{"text_format":"1","workbook":"xlsx","n_sheets":7,"sheets":["Setup","Questionnaire","Voucher Checklist","Arrival Worksheet","DD1351-2","DD1351-2 (Back)","AF594"],"not_rendered":{"charts":0,"images":3,"macros":1,"external_links":1,"defined_names":44,"comments":0,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"Setup","index":0,"n_rows":37,"n_cols":16,"rows_kept":37,"cut":false,"hidden":true,"merged":[[1,0,2,6],[14,0,14,6],[4,0,4,6],[5,1,5,6],[6,2,6,6],[7,3,7,6],[0,4,0,24],[24,2,24,13],[19,2,23,13],[36,1,37,6],[26,0,26,6],[27,0,27,6],[28,1,28,6],[29,1,29,6],[30,1,30,6],[16,0,16,6],[17,1,17,6],[18,2,18,10],[8,3,8,6],[9,3,9,6],[10,3,10,6],[12,1,12,6]]}
[null,null,null,null,"How to Update the Questionnaire"]
["Get ready to learn a bit of VBA."]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Step (1)c"]
[]
["Step 1:  Find the Code",null,null,null,null,null,null,"Step (1)a"]
["A:","Hit Alt + 11"]
[null,"(1)","If Alt+11 does nothing, then do the following:"]
[null,null,"a","Right-click in the gray space anywhere in the menu bars:"]
[null,null,"b","Click Customize the Ribbon…"]
[null,null,"c","Check the box that says Developer"]
[null,null,"d","Now click Developer at the top of Excel, and then click Visual Basic"]
[]
["B:","In the Visual Basic Editor, double-click \"Sheet 1 (Questionnaire)\""]
[]
[]
[]
["Step 2:  Change the To Do based on responses"]
["A:","Find the lines that say \"If Range(\"[XX]\").Value =  yadda yadda"]
[null,"(1)","The XX is simply the cell location in the spreadsheet.  You can figure out what code is tied to what answer with that info."]
[null,"(2)","The lines BELOW the \"If Range\" lines are what happens if the cell contains what's specified in quotes.\n\"toDo\" is a VBA variable that fills in the To Do block based on what's true.  It will ALWAYS contain the bottom three lines in the window:\n     (\"Bring 3 copies, bring ALL receipts, if you're in TLF\")\nYou can change any of the data in the quotes to update the sheet. \nChr(10)  means enter key.  It's used to separate the lines to make it easier to read.\n"]
[]
[]
[]
[]
[null,"(3)","Try making changes and see how the To Do list is changed in the Questionnaire.  Feel free to add/remove options and adjust the code accordingly"]
[]
["Step 3:  Lock down the spreadsheet"]
["Locking the sheet helps make the dropdown use easier."]
["A:","Click Review in the top bar"]
["B:","Click Protect Sheet"]
["C:","Make up a password, then save the sheet after it locks."]
["D:","If you ever forget the password, hit ALT+F8 in the Questionnaire and the double-click \"PasswordBreaker\""]
[]
[]
[]
[null,"Finally, if the code stops working entirely, click this button:"]
[null,"(The code can just stop entirely if something goes wrong.  This'll fix it)\n(To test if the macro is working, try deleting the To Do list.  If you fail, it's good!)"]

{"sheet":"Questionnaire","index":1,"n_rows":48,"n_cols":24,"rows_kept":48,"cut":false,"hidden":false,"merged":[[6,15,11,18],[8,3,10,6],[12,3,14,6],[40,0,46,0],[14,0,18,0],[19,0,23,0],[4,0,13,0],[23,3,23,6],[24,3,27,6],[29,3,29,6],[16,3,18,6],[24,0,39,0],[0,0,2,10],[3,7,3,10],[3,0,3,1],[5,7,45,10],[3,3,3,6],[4,7,4,10],[7,3,7,6],[11,3,11,6],[15,3,15,6],[19,3,19,6],[20,3,22,6],[30,3,38,6],[4,3,6,6]]}
["PCS Questionnaire",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Grade"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Civilian"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"E-1  Airman Basic"]
[null,null,"(Fill In this Column)","Answer The questions \nusing the Dropdowns",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"E-2  Airman"]
["Member Info","Name  (Last, First, MI)",null,"Did you perform a TDY en route or were you a Pipeline student before arrival at Moody?",null,null,null,"To Do Before your Appointment:\n",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"E-3  Airman First Class"]
[null,"Grade",null,null,null,null,null,"-Bring 3 copies of VALID orders (must include the backside and all amendments).\n-Bring a copy of ALL receipts (lodging, airfare, etc.) to your appointment.\n-Note:  If you are still in TLF, you MUST file a PCS voucher now, and can file a supplemental for your TLE at a later date.\n",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"E-4  Senior Airman"]
[null,"SSN",null,null,null,null,null,null,null,null,null,null,null,null,null,"Note:  This will print from your DEFAULT printer.  If you have PDF as your default, it will print each form to a separate file.\n\nNeed to change your\nDefault Printer?\nGo here, rt Click, \"Set as default printer\"",null,null,null,null,null,null,null,"E-5  Staff Sergeant"]
[null,"Order #",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"E-6  Technical Sergeant"]
[null,"Unit",null,"Pipeline Student: If you came from Will Rogers and you lodged off-base, do your orders say \"Member is a Pipeline Student\" on the back?",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"E-7  Master Sergeant"]
[null,"Office Symbol",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"E-8  Senior Master Sergeant"]
[null,"Phone # (Easiest one to contact you)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"E-9  Chief Master Sergeant"]
[null,"Email Address (civilian preferred)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"O-1  2d Lieutenant"]
[null,"$ Amount on your GTC:",null,"Does block 7 or block 20 on your order contain TDY and accounting information? If not, is the information stated in the remarks on the back?",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"O-2  1st Lieutenant"]
[null,"Previous Advance?  (DLA, Pay, or PPM)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"O-3  Captain"]
["Travel Info","Final out date from last base",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"O-4  Major"]
[null,"Date actually departed last base",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"O-5  Lieutenant Colonel"]
[null,"Date arrived here",null,"Is/are the correct Class Start Date[s] and Class Grad Date[s] on the orders?",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"O-6  Colonel"]
[null,"Date actually signed in here",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"O-7  Brigadier General"]
[null,"If Quarantined, input final date in Quarantine:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"O-8  Major General"]
["Location Info","Did you take leave after arriving here?",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"O-9  Lieutenant General"]
[null,"Where do you currently reside?",null,"Did you get married en route to Moody?",null,null,null,null,null,null,null,null,"To Do List stop updating, or Buttons stop working?",null,null,null,null,null,null,null,null,null,null,"O-10  General"]
[null,"Street Address",null,null,null,null,null,null,null,null,null,null,"Click:"]
[null,"City",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Previous Advance"]
[null,"State",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"DLA"]
["Dependent Info","Zip",null,"If you performed Circuitous Travel, was it amended to your orders?",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Advance Pay"]
[null,"Dependent Status?",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PPM (DITY)"]
[null,"Date Status Last Changed",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Other"]
[null,"Spouse Name",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"N/A"]
[null,"Spouse Date of Marriage"]
[null,"Did Spouse travel with you?",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Y/N"]
[null,"Child Name",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Yes"]
[null,"Child Date of Birth",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"No"]
[null,"Did Child travel with you?"]
