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pdfPRIVACY ACT STATEMENT
OMB NO. 0702OMB approval expires
MMM DD, YYYY
FT
AGENCY DISCLOSURE NOTICE
The public reporting burden for this collection of information is estimated to average 45 minutes per
response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information. Send comments
regarding this burden estimate or any other aspect of this collection of information, including suggestions for
reducing the burden, to the Department of Defense, Washington Headquarters Services, Executive Services
Directorate, Information Management Division, 4800 Mark Center Drive, East Tower, Suite 02G09,
Alexandria, VA 22350-3100 (0702-XXXX). Respondents should be aware that notwithstanding any other
provision of law, no person shall be subject to any penalty for failing to comply with a collection of
information if it does not display a currently valid OMB control number.
PLEASE DO NOT RETURN YOUR RESPONSE TO THE ABOVE ADDRESS.
Responses should be sent to the Headquarters of the Army and Air Force Exchange Service; Office of
Human Resources (Travel) at 3911 S. Walton Walker Blvd., Dallas, TX 75236-1598.
AUTHORITY: Title 10 U.S.C. §3013, “Secretary of the Army”; Title 10 U.S.C. §8013, “Secretary of the Air Force”; Army Regulation
215-8/AFI 34-211(I), “Army and Air Force Exchange Service Operations”; and Executive Order 9397 (SSN), as amended.
A
PRINCIPAL PURPOSES(S): To process official travel requests for military and civilian employees of the Army and Air Force Exchange
Service; to determine eligibility of individual's dependents to travel; to obtain necessary clearance where foreign travel is involved,
including assisting individual in applying for passports and visas and counseling where proposed travel involves visiting/transiting
communist countries and danger zones.
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ROUTINE USE(S): Your records may be disclosed outside of DoD pursuant to Title 5 U.S.C. §552a(b)(3) regarding DoD “Blanket
Routine Uses” published at http://dpcld.defense.gov/Privacy/SORNsIndex/BlanketRoutineUses.aspx. This may include disclosures to
the attaché or law enforcement authorities of foreign countries, the U.S. Department of Justice or Department of Defense legal/
intelligence/investigative agencies for security, investigative, intelligence, and/or counterintelligence operations.
DISCLOSURE: Voluntary, however failure to provide all the information needed my result in denial of your PCS orders.
A copy of the Privacy Impact Assessment (PIA) for this collection may be located at http://ciog6.army.mil/Portals/1/PIA/2013/EXHRMTMG.pdf.
INSTRUCTIONS
1. Please read the above Agency Disclosure Notice and Privacy Act Statement prior to completing or answering the following
questions.
2. In order to provide you with appropriate orders, each question must be answered.
3. When complete, press the submit button and your information will be automatically forwarded to the Exchange authorized HR
travel associate for completion of your PCS orders.
4. All approved signatures will be obtained by the HR representative and you will be provided a copy of your final approved PCS
orders.
5. Please see your HR manager should you have any concerns or need more information relative to obtaining your approved orders.
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Relocation Request for CONUS & OVERSEAS - New Item
Your relationship to Family Member #1
Family Member #1 Birth Date (DDMMMYYYY)
Family Member #1 Birth Place
Will family member #1 accompany you to your new duty station at the same time?
13. Family Member #2 (full legal name)
FT
Your relationship to Family Member #2
Family Member #2 Birth Date (DDMMMYYYY)
A
Family Member #2 Birth Place
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Will family member #2 accompany you to your new duty station at the same time?
14. Family Member #3 (full legal name)
Your relationship to Family Member #3
Family Member #3 Birth Date (DDMMMYYYY)
Family Member #3 Birth Place
Will family member #3 accompany you to your new duty station at the same time?
15. Family Member #4 (full legal name)
Your relationship to Family Member #4
Relocation Request for CONUS & OVERSEAS - New Item
Family Member #4 Birth Date (DDMMMYYYY)
Family Member #4 Birth Place
Will family member #4 accompany you to your new duty station at the same time?
If you have additional family members (dependents), please list them here. Use the same format as above.
16. Will you drive or fly to your new duty station? *
FT
17. You are authorized one POV, unless you do not own a POV. If you have need to request authorization for a
2nd POV, please provide justification in the text box. Note: Owning two POV's is not adequate justification. *
NOTE: If this is a CONUS to CONUS move, you need only to type N/A for the remainder of this questionnaire. If
this is an Overseas move, please answer the questions.
