DA Form 5163 Nonappropriated Fund Central Payroll System - Tips, Service Charges and Meals Report

DA Form 5163 - also known as the "Nonappropriated Fund Central Payroll System - Tips, Service Charges And Meals Report" - is a Military form issued and used by the United States Department of the Army.

The form - often mistakenly referred to as the DD form 5163 - was last revised on September 1, 2010. Download an up-to-date PDF version of the DA 5163 below or request a copy through the chain of command.

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NONAPPROPRIATED FUND CENTRAL PAYROLL SYSTEM
TIPS, SERVICE CHARGES AND MEALS REPORT
For use of this form, see DoD 7000.14-R, Volume 13; the proponent agency is ASA (FM&C)
PAY PERIOD ENDING
INSTALLATION
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
WORK
NAME
REPORTED
CHARGE
TOTAL
SERVICE
TOTAL TIP
TIP
MEAL
CENTER
TIPS
TIPS
TIPS
CHARGE
& SERVICE
ALLOCATION
DEDUC-
CHARGE
TIONS
TOTAL
SIGNATURE CUSTODIAN/MANAGER
DA FORM 5163, SEP 2010
PREVIOUS EDITION IS OBSOLETE.
APD PE v1.00ES

Download DA Form 5163 Nonappropriated Fund Central Payroll System - Tips, Service Charges and Meals Report

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