[null,"Child Name",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Currently Reside"]
[null,"Child Date of Birth"]
[null,"Did Child travel with you?"]
[null,"Child Name"]
[null,"Child Date of Birth",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Lodging"]
[null,"Did Child travel with you?",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Dorms"]
[null,"(Add more kids to remarks below if needed)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Base Housing"]
["Remarks","Remarks:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Off-Base"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Dependent Status"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Single"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Single with Dependents"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Single paying Child Support"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Married to Civilian"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Married to Military, Claiming Dependents"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Married to Military, No Dependents"]

{"sheet":"Voucher Checklist","index":2,"n_rows":45,"n_cols":8,"rows_kept":45,"cut":false,"hidden":false,"merged":[[5,1,5,4],[0,0,0,7],[1,0,1,7],[2,2,2,4],[2,5,2,7],[4,1,4,4],[17,1,17,4],[6,1,6,4],[7,1,7,4],[8,1,8,4],[9,1,9,4],[10,1,10,4],[11,1,11,4],[12,1,12,4],[13,1,13,4],[14,1,14,4],[15,1,15,4],[16,1,16,4],[18,1,18,4],[19,1,19,4],[20,1,20,4],[21,1,21,4],[22,1,22,4],[32,1,32,4],[23,5,24,5],[23,6,24,6],[23,7,24,7],[25,0,25,7],[26,0,26,7],[23,0,24,0],[23,1,23,2],[27,0,27,7],[28,0,28,7],[29,1,29,4],[30,1,30,4],[31,1,31,4],[40,6,41,6],[40,7,41,7],[41,1,41,2],[33,1,33,4],[34,1,34,4],[35,1,35,4],[36,1,36,4],[37,1,37,4],[38,1,38,4],[42,1,42,2],[39,1,39,4],[40,0,41,0],[40,1,40,2],[40,5,41,5]]}
["Active Duty PDT Entitlements (PDT, PPM, TLE, Dep Tvl, etc.) Checklist"]
["CUSTOMER USE"]
[null,"Traveler's Name:",{"$f":"Questionnaire!$C$5","v":0}]
[null,"Traveler's SSN:                                                  Order #:",{"$f":"Questionnaire!$C$7","v":0},"Order#:",{"$f":"Questionnaire!$C$8","v":0},"YES","NO","N/A"]
[1,"DATA MASKED Information-Does voucher or supporting documents contain data masked (classified) information? Was any portion of your travel to/from a data masked (classified) location?"]
[2,"Is your personal information correct and legible? (Name, grade, SSN, mailing address, email address and phone number)"]
[3,"Does the travel order number on the voucher match the travel order number filed with the voucher?"]
[4,"Is itinerary correct and legible to include verification of dates traveled, places, modes of travel, reasons for stops, lodging costs and POC/Terminal mileages (if applicable)?"]
[5,"Split disbursements are mandatory for Government Travel Charge Card (GTCC) holders. Is split disbursement amount identified?"]
[6,"Are previous advances claimed on the DD Form 1351-2 (Annotated in Block 9)?"]
[7,"Are your dependents listed on DD Form 1351-2 and is the accompanied or unaccompanied block checked? Does this information match your orders?"]
[8,"Did you check Block 16, POC Travel? Check appropriate block (Owner/Operator or Passenger)"]
[9,"Are all expenses claimed and required receipts attached to include itemized lodging and any expense $75.00 or more? Use DD Form 1351-2C for additional expenses. \nIf you are missing receipts for any expense claimed, use a local \"missing receipt form\" (obtained from The Finance Office)."]
[10,"Are Non-Availability Statements or Contract Quarters Authorization numbers attached for off-base lodging not authorized in orders? (if applicable)"]
[11,"If you shipped a vehicle at government expense, is DD Form 788 (front and back) with appropriate signatures attached?"]
[12,"For Personally Procured Moves (PPM), did you attach TMO required worksheets?"]
[13,"Are you claiming expenses not authorized in your orders? Did the approving official print name, sign, list telephone number, date DD Form 1351-2 in Block 21a? Did they specify what reimbursable expense(s) they're approving and annotate on the DD Form 1351-2 in Block 29? (MANDATORY, if you claim expenses not authorized in orders)"]
[14,"Are copies of travel orders attached to include amendments? NOTE: Front and back of orders (if applicable) are required."]
[15,"If TDY enroute and leave was taken, Is any period(s) of leave taken while at the TDY enroute location annotated on the voucher to prevent the payment of Per Diem while on leave? Is the leave form(s) approved by the TDY Commander attached?"]
[16,"Did you sign and date the DD Form 1351-2? (MANDATORY)"]
[17,"If this is your first Permanent Duty Travel (PDT), ensure you establish your travel payment account information by completing SF 1199A or FMS 2231.\nNOTE: You cannot be reimbursed for travel expenses until this information is provided."]
[18,"For TDY enroute only:\n1) If locations listed are not on orders, are amendments attached or variations authorized?\n2) If TDY was LESS THAN 12 hours, did you claim actual meal cost in reimbursable expenses?"]
[19,"Did you complete the PDT arrival worksheet and included it with your voucher?"]
[20,null,null,null,{"$f":"TODAY()","v":"2022-01-18"}]
[null,"Traveler's signature:",null,null,"Date:"]
["* ONLY ONE COPY OF THE TRAVEL VOUCHER, ORDERS AND RECEIPTS ARE REQUIRED WITH THIS CHECKLIST"]
["* TO BE CONSIDERED A VALID RECEIPT IT MUST SHOW THE COMPANY NAME, DATE SERVICES WERE PROVIDED, UNIT PRICE OF ITEM/SERVICE, AMOUNT \"PAID\" AND \"AMOUNT DUE\" OF $0.00 OR EVIDENCE OF PAYMENT"]
["* IT IS YOUR RESPONSIBILITY TO RETAIN A COPY OF THE TRAVEL VOUCHER, ORDERS, AND RECEIPTS. THE FINANCE OFFICE DOES NOT RETAIN COPIES."]