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18. Has Family Member #1 ever been issued a passport? *
If yes, what type of passport was it? *
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Expiration date of passport for family member #1 (DDMMYYYY) *
Do you still have the passport for family member #1? *
19. Has family member #2 ever been issued a passport? *
-If yes, what type of passport was it? *
Expiration date of passport for family member #2 (DDMMMYYYY) *
Do you still have the passport for family member #2? *
20. Has family member #3 ever been issued a passport? *
Relocation Request for CONUS & OVERSEAS - New Item
If yes, what type of passport was it for family member #3? *
Expiration date of passport for family member #3 (DDMMMYYYY) *
Do you still have the passport for family member #3? *
21. Has family member #4 ever been issued a passport? *
If yes, what type of passport was it for family member #4? *
Expiration date of passport for family member #4 (DDMMMYYYY) *
FT
Do you still have the passport for family member #4? *
NOTE: If you have additional family members (dependents), please include their passport information in the text
box. Use the same format as above. *
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22. Employee's Birth Date (DDMMMYYYY) *
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23. Employee's Birth Place *
24. Have you ever been issued a passport? *
25. If yes, what type of passport was it? *
26. Expiration date for your passport (DDMMMYYYY) *
27. Do you still have your passport? *
You and/or your family members will need 2 (two) 2X2 passport photos (must be taken within the past 6
months).
You will also need proof of citizenship, which can be: previously issued passport, OR a state certified birth
certificate (hospital birth certificate is not acceptable).
If you owe more than $5,000 in back child support, the State Department will not issue you a passport.
28. Will you ship your POV? Note: only one POV is authorized at the Exchange/AAFES expense. *
Relocation Request for CONUS & OVERSEAS - New Item
NOTE: If you are transferring to Japan/Okinawa, you are not authorized to ship a POV unless it was
manufactured before March 1976. The vehicle must be one you currently own. The Exchange/AAFES does not
pay to store vehicles.
29. If you answered yes (ship POV), please provide the following information: Make, Model, Year and VIN # *
30. Have you attended Anti-Terrorism Training within the last 12 months? *
31. Have you completed the SERE100 (Survival Evasion Resistance and Escape) Training within the past 2 years?
*
FT
32. Have you completed the ISOPREP (Isolated Personnel Report) Training within the past 6 months? *
33. Have you completed the DoD Information Assurance Awareness Training within the past 12 months? *
A
NOTE: You and your family members (dependents) are required to attend the Anti-Terrorism Training and an
AOR Briefing on the country you are transferring to. The AOR Briefing must be within 90 days of your report
date to the new duty station. It is your responsiblity to see that you and your dependents receive this training.
Questions? Please contact the military security office on the military base where you are stationed or if you are
at HQ, contact Mr. Glenn Smith at X6700. Airline tickets will not be issued until proof of training has been
provided to Relocation/Travel. Please scan and email or fax to 214-465-2001.
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34. Will you be shipping pets? *
Pets are strictly your responsibility. After your flights have been booked to your new duty station, you will need
to contact the airline to book your pet(s). There have been numerous problems transporting pet(s) during the
summer months and airlines may refuse to transport them. We will do our best to book you on an airline that
ships pets, but it is ultimately your responsiblity to get them to your new duty station.
35. Will you be shipping any weapons? *
36. If yes, list your weapons that you want to ship so they may be listed on your PCS Orders. Use this format:
Manufacturer, Model and Serial #. *
NOTE: Federal Law requires you to complete DD-2760 Form certifying you have not been convicted of a
"misdemeanor crime of domestic violence". This form can be located on the Exchange/AAFES Intranet, Forms &
Pubs link, under DoD Forms. You are not authorized to ship weapons to the following countries: Germany,
Japan, Okinawa, Italy or Turkey. Weapons may be stored with non-temp storage items.
HQ Relocation will be making all airline reservations. We recommend you depart on the Wed. before your
effective date. this is necessary in order for you to get your ration/ID cards and take care of any other business
required before your report date. If you plan on departing from a location other than your home or making any
stops enroute to your new duty station, it will be based on a cost-constructive basis. We will need to know this
Relocation Request for CONUS & OVERSEAS - New Item
up front so we can work with the airlines to get your desired flight booked and you can get your vacation leave
approved in advance.
37. The airlines now require we provide an emergency contact name and number for the traveler. This needs to
be a family member. Please provide full name, home phone number and work phone number. *
38. We will also need a contact name, address and phone number after you move out of your residence in case
we need to get in touch with you. *
39. Actual Place of Residence. Please list your home of record, city and state. If this is not your current home
address, it needs to be a location where you own property or where your family resides. *
FT
SUMMARY: You will receive your PCS Orders and Transfer/ Transportation Agreement via e-mail along with
other pertinent information regarding your transfer. If you need passport applications and instructions, please
let me know so they can be e-mailed to you. If you have any questions or concerns, please do not hesitate to
contact Audry McGhee, Relo Manager at 214-312-2296 or Harold Reed, Relo Tech at 214-312-6385.
