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PREVIOUS EDITION IS OBSOLETE.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
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PREVIOUS EDITION IS OBSOLETE.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

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