["FINANCE USE ONLY"]
[null,null,null,null,null,"YES","NO","N/A"]
[1,"DATA MASKED Information-Does voucher or supporting documents contain data masked (classified) information that needs to be submitted on an AF Form 32? (refer to AFFSC- Base Level Business Rules) If so, remove classified data, complete AF Form 32 and submit via FM Workflow."]
[2,"Verification check - has the customer completed requirements listed above? Are all expenses claimed and required receipts attached to include itemized lodging and any expense $75.00 or more? If not, RETURN VOUCHER TO CUSTOMER"]
[3,"Is the voucher date stamped?"]
[4,"Split Disbursements are mandatory for GTC holders. Is split disbursement amount identified?"]
[5,"Is the member's banking account information built in RTS? If not, attach SF 1199A or FMS 2231."]
[6,"Is the PDT arrival worksheet attached and dates verified against itinerary? Has member provided current mailing address for their W-2 and a valid email address for payment/debt notification?"]
[7,"For Ret/Sep final vouchers, have DJMS, RTS and DTS been checked for outstanding debts? Ref: AFMAN 65-116V1, Para 69.14.3. If debts are found document them and include in the voucher submission to AFFSC with a screen shot from DJMS showing outstanding debt amount. The remaining debt will be collected from any amounts due the member for transportation of dependents, shipment of personal property, and separation travel (officers only)."]
[8,"Are copies of the travel orders attached (to include amendments)? NOTE: Front and back page of orders are required."]
[9,"Are orders properly certified and the line of accounting legible?"]
[10,"For TDY enroute only:\n1) Are meal statements on all orders validated for accuracy to ensure computation of correct daily per diem? Are CED order meal statements circled or underlined?\n2) If member is entitled to FSA (for TDY over 30 days), advise member to submit a DD Form 1561 with the voucher and provide the location of dependents.\n3) Are FSR and PSR annotated and legible?                                                                                                                                                                                                                                                                                                             4) Verifed TDY obligation has been recorded in the accounting system."]
[11,"Checklist Completed by (Printed Name):",null,null,"Date:"]
[]
[12,"Checklist audited by (Printed Name):",null,null,"Date:"]
["Privacy Act-1974 as amended applies to this memo. This memo may contain information which must be protected IAW AFI 33-332 and DoD Regulation 5400.11 and is for Official Use Only (FOUO)"]
[null,"Version 1 Nov '17"]

{"sheet":"Arrival Worksheet","index":3,"n_rows":66,"n_cols":30,"rows_kept":66,"cut":false,"hidden":false,"merged":[[0,0,0,27],[0,31,0,33],[1,0,1,33],[3,2,3,5],[3,10,3,21],[3,28,3,29],[27,0,27,12],[27,16,27,22],[27,27,27,31],[4,12,4,16],[4,22,4,25],[5,5,5,9],[5,19,5,23],[5,29,5,33],[4,2,4,5],[8,8,8,33],[10,8,10,12],[10,26,10,30],[20,0,20,33],[25,5,25,9],[28,0,28,12],[28,16,28,22],[30,0,30,33],[33,2,33,13],[33,17,33,20],[33,27,33,33],[54,7,54,11],[54,21,54,23],[60,14,60,15],[64,29,64,33],[40,31,40,32],[41,31,41,32],[42,31,42,32],[43,31,43,32],[47,31,47,32],[50,31,50,32]]}
["                                   PDT ARRIVAL WORKSHEET           ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ORG Code"]
["Authority: 5 USC Section 5701, 37 USC Section 404-427, 5 USC Section 301, DoDFMR 7000.14-R, Vol. 9, and EO 9397\nRoutine Use: Disclosures are permitted under 5 USC 552a(b), Privacy Act of 1974, as amended. In addition, information may be disclosed to the IRS for travel allowances, which are subject to Federal income taxes, and for any DoD “Blanket Routine Use” as published in the Federal Register.\nDisclosure: Voluntary; however, failure to furnish the information requested may result in total or partial denial of the amount claimed"]
[]
["SSN ",null,{"$f":"Questionnaire!$C$7","v":0},null,null,null,null,null,"Name",null,{"$f":"Questionnaire!$C$5","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Grade",null,{"$f":"LEFT(Questionnaire!$C$6,3)","v":""}]
["Unit",null,{"$f":"Questionnaire!$C$9","v":0},null,null,null,null,"Office Symbol",null,null,null,null,{"$f":"Questionnaire!$C$10","v":0},null,null,null,null,null,null,"Phone ",null,null,{"$f":"Questionnaire!$C$11","v":0}]
["Final out date:",null,null,null,null,{"$f":"Questionnaire!$C$15","v":"00:00:00"},null,null,null,null,"Date departed last duty station",null,null,null,null,null,null,null,null,{"$f":"Questionnaire!$C$16","v":"00:00:00"},null,null,null,null,null,"Port call date "]
[]
["If applicable, explain delays between final-out and port call / DDLDS (e.g. mass out processing, leave taken prior to"]
["departure, holidays, etc.):"]
[]
["Date arrived new station ",null,null,null,null,null,null,null,{"$f":"Questionnaire!$C$17","v":"00:00:00"},null,null,null,null," Date “Signed into” station/available for duty",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"Questionnaire!$C$18","v":"00:00:00"}]
[]
[" Was leave taken upon arrival?",null,null,null,null,null,null,null,null,"Yes",null,{"$f":"IF(Questionnaire!$C$20=\"Yes\",\"X\",\"\")","v":""},null,null,null,"No",null,{"$f":"IF(Questionnaire!$C$20=\"No\",\"X\",\"\")","v":""}]
[]
["PART A. BAH/OHA/FSH CERTIFICATION STATEMENTS"]
["I certify that (please initial beside the statement(s) that apply or put N/A):"]
[1,"My dependent(s) is/are residing in Gov Family Quarters (NOTE: Privatized Housing is not Gov Quarters)"]
[null,"My dependent(s) was/were assigned to quarters on:"]
[2,"I have a unique situation not mentioned (e.g. dependents are in various locations, moved at personal expense, etc.):"]
[null,"Please explain unique situation here, if applicable:"]
[]
[]
[3,"I certify I currently reside in: ",null,null,null,null,null,null,null,{"$f":"IF(Questionnaire!$C$21=\"Dorms\",\"X\",\"\")","v":""},"Dorms ",null,null,"Gov’t Base/Leased Housing ",null,null,null,null,null,null,{"$f":"IF(Questionnaire!$C$21=\"Off-Base\",\"X\",\"\")","v":""},"Off-base",null,null,{"$f":"IF(Questionnaire!$C$21=\"Lodging\",\"X\",\"\")","v":""}," Billeting/Temp Ldg"]
[]
[null,null,null,null,null,null,null,null,null,{"$f":"IF(Questionnaire!$C$21=\"Base Housing\",\"X\",\"\")","v":""},"Privatized Base Housing "]
["Effective Date: ",null,null,null,null,{"$f":"Questionnaire!$C$17","v":"00:00:00"},null,null,null,null,null,null,null,null,null,null,"NOTE: * Billeting/TLF is not classified as “Gov't Base Housing”."]
