Read Privacy Act Statement, Penalty Statement, and Instructions on back before

TRAVEL VOUCHER OR SUBVOUCHER 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 SPLIT DISBURSEMENT: The Paying Office will pay directly to the Government Travel Charge Card (GTCC) contractor the portion of your reimbursement
representing travel charges for transportation, lodging, and rental car if you are a civilian employee, unless you elect a different amount. Military personnel are required
Electronic Fund
to designate a payment that equals the total of their outstanding government travel card balance to the GTCC contractor.
Transfer (EFT)
Payment by Check 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 Member/Employee
6. ADDRESS. a. NUMBER AND STREET b. CITY c. STATE d. ZIP CODE PCS Other

Dependent(s) DLA

e. E-MAIL ADDRESS 10. FOR D.O. USE ONLY

7. DAYTIME TELEPHONE NUMBER & 8. TRAVEL ORDER/AUTHORIZATION 9. PREVIOUS GOVERNMENT PAYMENTS/ a. D.O. VOUCHER NUMBER
AREA CODE NUMBER ADVANCES

11. ORGANIZATION AND STATION b. SUBVOUCHER NUMBER

12. DEPENDENT(S) (X and complete as applicable) 13. DEPENDENTS' ADDRESS ON RECEIPT OF c. PAID BY
ORDERS (Include Zip Code)
ACCOMPANIED UNACCOMPANIED
a. NAME (Last, First, Middle Initial) b. RELATIONSHIP c. DATE OF BIRTH
OR MARRIAGE

14. HAVE HOUSEHOLD GOODS BEEN SHIPPED? d. COMPUTATIONS

(X one)
YES NO (Explain in Remarks)
15. ITINERARY c. d.
MEANS/ REASON e. f.
a. DATE b. PLACE (Home, Office, Base, Activity, City and State; MODE OF FOR LODGING POC
City and Country, etc.) TRAVEL STOP COST MILES

DEP

ARR

DEP

ARR

DEP

ARR

DEP
ARR

DEP
ARR

DEP e. SUMMARY OF PAYMENT

ARR (1) Per Diem

DEP (2) Actual Expense Allowance

ARR (3) Mileage

16. POC TRAVEL (X one) OWN/OPERATE PASSENGER 17. DURATION OF TRAVEL (4) Dependent Travel

18. REIMBURSABLE EXPENSES (5) DLA

12 HOURS OR LESS
a. DATE b. NATURE OF EXPENSE c. AMOUNT d. ALLOWED (6) Reimbursable Expenses

MORE THAN 12 HOURS

(7) Total 0.00
BUT 24 HOURS OR LESS (8) Less Advance

(9) Amount Owed

MORE THAN 24 HOURS
(10) Amount Due

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 d. REVIEWER SIGNATURE e. TELEPHONE NUMBER f. DATE

21.a. APPROVING OFFICIAL'S PRINTED NAME b. SIGNATURE c. TELEPHONE NUMBER d. DATE

22. ACCOUNTING CLASSIFICATION

23. COLLECTION DATA

24. COMPUTED BY 25. AUDITED BY 26. TRAVEL ORDER/ 27. RECEIVED (Payee Signature and Date or Check No.) 28. AMOUNT PAID
AUTHORIZATION POSTED BY

PREVIOUS EDITION MAY BE USED Exception to SF 1012 approved byGSA/IRMS 12-91.

DD FORM 1351-2, MAR 2008 UNTIL SUPPLY IS EXHAUSTED. Adobe Designer 7.0
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 PRIVACY ACT STATEMENT
AUTHORITY: 5 U.S.C. Section 5701, 37 U.S.C. Sections 404 - 427, 5 U.S.C. Section 301, DoDFMR 7000.14-R, Vol. 9, and E.O. 9397.

PRINCIPAL PURPOSE(S): This record is used for reviewing, approving, accounting, and disbursing money for claims submitted by Department
of Defense (DoD) travelers for official Government travel. The Social Security number (SSN) is used to maintain a numerical identification filing
system for filing and retrieving individual claims.

ROUTINE USE(S): Disclosures are permitted under 5 U.S.C. 552a(b), Privacy Act of 1974, as amended. In addition, information may be
disclosed to the Internal Revenue Service for travel allowances, which are subject to Federal income taxes, and for any DoD "Blanket Routine
Use" as published in the Federal Register.

DISCLOSURE: Voluntary; however, failure to furnish the information requested may result in total or partial denial of the amount claimed.

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 ITEM 15 - ITINERARY - SYMBOLS

Member must be on electronic funds (EFT) to participate in split 15c. MEANS/MODE OF TRAVEL (Use two letters)
disbursement. Split disbursement is a payment method by which
you may elect to pay your official travel card bill and forward the GTR/TKT or CBA (See Note) -T Automobile - A
remaining settlement dollars to your predesignated account. For Government Transportation -G Motorcycle - M
example, $250.00 in the "Amount to Government Travel Charge Commercial Transportation Bus -B
Card" block means that $250.00 of your travel settlement will be (Own expense) -C Plane -P
Privately Owned Rail -R
electronically sent to the charge card company. Any dollars Vessel -V
Conveyance (POC) -P
remaining on this settlement will automatically be sent to your
predesignated account. Should you elect to send more dollars than
Note: Transportation tickets purchased with a CBA must not be
you are entitled, "all" of the settlement will be forwarded to the
claimed in Item 18 as a reimbursable expense.
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 15d. REASON FOR STOP
forwarded less dollars than you owe, the statement will read as: paid Authorized Delay - AD Leave En Route - LV
by Government, $250.00, $15.00 now due. Payment by check is Authorized Return - AR Mission Complete - MC
made to travelers only when EFT payment is not directed. Awaiting Transportation - AT Temporary Duty - TD
Hospital Admittance - HA Voluntary Return - VR
REQUIRED ATTACHMENTS Hospital Discharge - HD

1. Original and/or copies of all travel orders/authorizations and

amendments, as applicable. ITEM 15e. LODGING COST
2. Two copies of dependent travel authorization if issued. Enter the total cost for lodging.
3. Copies of secretarial approval of travel if claim concerns parents
who either did not reside in your household before their travel and/or ITEM 19 - DEDUCTIBLE MEALS
will not reside in your household after travel. Meals consumed by a member/employee when furnished with or
4. Copy of GTR, MTA or ticket used. without charge incident to an official assignment by sources other
5. Hotel/motel receipts and any item of expense claimed in an than a government mess (see JFTR, par. U4125-A3g and JTR, par.
amount of $75.00 or more. C4554-B for definition of deductible meals). Meals furnished on
6. Other attachments will be as directed. 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), MAR 2008

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