DD Form 1351-6 "Multiple Payments List"

What Is DD Form 1351-6?

This is a form that was released by the U.S. Department of Defense (DoD) on June 1, 1993. The form, often mistakenly referred to as the DA Form 1351-6, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DoD.

Form Details:

  • A 1-page document available for download in PDF;
  • The latest version available from the Executive Services Directorate;
  • Editable, printable, and free to use;
  • Fill out the form in our online filing application.

Download an up-to-date fillable DD Form 1351-6 down below in PDF format or browse hundreds of other DoD Forms compiled in our online library.

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DD Form 1351-6 Instructions

  1. Each page should be numbered. The total number of copies of the DD 1351-6 submitted with one claim should be entered in the top line of the form.
  2. The type of payment should be identified in Item 1.
  3. If applicable, the payroll number should be entered in Item 2.
  4. Item 3 requires the date of payment from the attached claim voucher (DD Form 1351-2).
  5. Item 4 is for the name of the organization or station preparing the form.
  6. Each payee should be listed in the chart in Item 5. The required information includes the employee's full name, their Social Security Number (SSN), travel order number, employee's signature, and the payment amount.
  7. The last entry should be followed by the words "End of listing."
  8. The form requires specifying the total amount of payments shown on all preceding lines for every individual page. If several forms are used, the last page must specify the total number of forms used together.

DD 1351-6 Related Forms

The following six forms are authorized for paying travel allowances for traveling DoD employees:

  • The DD Form 1351-2 (Travel Voucher or Subvoucher);
  • The DD Form 1351-2C (Travel Voucher or Subvoucher (Continuation Sheet);
  • The DD Form 1351-3 (Statement of Actual Expenses);
  • The DD Form 1351-5 (Government Quarters and/Or Mess);
  • Standard Form 1164 (Claim for Reimbursement for Expenditures on Official Business);
  • The AF Form 938 (Request and Authorization for Active Duty Training/Active Duty Tour).
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MULTIPLE PAYMENTS LIST
Page
of
Pages
PRIVACY ACT STATEMENT
AUTHORITY: Title 5 USC 5516, 5517, 5520, and 5701; Title 37 USC 404-427; and E.O. 9397
PRINCIPAL PURPOSE(S): Used to supplement DD Form 1351-2, "Travel Voucher or Subvoucher," to substantiate claims for reimbursement when multiple individuals
of an organization are performing official travel at the same time, between the same points, and accounting data is the same. The information collected may also be
used as a payroll list.
ROUTINE USE(S): Information may be furnished to an employee's state and/or local taxing authorities, to comply with agreements entered into by the Secretary of the
Treasury, for verification of filing information used by an individual in a tax return; in addition, release of information on this form may be made to Federal, state, local or
foreign law enforcement agencies, for investigation of and possible prosecution of an individual charged with violating any law, statute, rule, regulation, or order in this
claim for restitution.
DISCLOSURE: Voluntary; however, failure to furnish requested information may result in total or partial denial of amount claimed.
D.O. VOUCHER NUMBER
1. TYPE OF PAYMENT
(X as applicable)
MILITARY PAY (MP)
TRAVEL ALLOWANCE (TA)
OTHER (Specify)
PAID BY
2. PAYROLL NUMBER (If applicable)
3. DATE OF COMPUTED PAYMENT
4. ORGANIZATION AND STATION
e. TRAVEL ORDER
5. PAYEE IDENTIFICATION
g. SIGNATURE
OR OTHER
f. AMOUNT
OR CHECK NUMBER
a. LAST
b. FIRST
c. MI
d. SSN
AUTHORITY
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10
11
11
12
12
13
13
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14
15
15
16
16
17
17
18
18
19
19
20
20
21
21
22
22
23
23
24
24
PAGE TOTAL
6. ACCOUNTING CLASSIFICATION
7. PURSUANT TO AUTHORITY VESTED IN ME, I CERTIFY THESE STATEMENTS ARE CORRECT AND PROPER
a. NAME AND TITLE OF CERTIFYING OFFICER (Please type)
b. CERTIFYING OFFICER (Signature)
DD FORM 1351-6, JUN 93
Replaces DD Forms 115 (MAY 74), 1351-1 (SEP 61), and 1351-6
(NOV 64), which may be used until Dec 31, 1993.
MULTIPLE PAYMENTS LIST
Page
of
Pages
PRIVACY ACT STATEMENT
AUTHORITY: Title 5 USC 5516, 5517, 5520, and 5701; Title 37 USC 404-427; and E.O. 9397
PRINCIPAL PURPOSE(S): Used to supplement DD Form 1351-2, "Travel Voucher or Subvoucher," to substantiate claims for reimbursement when multiple individuals
of an organization are performing official travel at the same time, between the same points, and accounting data is the same. The information collected may also be
used as a payroll list.
ROUTINE USE(S): Information may be furnished to an employee's state and/or local taxing authorities, to comply with agreements entered into by the Secretary of the
Treasury, for verification of filing information used by an individual in a tax return; in addition, release of information on this form may be made to Federal, state, local or
foreign law enforcement agencies, for investigation of and possible prosecution of an individual charged with violating any law, statute, rule, regulation, or order in this
claim for restitution.
DISCLOSURE: Voluntary; however, failure to furnish requested information may result in total or partial denial of amount claimed.
D.O. VOUCHER NUMBER
1. TYPE OF PAYMENT
(X as applicable)
MILITARY PAY (MP)
TRAVEL ALLOWANCE (TA)
OTHER (Specify)
PAID BY
2. PAYROLL NUMBER (If applicable)
3. DATE OF COMPUTED PAYMENT
4. ORGANIZATION AND STATION
e. TRAVEL ORDER
5. PAYEE IDENTIFICATION
g. SIGNATURE
OR OTHER
f. AMOUNT
OR CHECK NUMBER
a. LAST
b. FIRST
c. MI
d. SSN
AUTHORITY
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10
11
11
12
12
13
13
14
14
15
15
16
16
17
17
18
18
19
19
20
20
21
21
22
22
23
23
24
24
PAGE TOTAL
6. ACCOUNTING CLASSIFICATION
7. PURSUANT TO AUTHORITY VESTED IN ME, I CERTIFY THESE STATEMENTS ARE CORRECT AND PROPER
a. NAME AND TITLE OF CERTIFYING OFFICER (Please type)
b. CERTIFYING OFFICER (Signature)
DD FORM 1351-6, JUN 93
Replaces DD Forms 115 (MAY 74), 1351-1 (SEP 61), and 1351-6
(NOV 64), which may be used until Dec 31, 1993.