DD Form 1351-6 Multiple Payments List

What Is DD Form 1351-6?

DD Form 1351-6, Multiple Payments List is a form used to document the payments made by a group of Department of Defense (DoD) employees traveling or performing temporary duties under similar conditions. A claim voucher (DD Form 1351-2) attached to the submitted DD 1351-6 will cover the entire group.

The latest version of the form - sometimes incorrectly referred to as the DA Form 1351-6 - was released by the DoD in June 1993 and replaced the DD Form 115, DD Form 1351-1 and the November 1964 edition of the DD 1351-6. An up-to-date DA Form 3685 fillable version is available for digital filing and download below or can be found through the Army Publishing Directorate website.

DD Form 1351-6 is may serve as a payroll list and is used to verify the information provided in an individual's tax return. The form cannot be used for paying civilian PCS advances.

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MULTIPLE PAYMENTS LIST
Page
of
Pages
PRIVACY ACT STATEMENT
Title 5 USC 5516, 5517, 5520, and 5701; Title 37 USC 404-427; and E.O. 9397
AUTHORITY:
Used to supplement DD Form 1351-2, "Travel Voucher or Subvoucher," to substantiate claims for reimbursement when multiple individuals of an
PRINCIPAL PURPOSE(S):
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.
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
ROUTINE USE(S):
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.
Voluntary; however, failure to furnish requested information may result in total or partial denial of amount claimed.
DISCLOSURE:
D.O. VOUCHER NUMBER
1. TYPE OF PAYMENT (Check 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
5. PAYEE IDENTIFICATION
e. TRAVEL ORDER
g. SIGNATURE
OR OTHER
f. AMOUNT
OR CHECK NUMBER
AUTHORITY
a. LAST
b. FIRST
c. MI
d. SSN
1
1
2
2
3
3
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24
0.00
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
Adobe Professional 7.0
Reset
(NOV 64), which may be used until DEC 31, 1993.
MULTIPLE PAYMENTS LIST
Page
of
Pages
PRIVACY ACT STATEMENT
Title 5 USC 5516, 5517, 5520, and 5701; Title 37 USC 404-427; and E.O. 9397
AUTHORITY:
Used to supplement DD Form 1351-2, "Travel Voucher or Subvoucher," to substantiate claims for reimbursement when multiple individuals of an
PRINCIPAL PURPOSE(S):
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.
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
ROUTINE USE(S):
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.
Voluntary; however, failure to furnish requested information may result in total or partial denial of amount claimed.
DISCLOSURE:
D.O. VOUCHER NUMBER
1. TYPE OF PAYMENT (Check 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
5. PAYEE IDENTIFICATION
e. TRAVEL ORDER
g. SIGNATURE
OR OTHER
f. AMOUNT
OR CHECK NUMBER
AUTHORITY
a. LAST
b. FIRST
c. MI
d. SSN
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10
11
11
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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
0.00
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
Adobe Professional 7.0
Reset
(NOV 64), which may be used until DEC 31, 1993.

Download DD Form 1351-6 Multiple Payments List

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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 in together.

DD 1351-6 Related Forms

The following six forms are authorized for paying travel allowances to 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).