This completes the Relocation Questionnaire. Please click on FINISH when you are through and don't forget to
contact your local HRM or HR Business Partner to schedule your PCS Out-Briefing. Thank you and have a safe
trip.
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Comments or Questions
Finish
Cancel
PRIVACY ACT STATEMENT
OMB NO. 0702OMB approval expires
MMM DD, YYYY
FT
AGENCY DISCLOSURE NOTICE
The public reporting burden for this collection of information is estimated to average 45 minutes per
response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information. Send comments
regarding this burden estimate or any other aspect of this collection of information, including suggestions for
reducing the burden, to the Department of Defense, Washington Headquarters Services, Executive Services
Directorate, Information Management Division, 4800 Mark Center Drive, East Tower, Suite 02G09,
Alexandria, VA 22350-3100 (0702-XXXX). Respondents should be aware that notwithstanding any other
provision of law, no person shall be subject to any penalty for failing to comply with a collection of
information if it does not display a currently valid OMB control number.
PLEASE DO NOT RETURN YOUR RESPONSE TO THE ABOVE ADDRESS.
Responses should be sent to the Headquarters of the Army and Air Force Exchange Service; Office of
Human Resources (Travel) at 3911 S. Walton Walker Blvd., Dallas, TX 75236-1598.
AUTHORITY: Title 10 U.S.C. §3013, “Secretary of the Army”; Title 10 U.S.C. §8013, “Secretary of the Air Force”; Army Regulation
215-8/AFI 34-211(I), “Army and Air Force Exchange Service Operations”; and Executive Order 9397 (SSN), as amended.
A
PRINCIPAL PURPOSES(S): To process official travel requests for military and civilian employees of the Army and Air Force Exchange
Service; to determine eligibility of individual's dependents to travel; to obtain necessary clearance where foreign travel is involved,
including assisting individual in applying for passports and visas and counseling where proposed travel involves visiting/transiting
communist countries and danger zones.
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ROUTINE USE(S): Your records may be disclosed outside of DoD pursuant to Title 5 U.S.C. §552a(b)(3) regarding DoD “Blanket
Routine Uses” published at http://dpcld.defense.gov/Privacy/SORNsIndex/BlanketRoutineUses.aspx. This may include disclosures to
the attaché or law enforcement authorities of foreign countries, the U.S. Department of Justice or Department of Defense legal/
intelligence/investigative agencies for security, investigative, intelligence, and/or counterintelligence operations.
DISCLOSURE: Voluntary, however failure to provide all the information needed my result in denial of your PCS orders.
A copy of the Privacy Impact Assessment (PIA) for this collection may be located at http://ciog6.army.mil/Portals/1/PIA/2013/EXHRMTMG.pdf.
INSTRUCTIONS
1. Please read the above Agency Disclosure Notice and Privacy Act Statement prior to completing or answering the following
questions.
2. In order to provide you with appropriate orders, each question must be answered.
3. When complete, press the submit button and your information will be automatically forwarded to the Exchange authorized HR
travel associate for completion of your PCS orders.
4. All approved signatures will be obtained by the HR representative and you will be provided a copy of your final approved PCS
orders.
5. Please see your HR manager should you have any concerns or need more information relative to obtaining your approved orders.
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Relocation Request for OVERSEAS TO OVERSEAS - New Item
9. CELL PHONE NUMBER
10. E-MAIL ADDRESS
11. Family Member #1 (full legal name)
Your relationship to Family Member #1
SON
DAUGHTER
SPOUSE
Family Member #1 Birth Date (DDMMMYYYY)
_____YES
_____NO
FT
Will Family Member #1 accompany you to your new duty station at the same time you report?
12. Family Member #2 (full legal name)
_____Son
_____Daughter
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_____Spouse
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Your relationship to Family Member #2
_____Other
Family Member #2 Birth Date (DDMMMYYYY)
Will Family Member #2 accompany you to your new duty station when you report
_____YES
_____NO
13. Family Member #3 (Full legal name)
Your relationship to Family Member #3
_____Son
_____Daughter
_____Spouse
_____Other
Family Member #3 Birth Date (DDMMYYYY)
Will Family Member #3 accompany you to your new duty station when you report.
Relocation Request for OVERSEAS TO OVERSEAS - New Item
_____Yes
_____No
14. Family Member #4 (Full Legal Name)
______Spouse
______Son
______Daughter
Your relationship to Family Member #4
_____Son
_____Daughter
_____Spouse
_____Other
Family Member #4 Birth Date
(DDMMMYYYY)
Will Family Member #4 accompany you to your new duty station when you report
FT
_______Yes
_______No
15. Will you drive/fly or ship to your new duty station? (If you can drive to your new duty station, you are
required to do that, if you can't and need to ship your POV please see question #16. *
_____Yes
_____Ship
A
_____No
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16. If you are transferring to an overseas location where you cannot drive and want to ship a POV please
provide the make/model/year and VIN number of your vehicle.