[4,"Dependent certification:"]
[{"$f":"IF(Questionnaire!$C$26=\"Single\",\"N/A\",IF(Questionnaire!$C$26=\"Married to Civilian\",Questionnaire!$C$28,IF(Questionnaire!$C$26=\"Single with Dependents\",Questionnaire!$C$31,IF(Questionnaire!$C$26=\"Married to Military\",Questionnaire!$C$31,\"\"))))","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(Questionnaire!$C$26=\"Single\",\"N/A\",IF(Questionnaire!$C$26=\"Married to Civilian\",\"Spouse\",IF(Questionnaire!$C$26=\"Single with Dependents\",\"Child or Other\",IF(Questionnaire!$C$26=\"Single paying Child Support\",\"Child or Other\",IF(Questionnaire!$C$26=\"Married to Military, Claiming Dependents\",\"Child or Other\",\"\")))))","v":""},null,null,null,null,null,null,null,null,null,null,{"$f":"IF(Questionnaire!$C$26=\"Single\",\"N/A\",IF(Questionnaire!$C$26=\"Married to Civilian\",Questionnaire!$C$29,IF(Questionnaire!$C$26=\"Single with Dependents\",Questionnaire!$C$32,IF(LEFT(Questionnaire!$C$26,12)=\"Married to M\",Questionnaire!$C$32,\"\"))))","v":""}]
["Name of Primary Dependent ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Relationship ",null,null,null,null,null,null,null,null,null,null,"Date of Marriage/Birth"]
["***If claiming ONLY a child as primary dependent, whom is the child residing with (ex-spouse, grandparent, etc)?"]
[]
["NOTE: *If child resides with a Military member, please provide his/her Name, SSN, and duty location below."]
[]
[" Name:\\",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"SSN:",null,null,null,null,null,null,"Duty Location: "]
[]
["PART B: DISLOCATION ALLOWANCE (DLA) CERTIFICATION STATEMENTS"]
["NOTE: * DLA is not payable to first duty assignment for single members (JTR 5442.3.1)."]
[]
[1,"I certify that (Please initial beside the applicable items)."]
[null,null,"I am married to another military member and we relocated at (Same time | Separate times)"]
[null,null,"a) We lived in the ",null,null,null,null,null,null,null,null,null,"household at old PDS"]
[null,null,"b) We live in the ",null,null,null,null,null,null,null,null,null,"household at new PDS"]
[null,null,"c) We were stationed at different PDSs before relocating to new PDS"]
[null,null,"d) We married en route to new PDS (not married at last PDS) "]
[]
[2,"Single or unaccompanied members with dependents must certify they will not be assigned permanent Gov’t "]
["quarters to receive Single rate DLA (Gov’t quarters includes: Dorms, Gov’t base housing, Gov’t leased housing):"]
[null,"a) I am E4-or-above w/3+ yrs service w/o dependents and will not be assigned permanent Gov’t qtrs (see note 1):"]
[null,"NOTE 1: Mbr whose dependent(s) have not/will not relocate are considered “w/o dep’s” for DLA purposes."]
[]
[null,"b) I am E4-or-below w/less than 3 yrs service w/o dependents and will not be assigned permanent Gov’t qtrs. (see note 2):"]
[null,"NOTE 2: E4 and below w/less than 3 yrs service w/o dependents requires a letter signed by the Commander/Designee at new "]
[null,"duty station."]
["PART C: *****OCONUS ONLY*****"]
["Date Arrived in Country:",null,null,null,null,null,null,"N/A",null,null,null,null,null,null,null,null,"JTR Location:",null,null,null,null,"N/A"]
[]
["I certify that (please fill in the blank or initial, as applicable, beside the statement(s) that apply or put N/A):"]
["1. I traveled with",null,null,null,null,"N/A","dependents authorized on my PCS orders."]
["2. I am claiming",null,null,null,null,"N/A","dependents, authorized on my orders and living with me for COLA purposes. (NOTE: report "]
["changes to the FSO immediately)"]
["3. I am currently serving an",null,null,null,null,null,null,null,"N/A",null,null,null,null,null,"N/A",null," (if Unaccompanied, no COLA for dependents at PDS)"]
[]
["I certify the above information is true and correct:"]
[]
["Member Signature:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Date:",null,{"$f":"TODAY()","v":"2022-01-18"}]
["Version 1 Nov ‘17"]

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["TRAVEL VOUCHER OR SUBVOUCHER",null,null,null,null,null,null,null,null,null,null,null,null,"Read Privacy Act Statement, Penalty Statement, and Instructions on back before  completing form.  Use typewriter, ink, or ball point pen.  PRESS HARD.  DO NOT use  pencil.  If more space is needed, continue in remarks."]
["1. PAYMENT",null,null,null,null,"SPLIT DISBURSEMENT: The Paying Office will pay directly to the Government Travel Charge Card (GTCC) contractor the portion of your reimbursement represen- ting travel charges for transportation, lodging, and rental car if you are a civilian employee, unless you elect a different amount.  Military personnel are required to designate a payment that equals the total of their outstanding government travel card balance to the GTCC contractor.\nNOTE:  A split disbursement is only necessary when a GTCC is used while on official travel for the Government."]
