B@ǟ1AK311h 1? =+f==| UU  ƭm @FgV+f1-@-Uv{gVQ|RgVgVgVfV1T31jJ8c|Ԕp()\KhC1111\KhC111111##011B:#0G0a  REMARKS  122DS#00a  :DgT:DgT 16. REMARKS  (Use this space for special requirements, leave, excess baggage, accommodations, registration fees, etc.) 1=[#01a  ITINERAR EgTgTEgTgT 11. ITINERARY 1، #/13 Ԕp  COMMERCL FgTFgT1=[k#01 GgTΆgTGgTΆgT12. TRANSPORTATION MODE-^0j0  SPECIFY HgT5HgT b. OTHER RATE OF PER DIEM  (Specify)  116c##F1X \IgT6gT\IgT6gTREQUEST AND AUTHORIZATION FOR TDY TRAVEL OF DOD PERSONNEL  (Reference: Joint Travel Regulations (JTR), Chapter 3) (Read Privacy Act Statement on back before completing form.)E16c#0F1  DATE>|0`8 JgT0jgTJgTjgT 1. DATE OF REQUEST  (YYYYMMDD)  @1s)Z#Ru1a  NAME` p 8 KgT7gTKgTgT 2. NAME  (Last, First, Middle Initial)  @16cs#F0R1a LgTȋgTLgTȋgTREQUEST FOR OFFICIAL TRAVELsZ^R0u1a  TITLEEÃÁ MgT'6gTMgT6gT 4. POSITION TITLE AND GRADE/RATING @1Z#u41a  STATIONv`0  NgT3LgTNgTLgT 5. LOCATION OF PERMANENT DUTY STATION (PDS) @Z4u1a  ORG_ELMT 8x OgT zgTOgTzgT 6. ORGANIZATIONAL ELEMENT Zu01a  PHONE PgT=gTPgTgT 7. DUTY PHONE NUMBER   (Include Area Code)  NSgTVʑgT>SgTʑgT  10 a. APPROX. NO. OF TDY DAYS   (Including travel time) 01 PROCEEDfTgT4>gTfTgT>gT  b. PROCEED DATE   (YYYYMMDD) 441a  PURPOSE lUgT3ngTlUgTngT 9. TDY PURPOSE  (See JTR, Appendix H)  1 (VgTgT(VgTgTVARIATION AUTHORIZED41 AUTHORIZ   1k O|# 1 WgTgTWgTgT a. COMMERCIAL kO| 1 4XgTTgT4XgTTgTb. GOVERNMENT!O|، 01  XgT4gTXgTgTPRIVATELY OWNED CONVEYANCE  (Check one)!،a0$  RATE YgT@gTYgT@gT RATE PER MILE: `O!s8/; rZgTXgTrZgTgTAS DETERMINED BY APPROPRIATE TRANSPORTATION OFFICER  (Overseas Travel only)Hx?a$0/ R[gT"zgTR[gTzgTADVANTAGEOUS TO THE GOVERNMENTHx?/0^ [gTgT[gTgTMILEAGE REIMBURSEMENT AND PER DIEM IS LIMITED TO CONSTRUCTED COST OF COMMON CARRIER TRANSPORTATION AND PER DIEM AS DETERMINED AND TRAVEL TIME AS LIMITED PER JTRHA1`Os#/8;1 OFFICER   1`O#^8j0 ^gT^gT13. P`O$m8^Mj0 PERDIEM   ^-j0 OTHER_PD   1 #ju0a  `gT`gT14. ESTIMATED COST22j00a agT!agT15. ADVANCE AUTHORIZED 1:]l#G&j0  REQUEST vbgTMvbgT  17. TRAVEL-REQUESTING OFFICIAL  (Title and signature) P:]l&G0j0  APPROVE cgTLcgT 18. TRAVEL-APPROVING/DIRECTING OFFICIAL  (Title and signature) 1]l|#j0v0a jdgTjdgTAUTHORIZATION1|#v00  ACCOUNT NegTNegT 19. ACCOUNTING CITATION @1#l0  AUTH_OFF gTsgT>gTAIR)O|D[، 1  TtgTgTTtgTgTVEHICLED[O|، 1  tgTޜgTtgTޜgTSHIP)sZR^u1a ssn vgT.gTvgT.gT 3. SOCIAL SECURITY NUMBER kO|0 1 (wgT4gT(wgT4gTc. LOCAL TRANSPORTATIONO|| ;1  wgTgTwgTgTCAR RENTAL|O|،; ^1  dxgTgTdxgTgTTAXIO|!،^ 1  xgTԟgTxgTԟgTOTHER ،/13 Ԕp  xgovtCL 4zgT4zgT،!/13 ،|t xlocalL {gT{gTqa8a$$1s!#;^1 asdeterm  $mM^j0 v}gT3v}gTa. PER DIEM AUTHORIZED IN ACCORDANCE WITH JTR.1#^0^a11=911~=1a  rmkscont  1~=1a  gTgT 16. REMARKS  (Continued) (Use this space for special requirements, leave, excess baggage, accommodations, registration fees, etc.) 116c=9f1X  gT3gTPRIVACY ACT STATEMENT  (5 U.S.C. 552a) E1D[@"=Ha bgT!bgTDD FORM 1610 (BACK), MAY 20031R=W1a  gT gT 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. qZo^qgTzqZj^m 4gT4gTss^obq ̅gT̅gTss N