DD Form 1614 Request/Authorization for DoD Civilian Permanent Duty or Temporary Change of Station (Tcs) Travel

DD Form 1614 - also known as the "Request/authorization For Dod Civilian Permanent Duty Or Temporary Change Of Station (tcs) Travel" - is a United States Military form issued by the Department of Defense.

The form - often incorrectly referred to as the DA form 1614 - was last revised on May 1, 2003. Download an up-to-date fillable PDF version of the DD 1614 below or request a copy through the chain of command.

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REQUEST/AUTHORIZATION FOR DOD CIVILIAN PERMANENT DUTY
OR TEMPORARY CHANGE OF STATION (TCS) TRAVEL
(Reference: Joint Travel Regulations) (Read Privacy Act Statement on back before completing form.)
SECTION I - REQUEST FOR OFFICIAL TRAVEL
1. DATE
2. NAME
3. SOCIAL SECURITY NUMBER
(YYYYMMDD)
(Last, First, Middle)
4. NEW POSITION TITLE
5. GRADE OR RATING
6. RETIREMENT CODE
(Insert retirement code from Block 30 of
employee's most recent SF-50. If unknown, employee should contact
their servicing personnel office.)
7. RELEASING OFFICIAL STATION AND LOCATION, OR ACTUAL
8. NEW OFFICIAL STATION AND LOCATION, ACTUAL RESIDENCE
RESIDENCE
OR ALTERNATE DESTINATION
9. REPORTING DATE AT NEW DUTY STATION
(YYYYMMDD)
10. TRAVEL PURPOSE
11. TRANSPORTATION MODE
12a. PER DIEM FOR EMPLOYEE
BETWEEN OFFICIAL STATIONS
GOVERNMENT
POC
YES
NO
RENEWAL AGREEMENT
COMMERCIAL
RAIL
b. PER DIEM FOR DEPENDENT(S)
RETURN FROM OVERSEAS FOR SEPARATION
AIR
YES
NO
MILEAGE RATE:
TEMPORARY CHANGE OF STATION
$
OTHER
13a. ROUND TRIP TRAVEL FOR HOUSE-
14a. TEMPORARY QUARTERS
15a. HOUSEHOLD GOODS (HHG) SHIPMENT
HUNTING
SUBSISTENCE EXPENSE
YES
NO
YES
NO
YES
NO
COMMUTED RATE
ACTUAL EXPENSE
FIXED
ACTUAL EXPENSE
FIXED
GOVERNMENT BILL OF LADING (GBL)
b. NUMBER OF DAYS (Including travel)
b. NUMBER OF DAYS AUTHORIZED
b. NET WEIGHT AUTHORIZED
16. OTHER AUTHORIZED EXPENSES
17. DEPENDENT TRAVEL
TEMPORARY STORAGE OF HHG
UNEXPIRED LEASE
CONCURRENT
NONTEMPORARY STORAGE OF HHG
RELOCATION INCOME TAX ALLOWANCE
DELAYED
RELOCATION SERVICES
POV SHIPMENT
CONUS
OCONUS
EARLY RETURN
PROPERTY MANAGEMENT SERVICES
MISCELLANEOUS EXPENSES
NOT AUTHORIZED
$
TRAVEL ADVANCE AUTHORIZED (Amount)
REAL ESTATE EXPENSES
18a. DEPENDENT TRAVEL FROM
(Home Address)
b. TO (New PDS)
19. DEPENDENTS
a. NAME (Last, First, Middle Initial)
b. RELATIONSHIP
c. DATE OF BIRTH (YYYYMMDD)
21. TRANSPORTATION AGREEMENT
20. ESTIMATED COST
SIGNED
(X one)
a. PER DIEM
b. TRAVEL
c. OTHER
d. TOTAL
YES
NO
$
$
$
$
0.00
DATE SIGNED (YYYYMMDD)
SECTION II - AUTHORIZATION FOR OFFICIAL TRAVEL
22. ACCOUNTING CITATION
23. APPROVING OFFICIAL
b. SIGNATURE
a. TITLE
24. AUTHORIZING/ORDER-ISSUING OFFICIAL
b. SIGNATURE
c. ORGANIZATION ADDRESS
a. TITLE
25. TRAVEL AUTHORIZATION NUMBER
26. DATE ISSUED
(YYYYMMDD)
DD FORM 1614, MAY 2003
PREVIOUS EDITION IS OBSOLETE.
Adobe Professional 8.0
REQUEST/AUTHORIZATION FOR DOD CIVILIAN PERMANENT DUTY
OR TEMPORARY CHANGE OF STATION (TCS) TRAVEL
(Reference: Joint Travel Regulations) (Read Privacy Act Statement on back before completing form.)
SECTION I - REQUEST FOR OFFICIAL TRAVEL
1. DATE
2. NAME