["X","Electronic Fund\nTransfer (EFT)"]
[]
[null,"Payment by Check",null,null,null,"X","Pay the following amount of this reimbursement directly to the Government Travel Charge Card contractor: ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"$",{"$f":"Questionnaire!C13","v":0}]
[]
["2. NAME (Last, First, Middle Initial) (Print or type)",null,null,null,null,null,null,null,null,null,null,null,null,"3. GRADE",null,null,"4. SSN",null,null,null,null,"5. TYPE OF PAYMENT (X as applicable)"]
[{"$f":"Questionnaire!$C$5","v":0},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"LEFT(Questionnaire!$C$6,3)","v":""},null,null,{"$f":"Questionnaire!$C$7","v":0},null,null,null,null,null,"TDY",null,"X","Member/Employee"]
["6. ADDRESS.  a. NUMBER AND STREET",null,null,null,null,null,null,null,null,"b. CITY",null,null,null,null,null,null,"c. STATE",null,null,"d. ZIP CODE",null,"X","PCS",null,null,"Other"]
[{"$f":"Questionnaire!$C$22","v":0},null,null,null,null,null,null,null,null,{"$f":"Questionnaire!$C$23","v":0},null,null,null,null,null,null,{"$f":"Questionnaire!$C$24","v":0},null,null,{"$f":"Questionnaire!$C$25","v":0},null,null,"Dependent(s)",null,null,"DLA"]
["e. E-MAIL ADDRESS",null,null,null,null,{"$f":"Questionnaire!$C$12","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"10.  FOR D.O. USE ONLY"]
["7. DAYTIME TELEPHONE NUMBER & AREA CODE",null,null,null,null,null,null,"8. TRAVEL ORDER/AUTHORIZATION NUMBER",null,null,null,null,null,null,"9.  PREVIOUS GOVERNMENT PAYMENTS/ ADVANCES",null,null,null,null,null,null,"a.  D.O. VOUCHER NUMBER"]
[{"$f":"Questionnaire!$C$11","v":0},null,null,null,null,null,null,{"$f":"Questionnaire!$C$8","v":0},null,null,null,null,null,null,{"$f":"Questionnaire!$C$14","v":0}]
["11. ORGANIZATION AND STATION",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"b.  SUBVOUCHER NUMBER"]
[{"$f":"Questionnaire!$C$9 & \", Moody AFB, GA\"","v":", Moody AFB, GA"}]
["12. DEPENDENT(S) (X and complete as applicable)",null,null,null,null,null,null,null,null,null,null,null,null,null,"13. DEPENDENTS' ADDRESS ON RECEIPT OF ORDERS (Include Zip Code)",null,null,null,null,null,null,"c.  PAID BY"]
[null,"ACCOMPANIED",null,null,null,null,null,null,"UNACCOMPANIED"]
["a. NAME (Last, First, Middle Initial)",null,null,null,null,null,null,"b. RELATIONSHIP",null,null,"c. DATE OF BIRTH OR MARRIAGE"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"14. HAVE HOUSEHOLD GOODS BEEN SHIPPED?\n(X one)",null,null,null,null,null,null,"d.  COMPUTATIONS"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"X","YES",null,null,"NO (Explain in Remarks)",null,null,"DLA:  With-Dependent or Single Rate"]
["15. ITINERARY",null,null,null,null,null,null,null,null,null,null,null,null,null,"c.\nMEANS/ MODE OF TRAVEL",null,"d.\nREASON FOR STOP",null,"e.\nLODGING COST",null,"f.                  POC      MILES","(If Single - Part C.  Question 2 initialed?)"]
["a. DATE",null,"b. PLACE (Home, Office, Base, Activity, City and State; City and Country, etc.)"]
[{"$f":"TEXT(TODAY(),\"YYYY\")","v":"2022"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"POV's Used:  1  or  2"]
[null,null,"DEP"]
[null,null,"ARR",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Quarantine Dates:"]
[null,null,"DEP",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IFERROR(IF(OR(Questionnaire!C19=\"\",UPPER(Questionnaire!C19)=\"N/A\",UPPER(Questionnaire!C19)=\"NA\",UPPER(Questionnaire!C19)=\"no\"),\"N/A\",TEXT(Questionnaire!C17,\"MM/DD/YYYY\")&\" - \"&TEXT(Questionnaire!C19,\"MM/DD/YYYY\")&\"  (\"&Questionnaire!C19-Questionnaire!C17+1&\" days)\"),\"N/A\")","v":"N/A"}]
[null,null,"ARR"]
[null,null,"DEP",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"TR Cost:  $"]
[null,null,"ARR",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"to"]
[null,null,"DEP"]
[null,null,"ARR",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"TR Cost:  $"]
[null,null,"DEP",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"to"]
[null,null,"ARR"]
[null,null,"DEP",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"e.  SUMMARY OF PAYMENT"]
[null,null,"ARR",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(1)  Per Diem"]
[null,null,"DEP",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(2)  Actual Expense Allowance"]
[null,null,"ARR",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(3)  Mileage"]
["16. POC TRAVEL (X one)",null,null,null,null,null,"OWN/OPERATE",null,null,null,null,null,"PASSENGER",null,null,null,null,"17. DURATION OF TRAVEL",null,null,null,"(4)  Dependent Travel"]
["18. REIMBURSABLE EXPENSES",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"12 HOURS OR LESS",null,null,"(5)  DLA"]
["a. DATE",null,null,"b. NATURE OF EXPENSE",null,null,null,null,null,null,null,"c. AMOUNT",null,null,"d. ALLOWED",null,null,null,null,null,null,"(6)  Reimbursable Expenses"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"MORE THAN 12 HOURS BUT 24 HOURS OR LESS",null,null,"(7)  Total"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(8)  Less Advance"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"X","MORE THAN 24 HOURS",null,null,"(9)  Amount Owed"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(10) Amount Due"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"19. GOVERNMENT/DEDUCTIBLE MEALS"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"a.  DATE",null,null,"b.  NO. OF MEALS",null,null,"a.  DATE",null,null,"b.  NO. OF MEALS"]
[]
[]
[]
["20.a. CLAIMANT SIGNATURE",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"b. DATE"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"TODAY()","v":"2022-01-18"}]
["c.  REVIEWER'S PRINTED NAME",null,null,null,null,null,null,null,null,null,null,"d.  REVIEWER SIGNATURE",null,null,null,null,null,null,null,null,null,"e.  TELEPHONE NUMBER",null,null,null,null,"f. DATE"]
[]
["21.a. APPROVING OFFICIAL'S PRINTED NAME",null,null,null,null,null,null,null,null,null,null,"b.  SIGNATURE",null,null,null,null,null,null,null,null,null,"c.  TELEPHONE NUMBER",null,null,null,null,"d. DATE"]
[]
["22. ACCOUNTING CLASSIFICATION"]
[]
["23. COLLECTION DATA"]
["24. COMPUTED BY",null,null,null,"25. AUDITED BY",null,null,null,null,"26. TRAVEL ORDER/ AUTHORIZATION POSTED BY",null,null,null,null,null,"27. RECEIVED (Payee Signature and Date or Check No)",null,null,null,null,null,null,null,null,"28. AMOUNT PAID"]
["DD FORM 1351-2, MAY 2011",null,null,null,null,null,null,null,null,null,null,"PREVIOUS EDITION IS OBSOLETE"]

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["PRIVACY ACT STATEMENT"]
["\nAUTHORITY:  5 U.S.C. Section 301; Departmental Regulations;  37 U.S.C. Section 404, Travel and Transportation Allowances, General: DoD Directive 5154.29, DoD Pay and Allowance Policy and Procedures; Department of Defense Financial Management Regulation (DoDFMR) 7000.14.R., Volume 9; and E.O. 9397 (SSN), as amended.\n\nPRINCIPAL PURPOSE(S):  To provide an automated means for computing reimbursements for individuals for expenses incurred incident to travel for official Government business purposes and to account for such payments.\nApplicable SORN: T7333 (http://privacy.defense.gov/notices/dfas/T7333.shtml).\n\nROUTINE USE(S):  Certain \" Blanket Routine Uses\" for all DoD maintained systems of records have been established that are applicable to every record system maintained within the Department of Defense, unless specifically stated otherwise within the particular record system notice.  These additional routine uses of the records are published only once in each DoD Component's Preamble in the interest of simplicity, economy, and to avoid redundancy.  Applicable SORN:   http://dpclo.defense.gov/privacy/SORNs/component/dfas/preamble.html.\n\nDISCLOSURE:  Voluntary; however, failure to furnish the requested information may result in total or partial denial of the amount claimed.  The Social Security Number is requested to facilitate the possible collection of indebtedness or credit to the DoD traveler's pay account for any residual or shortage."]
