DEPARTMENT OF HOMELAND SECURITY U.S. Coast Guard MILITARY/CIVILIAN TEMPORARY DUTY TDY TRAVEL ORDER 1. FOR MEDICAL TRAVEL 3. Grade/Rank 4. Current Duty Station 9. Order Issuing Authority 5. Work Phone Number 10. Authorized days of Leave Dates of LV Unlimited Open to Repeat Travel See Block 13A for Geographical location Outpatient Attendant Escort Inpatient 13A. REPORT TO UNIT/CITY/COUNTY/ STATE/ZIPCODE/COUNTRY B. Purpose of TDY Conference must have an approved conference attendance worksheet. TRAVEL AT TDY SITE Rental Car compact Upgrade Authorized-size TMC/CTO use is mandatory Local travel taxi/bus/metro/other public conveyance Max 15 Tip 18. AUTHORIZED REIMBURSABLE EXPENSES Registration Fees if meals are included in the cost-report in Block 19 DD-1351-2 Baggage Fees Communication Services Official Use Phone Calls Official Use NTE daily Computer Connections Official Use A receipt is required for any expenses 75. 00 or greater If Training Insert Direct Access Course ID If an entitlement authorized on this order conflicts with the JFTR the JFTR prevails. If using Other Gov t Agency Funds Contact FINCEN OGQ and Insert Reimbursable Agreement Number RAN Proceed and report to the places and in the order listed in block 13A above. Deviations should not be made to visit places or areas not listed in block 13A above without prior written or verbal orders from proper authority. Upon completion of the TDY directed return to this command and resume your regular duties. Privacy Act Statement In accordance with 5 USC Section 522a e 3 the following information is provided to you when supplying personal information to the U.S. Coast Guard 10 USC Section 2771. Name of Traveler Last Name First Name MI 2. Employee ID 6. Departure Date MM/DD/YYYY 8. Estimated Days 7. Expected Date of Return to PDS MM/DD/YYYY 11. BLANKET ORDERS Doc type 13 TONO Period of travel from 12. FOR MEDICAL TRAVEL 3. Grade/Rank 4. Current Duty Station 9. Order Issuing Authority 5. Work Phone Number 10. Authorized days of Leave Dates of LV Unlimited Open to Repeat Travel See Block 13A for Geographical location Outpatient Attendant Escort Inpatient 13A. REPORT TO UNIT/CITY/COUNTY/ STATE/ZIPCODE/COUNTRY B. Purpose of TDY Conference must have an approved conference attendance worksheet. C. Dates of TDY mm/dd-mm/dd - Remain Over Night RON awaiting transportation may be authorized for 15. PER DIEM Military JFTR par. U4100/Civilian FTR par. 301-11 Max Locality Per Diem Rate Lodging M IE Lodging Receipts required for reimbursement QUARTERS GOV T/GOV T CONTRACTED No Cost Cost COMMERCIAL Lodging Gov t Quarters NOT Available MESSING GOV T Rate MESS for ALL three meals Proportional Meal Rate Reduced/No M IE of For Military IAW COMDT CG-1222 memo 4650 of COMMERCIAL RATE Full Locality Per Diem EXEMPTION Actual Expenses Authorized JFTR par. U4200 FTR par. 301-11. 300 per day allowed at for period 19. REMARKS/AUTHORIZATIONS/ADDITIONAL INSTRUCTIONS night s at locality 16. MODE OF TRAVEL Mode of travel to TDY site and Return It is mandatory to arrange Official Travel through the TMC/CTO.
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