3. SOCIAL SECURITY NUMBER
(YYYYMMDD)
(Last, First, Middle)
4. NEW POSITION TITLE
5. GRADE OR RATING
6. RETIREMENT CODE
(Insert retirement code from Block 30 of
employee's most recent SF-50. If unknown, employee should contact
their servicing personnel office.)
7. RELEASING OFFICIAL STATION AND LOCATION, OR ACTUAL
8. NEW OFFICIAL STATION AND LOCATION, ACTUAL RESIDENCE
RESIDENCE
OR ALTERNATE DESTINATION
9. REPORTING DATE AT NEW DUTY STATION
(YYYYMMDD)
10. TRAVEL PURPOSE
11. TRANSPORTATION MODE
12a. PER DIEM FOR EMPLOYEE
BETWEEN OFFICIAL STATIONS
GOVERNMENT
POC
YES
NO
RENEWAL AGREEMENT
COMMERCIAL
RAIL
b. PER DIEM FOR DEPENDENT(S)
RETURN FROM OVERSEAS FOR SEPARATION
AIR
YES
NO
MILEAGE RATE:
TEMPORARY CHANGE OF STATION
$
OTHER
13a. ROUND TRIP TRAVEL FOR HOUSE-
14a. TEMPORARY QUARTERS
15a. HOUSEHOLD GOODS (HHG) SHIPMENT
HUNTING
SUBSISTENCE EXPENSE
YES
NO
YES
NO
YES
NO
COMMUTED RATE
ACTUAL EXPENSE
FIXED
ACTUAL EXPENSE
FIXED
GOVERNMENT BILL OF LADING (GBL)
b. NUMBER OF DAYS (Including travel)
b. NUMBER OF DAYS AUTHORIZED
b. NET WEIGHT AUTHORIZED
16. OTHER AUTHORIZED EXPENSES
17. DEPENDENT TRAVEL
TEMPORARY STORAGE OF HHG
UNEXPIRED LEASE
CONCURRENT
NONTEMPORARY STORAGE OF HHG
RELOCATION INCOME TAX ALLOWANCE
DELAYED
RELOCATION SERVICES
POV SHIPMENT
CONUS
OCONUS
EARLY RETURN
PROPERTY MANAGEMENT SERVICES
MISCELLANEOUS EXPENSES
NOT AUTHORIZED
$
TRAVEL ADVANCE AUTHORIZED (Amount)
REAL ESTATE EXPENSES
18a. DEPENDENT TRAVEL FROM
(Home Address)
b. TO (New PDS)
19. DEPENDENTS
a. NAME (Last, First, Middle Initial)
b. RELATIONSHIP
c. DATE OF BIRTH (YYYYMMDD)
21. TRANSPORTATION AGREEMENT
20. ESTIMATED COST
SIGNED
(X one)
a. PER DIEM
b. TRAVEL
c. OTHER
d. TOTAL
YES
NO
$
$
$
$
0.00
DATE SIGNED (YYYYMMDD)
SECTION II - AUTHORIZATION FOR OFFICIAL TRAVEL
22. ACCOUNTING CITATION
23. APPROVING OFFICIAL
b. SIGNATURE
a. TITLE
24. AUTHORIZING/ORDER-ISSUING OFFICIAL
b. SIGNATURE
c. ORGANIZATION ADDRESS
a. TITLE
25. TRAVEL AUTHORIZATION NUMBER
26. DATE ISSUED
(YYYYMMDD)
DD FORM 1614, MAY 2003
PREVIOUS EDITION IS OBSOLETE.
Adobe Professional 8.0
PRIVACY ACT STATEMENT
(5 U.S.C. s s552a)
AUTHORITY: 5 U.S.C. ss 5701, 5702; and E.O. 9397 (SSN).
ss
PRINCIPAL PURPOSE(S): Used as authority to issue transportation documents, bills of lading for household goods and
automobiles, and as a supporting authorization for cash payment of travel and transportation allowances.
ROUTINE USE(S): None.
DISCLOSURE: Voluntary; however, failure to provide the requested information may preclude timely consideration of your
request.
SECTION III - ADMINISTRATIVE INFORMATION
27. CLAIMANT - FORWARD COMPLETED SETTLEMENT CLAIM TO THE FOLLOWING ADDRESS:
(Losing/Gaining Activity - provide the address to where the employee should submit this claim for final disbursement.)
28. REMARKS OR OTHER AUTHORIZATIONS
(Use this space for special requirements, leave, excess baggage, etc., or other authorization.)
This PDT/TCS travel authorization may be amended by the gaining activity. Expenses/charges not allowed at Government
expense are the financial responsibility of the employee concerned.
DD FORM 1614 (BACK), MAY 2003
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