["PENALTY STATEMENT"]
[null,"There are severe criminal and civil penalties for knowingly submitting a false, fictitious, or fraudulent claim (U.S. Code, Title 18, Sections 287 and 1001 and Title 31, Section 3729)."]
["INSTRUCTIONS"]
[null,"ITEM 1 - PAYMENT\n\n    Member must be on electronic funds (EFT) to participate in split\ndisbursement. Split disbursement is a payment method by which\nyou may elect to pay your official travel card bill and forward the\nremaining settlement dollars to your predesignated account. For\nexample, $250.00 in the \"Amount to Government Travel Charge\nCard\" block means that $250.00 of your travel settlement will be\nelectronically sent to the charge card company. Any dollars\nremaining on this settlement will automatically be sent to your\npredesignated account. Should you elect to send more dollars than\nyou are entitled, \"all\" of the settlement will be forwarded to the\ncharge card company. Notification: you will receive your regular\nmonthly billing statement from the Government Travel Charge Card\ncontractor; it will state: paid by Government, $250.00, 0 due. If you\nforwarded less dollars than you owe, the statement will read as: paid\nby Government, $250.00, $15.00 now due. Payment by check is\nmade to travelers only when EFT payment is not directed.\n\nREQUIRED ATTACHMENTS\n\n1. Original and/or copies of all travel orders/authorizations and\namendments, as applicable.\n2. Two copies of dependent travel authorization if issued.\n3. Copies of secretarial approval of travel if claim concerns parents\nwho either did not reside in your household before their travel and/or\nwill not reside in your household after travel.\n4. Copy of GTR, MTA or ticket used.\n5. Hotel/motel receipts and any item of expense claimed in an\namount of $75.00 or more.\n6. Other attachments will be as directed.\n",null,"ITEM 15 - ITINERARY - SYMBOLS\n\n15c. MEANS/MODE OF TRAVEL (Use two letters)\n\n         GTR/TKT or CBA (See Note)   - T                        Automobile   - A\n         Government Transportation     - G                        Motorcycle    - M\n         Commercial Transportation                                   Bus               - B\n             (Own expense)                    - C                         Plane            - P\n         Privately Owned                                                    Rail               - R\n             Conveyance (POC)             - P                         Vessel          - V\n\n         Note: Transportation tickets purchased with a CBA must not be\n         claimed in Item 18 as a reimbursable expense.\n\n15d. REASON FOR STOP\n\n         Authorized Delay              - AD                 Leave En Route     - LV\n         Authorized Return            - AR                  Mission Complete - MC\n         Awaiting Transportation   - AT                 Temporary Duty     - TD\n         Hospital Admittance         - HA                 Voluntary Return    - VR\n         Hospital Discharge           - HD\n\nITEM 15e. LODGING COST\nEnter the total cost for lodging.\n\nITEM 19 - DEDUCTIBLE MEALS\nMeals consumed by a member/employee when furnished with or\nwithout charge incident to an official assignment by sources other\nthan a government mess (see JFTR, par. U4125-A3g and JTR, par.\nC4554-B for definition of deductible meals). Meals furnished on\ncommercial aircraft or by private individuals are not considered\ndeductible meals."]
["29. REMARKS"]
[null,"a. INDICATE DATES ON WHICH LEAVE WAS TAKEN:\nb. ALL UNUSED TICKETS (including identification of unused \"e-tickets\") MUST BE TURNED IN TO THE T/O OR CTO."]
["DD FORM 1351-2 (BACK), MAY 2011"]

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[null,"APPLICATION & AUTHORIZATION TO START, STOP, OR CHANGE BASIC ALLOWANCE FOR HOUSING OR RECERTIFICATION OR DEPENDENCY"]
[null,"DETERMINATION/REDERTERMINATION OR ESM START/STOP FOR MEMBERS ASSIGNED/TERMINATING UNACCOMPANIED PERSONNEL HOUSING"]
[null,"PRIVACY ACT STATEMENT"]
[null,"AUTHORITY: 37 USC 403, Public Law 96-343, EQ9397\nPURPOSE: To start, adjust or terminate military member's entitlement to BAH or to provide required Entitmenet Recertification or Dependency\nDetermination/Redertminations or ESM start/stop for eligible E6 and below assigned/terminating unnaccompied personnel housing.\nROUTINE USE(S): Information may be disclosed to the Internal Revenue Service for tax information on members Social Security Administration or information on\ntax deducted, Department of Verteran Affairs for education and group life insurance information, and Department of Justice for investigating or prosecuting\npossible violations of the law, the American Red Cross for information concering the needs of the member or dependents emergency situations, the Air Force\nto determine needs of a member or dependents in emergency situations and for verification of loan applications, state, and local governments for tax and welfare\ninsruance companies for allotment information and financial instituions, for deposits and/or payments\nDISCLOSURE: Voluntary, However, failure to provide all information including Social Security Number (SSN) may result in nonpayment of BAH"]
