Complete required fields on the form (see sample).
Enter dates as follows: July 30, 2003 should be entered as:
'07 30 2003'. Do not put in any dashes or slashes. If you enter the date in another form than as suggested,
the form automatically creates an invalid date.
Print completed document.
Attach original receipts for expenses being claimed.
Attach individual TDY Travel Orders indicating authorization to claim reimbursement.
Block 14 should be signed by:
Block 19 should be signed by applicant claiming reimbursement (YOU).
Make a copy of the completed form and attachments for your personal files.
Submit completed form and original attachments to your for processing.
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