[null,"PART A - IDENTIFICATION & DUTY LOCATION",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"LODGING OFFICIAL"]
[null,"1. NAME (Last, First, MI)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"NON-AVAILABILITY/ASSIGNMENT/TERMINATION OF QUARTERS"]
[null,{"$f":"Questionnaire!$C$5","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"QUARTERS ARE NOT ASSIGNED",null,null,null,null,null,null,null,null,"DATE:"]
[null,"2. SSN",null,null,null,null,null,"3. GRADE",null,null,null,"4. PHONE"]
[null,{"$f":"Questionnaire!$C$7","v":0},null,null,null,null,null,{"$f":"LEFT(Questionnaire!$C$6,3)","v":""},null,null,null,{"$f":"Questionnaire!$C$11","v":0},null,null,null,null,null,null,null,null,null,"ADEQUATE QUARTERS"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"EFFECTIVE DATE",null,null,null,null,null,null,null,null,"TERMINATED"]
[null,"5A. DUTY LOCATION (Base, State, ZIP Code or Country)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ASSIGNED",null,null,null,"UNIT#"]
[null,"Moody AFB, GA 31699, United States"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"INADEQUATE QUARTERS"]
[null,"5B. E-MAIL ADDRESS",null,null,null,null,{"$f":"Questionnaire!$C$12","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,"EFFECTIVE DATE",null,null,null,null,null,null,null,null,"TERMINATED"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ASSIGNED",null,null,null,"UNIT#"]
[]
[null,"PART B - MARITAL/DEPENDENT STATUS"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"EFFECTIVE DATES FROM:",null,null,null,null,null,null,null,null,"TO:"]
[null,null,6,{"$f":"IF(Questionnaire!$C$26=\"Single\",\"X\",\"\")","v":""},"SINGLE, NO DEPENDENTS",null,null,null,null,null,null,{"$f":"IF(Questionnaire!$C$26=\"Single with Dependents\",\"X\",\"\")","v":""},"SINGLE, CLAIMING DEPENDENTS"]
[]
[null,"MARRIED - SPOUSE IS A ",null,null,null,null,null,null,{"$f":"IF(Questionnaire!$C$26=\"Married to Civilian\",\"X\",\"\")","v":""},"CIVILIAN",null,null,{"$f":"IF(LEFT(Questionnaire!$C$26,12)=\"Married to M\",\"X\",\"\")","v":""},"MILITARY MEMBER",null,null,null,null,null,null,null,"TITLE"]
[]
[null,"IF MILITARY SPOUSE - NAME, SSN, BRANCH OF SERVICE, STATION AND DATE OF MARRIAGE:"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"SIGNATURE"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"DATE"]
[]
[null,null,{"$f":"F36","v":""},"DIVORCED",null,null,null,null,null,null,null,{"$f":"R36","v":""},"LEGALLY SEPARATED"]
[null,null,null,null,null,null,null,"(Date)",null,null,null,null,null,null,null,null,null,null,"(Date)"]
[]
[]
[null,"7. NON-CUSTODIAL PARENTS: I PAY",null,null,null,null,null,null,null,{"$f":"IF(Questionnaire!C26=\"Single paying Child Support\",\"X\",\"\")","v":""},"THE FULL AMOUNT OF WITH-DEPENDENT RATE BAH, OR",null,null,null,null,null,null,null,null,null,null,null,"$",null,null,null,".00 PER MONTH FOR DEPENDENT SUPPORT"]
[]
[null,"BASED ON:",null,null,"a.",{"$f":"IF(Questionnaire!C26=\"Single paying Child Support\",\"X\",\"\")","v":""},"DIVORCE DECREE",null,null,null,"b.",null,"COURT ORDER",null,null,null,"c.",{"$f":"\"\"","v":""},"LEGAL SEPERATION AGREEMENT, OR",null,null,null,null,null,null,null,"d.",null,"WRITTEN AGREEMENT WITH CHILD'S"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"CUSTODIAN"]
[]
[null,"8. I",{"$f":"IF(Questionnaire!C26=\"Single\",\"\",IF(Questionnaire!C26=\"Married to Military, Not supporting kids\",\"\",\"X\"))","v":"X"},"CLAIM BAH FOR THE DEPENDENT",null,null,null,null,null,null,{"$f":"IF(Questionnaire!$C$26=\"Married to Civilian\",\"X\",IF(Questionnaire!$C$26=\"Single with Dependents\",\"X\",IF(Questionnaire!$C$26=\"Married to Military, Claiming Dependents\",\"X\",\"\")))","v":""},"IN",{"$f":"IF(Questionnaire!$C$26=\"Single paying Child Support\",\"X\",\"\")","v":""},"NOT IN MY LEGAL AND PHYSICAL CUSTODY LISTED BELOW (Effective Date):",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(Questionnaire!C26=\"Single\",\"\",IF(Questionnaire!C26=\"Married to Military, No Dependents\",\"\",Questionnaire!C27))","v":"00:00:00"}]
[]
[null,"Note:  Indicate the civilian dependent(s) you are claiming and the relationship (i.e. spouse, minor child, incapacitated child, stepchild or parent).  For other than spouse or minor child, see list of potential dependents in Part C below.  If dependent(s) is a child, include the date of birth (DOB)."]
[null,"(a) NAME (Last, First, MI)",null,null,null,null,null,null,null,null,null,null,null,"(b) ADDRESS, CITY, STATE, ZIP or COUNTRY",null,null,null,null,null,null,null,null,null,null,"(c) RELATIONSHIP",null,null,null,null,null,"(d) DOB"]
[null,{"$f":"IF(Questionnaire!C26=\"Married to Civilian\",Questionnaire!C28,IF(Questionnaire!C26=\"Married to Military, Claiming Dependents\",Questionnaire!C31,IF(Questionnaire!C26=\"Single with Dependents\",Questionnaire!C31,IF(Questionnaire!C26=\"Single paying Child Support\",Questionnaire!C31,\"\"))))","v":""},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(B43=\"\",\"\",Questionnaire!C22&\", \"&Questionnaire!C23&\", \"&Questionnaire!C24&\" \"&Questionnaire!C25)","v":""},null,null,null,null,null,null,null,null,null,null,{"$f":"IF(I22=\"X\",\"Spouse\",IF(B43=\"\",\"\",\"Child or Other\"))","v":""},null,null,null,null,null,{"$f":"IF(Y43=\"Spouse\",Questionnaire!C29,IF(Y43=\"Child or Other\",Questionnaire!C32,\"\"))","v":""}]
[null,{"$f":"IF(Y43=\"Spouse\",Questionnaire!C31,IF(Y43=\"Child or Other\",Questionnaire!C34,\"\"))","v":""},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(Y43=\"Spouse\",IF((LEN(Questionnaire!C31)>5),N43,\"\"),IF(Y43=\"Child or Other\",IF((LEN(Questionnaire!C34)>5),N43,\"\"),\"\"))","v":""},null,null,null,null,null,null,null,null,null,null,{"$f":"IF(Y43=\"Spouse\",IF((LEN(Questionnaire!C31)>5),\"Child or Other\",\"\"),IF(Y43=\"Child or Other\",IF((LEN(Questionnaire!C34)>5),\"Child or Other\",\"\"),\"\"))","v":""},null,null,null,null,null,{"$f":"IF(Y43=\"Spouse\",IF((LEN(Questionnaire!C31)>5),Questionnaire!C32,\"\"),IF(Y43=\"Child or Other\",IF((LEN(Questionnaire!C34)>5),Questionnaire!C35,\"\"),\"\"))","v":""}]
[null,{"$f":"IF(Y43=\"Spouse\",Questionnaire!C34,IF(Y43=\"Child or Other\",Questionnaire!C37,\"\"))","v":""},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(Y43=\"Spouse\",IF((LEN(Questionnaire!C34)>5),N44,\"\"),IF(Y43=\"Child or Other\",IF((LEN(Questionnaire!C37)>5),N44,\"\"),\"\"))","v":""},null,null,null,null,null,null,null,null,null,null,{"$f":"IF(Y43=\"Spouse\",IF((LEN(Questionnaire!C34)>5),\"Child or Other\",\"\"),IF(Y43=\"Child or Other\",IF((LEN(Questionnaire!C37)>5),\"Child or Other\",\"\"),\"\"))","v":""},null,null,null,null,null,{"$f":"IF(Y43=\"Spouse\",IF((LEN(Questionnaire!C31)>5),Questionnaire!C35,\"\"),IF(Y43=\"Child or Other\",IF((LEN(Questionnaire!C34)>5),Questionnaire!C38,\"\"),\"\"))","v":""}]
[null,{"$f":"IF(Y43=\"Spouse\",Questionnaire!C37,\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(Y43=\"Spouse\",IF((LEN(Questionnaire!C37)>5),N43,\"\"),\"\")","v":""},null,null,null,null,null,null,null,null,null,null,{"$f":"IF(Y43=\"Spouse\",IF((LEN(Questionnaire!C37)>5),\"Child or Other\",\"\"),\"\")","v":""},null,null,null,null,null,{"$f":"IF(Y43=\"Spouse\",IF((LEN(Questionnaire!C37)>5),Questionnaire!C38,\"\"),\"\")","v":""}]
[]
[]
[null,"PART C- MEMBER'S CERTIFICATION (For members with dependents)"]
[null,"9. IF DEPENDENT NAMED ABOVE IS A CHILD WHOSE PARENT IS A MILITARY MEMBER, OR THE SPOUSE OF A MEMBER PROVIDE THE FOLLOWING"]
[null,"NAME",null,null,null,null,null,null,null,null,null,null,null,null,"SSN",null,null,null,null,null,"BRANCH OF SERVICE",null,null,null,null,null,null,null,null,"STATION"]
[]
[null,"PART C - MEMBER'S CERTIFICATION  (For members with dependents)"]
[null,null,null,"I certify that I provide adequate support (see AFI 36-2906 and JFTR ch 10) for the dependents named above.  I am aware that failure to adeuqately support the above named dependents will result in stopping BAH, and recouping allowances paid for any periods prior of non support"]
[null,null,{"$f":"IF(C39=\"X\",\"X\",\"\")","v":"X"}]
[]
[null,"CERTIFICATION FOR MEMBERS RECEIVING BAH FOR SECONDARY DEPENDENTS (package must be sent to DFAS-IN for determination)."]
[null,"(Parents, parents-in-law, stepparents, parents-by-adoption, or in-loco parentis, Students 21 and 22 years of age, Incapacitated childern over age 21, or Ward of a court)."]
[null,null,"I certify that this is my first application",null,null,null,null,null,null,null,null,"YES",null,null,"NO",null,"If no, give date your last application was filed."]
[]
[null,"I understand that my failure to comply with the applicable requirements may result in cancellation of my BAH. Furthermore, I understand that making a false statement or claim against the US Government is punishable by court martial and that the penalty for willfully making a false claim, or false statement in connection with a claim is a maximum fine of $10,000 or imprisonment for 5 years, or both. I will report any changes of dependent's status or residence, as well as any changes in my housing arrangements immediately to the Financial Services Office (FSO). I also understand that my failure to comply with appropriate requirements may cause involuntary collection of any resulting indebtedness retroactive to the date the entitlement became erroneous."]
[null," MEMBER'S SIGNATURE",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"DATE"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"TODAY()","v":"2022-01-18"}]
[null,"AF Form 594, 20130729",null,null,null,null,null,null,null,null,null,null,null,null,null,"PREVIOUS EDITION IS OBSOLETE"]
[null,"ADDITIONAL INFORMATION"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"OFFICIAL USE ONLY - FINANCE"]
[]
[]
[null,null,null,"START",null,null,null,"CHANGE",null,null,null,"REPORT",null,null,null,"STOP",null,null,"","PARTIAL",null,null,"","WITHOUT DEPENDENT",null,null,null,null,null,null,"","WITH DEPENDENT"]
[]
[null,null,"PRIMARY DEPENDENT CERTIFICATION: ",null,null,null,null,null,null,null,null,null,null,"I have determined that the above named individual is dependent on the member based on being"]
[]
[null,null,"","Spouse",null,"","Single member claiming legitimate child in custody of another",null,null,null,null,null,null,null,null,null,null,null,"","Legitimate child in single member's custody",null,null,null,null,null,null,null,null,"Stepchild",null,null,null,"Adopted Child"]
[]
[null,null,null,"Illegitimate child or",null,null,null,"","Child, member to member marriage"]
[]
[null,null,"SECONDARY DEPENDENT DETERMINATION/REDETERMINATION"]
[]
[null,null,null,"Parents",null,null,"Parents-in-law",null,null,null,"Stepparents",null,null,null,"Parents-by-adoption",null,null,null,null,null,"In-Loco-Parentis",null,null,null,null,"Students 21 and 22 years of age"]
[]
[null,null,null,"Incapacitated children over age 21",null,null,null,null,null,null,null,null,"Ward of a court"]
[]
[]
[null,null,null,"I have determined that the above named individual is not dependent on member or eligible to be a dependent of member.  Reasons for disapproval are noted here"]
[]
[]
[null,null,null,"I have verified that the member is E-7 or above and there is no military necessity that requires the member to reside on base"]
[]
[null,"TITLE OF CERTIFYING OFFICIAL",null,null,null,null,null,null,null,null,null,null,null,null,"SIGNATURE",null,null,null,null,null,null,null,null,null,null,"OFFICE ADDRESS",null,null,null,null,"DATE"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"2019-04-08"]
[null,"AF Form 594, 20130729",null,null,null,null,null,null,null,null,null,null,null,null,null,"PREVIOUS EDITION IS OBSOLETE"]