17. Associate's Birth Date
(DDMMMYYYY)
18. Actual Place of Residence.
Please list your home of record, city and state. It needs to be a location where you own property or where your
family resides.
EMERGENCY CONTACT: The travel industry now requires you to provide an emergency contact name and phone
number, it needs to be someone who is not travelling with you.
This completes the Questionnaire, please click on the FINISH button when you are through, it will automatically
pop back to me. Don't forget to contact your local HRM to schedule your PCS Out-Briefing. Thank you!
COMMENTS/QUESTIONS OR ADDITIONAL INFORMATION:
Relocation Request for OVERSEAS TO OVERSEAS - New Item
Type your question here...
Enter Choice #1
Enter Choice #2
Enter Choice #3
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Finish
Cancel
PRIVACY ACT STATEMENT
OMB NO. 0702OMB approval expires
MMM DD, YYYY
FT
AGENCY DISCLOSURE NOTICE
The public reporting burden for this collection of information is estimated to average 45 minutes per
response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information. Send comments
regarding this burden estimate or any other aspect of this collection of information, including suggestions for
reducing the burden, to the Department of Defense, Washington Headquarters Services, Executive Services
Directorate, Information Management Division, 4800 Mark Center Drive, East Tower, Suite 02G09,
Alexandria, VA 22350-3100 (0702-XXXX). Respondents should be aware that notwithstanding any other
provision of law, no person shall be subject to any penalty for failing to comply with a collection of
information if it does not display a currently valid OMB control number.
PLEASE DO NOT RETURN YOUR RESPONSE TO THE ABOVE ADDRESS.
Responses should be sent to the Headquarters of the Army and Air Force Exchange Service; Office of
Human Resources (Travel) at 3911 S. Walton Walker Blvd., Dallas, TX 75236-1598.
AUTHORITY: Title 10 U.S.C. §3013, “Secretary of the Army”; Title 10 U.S.C. §8013, “Secretary of the Air Force”; Army Regulation
215-8/AFI 34-211(I), “Army and Air Force Exchange Service Operations”; and Executive Order 9397 (SSN), as amended.
A
PRINCIPAL PURPOSES(S): To process official travel requests for military and civilian employees of the Army and Air Force Exchange
Service; to determine eligibility of individual's dependents to travel; to obtain necessary clearance where foreign travel is involved,
including assisting individual in applying for passports and visas and counseling where proposed travel involves visiting/transiting
communist countries and danger zones.
D
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ROUTINE USE(S): Your records may be disclosed outside of DoD pursuant to Title 5 U.S.C. §552a(b)(3) regarding DoD “Blanket
Routine Uses” published at http://dpcld.defense.gov/Privacy/SORNsIndex/BlanketRoutineUses.aspx. This may include disclosures to
the attaché or law enforcement authorities of foreign countries, the U.S. Department of Justice or Department of Defense legal/
intelligence/investigative agencies for security, investigative, intelligence, and/or counterintelligence operations.
DISCLOSURE: Voluntary, however failure to provide all the information needed my result in denial of your PCS orders.
A copy of the Privacy Impact Assessment (PIA) for this collection may be located at http://ciog6.army.mil/Portals/1/PIA/2013/EXHRMTMG.pdf.
INSTRUCTIONS
1. Please read the above Agency Disclosure Notice and Privacy Act Statement prior to completing or answering the following
questions.
2. In order to provide you with appropriate orders, each question must be answered.
3. When complete, press the submit button and your information will be automatically forwarded to the Exchange authorized HR
travel associate for completion of your PCS orders.
4. All approved signatures will be obtained by the HR representative and you will be provided a copy of your final approved PCS
orders.
5. Please see your HR manager should you have any concerns or need more information relative to obtaining your approved orders.
D
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FT
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OVERSEAS TO CONUS - PCS REQUEST - New Item
Family Member Information: #1 - Full Legal Name:
Relationship to you:
Birth date (DDMMYR)
Will Family member #1 travel the same time as you:
*
Family Member #2 - Full Legal Name
Relationship to you:
Birthdate (DDMMYR)
Will this Family Member travel the same time as you *
FT
Family Member #3 - Full Legal Name
Relationship to you:
Birth date (DDMMYR)
Will this family member travel with you *
A
If you have additional family memers (dependents). please list them here using the same format as above.
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Will you be shipping a POV:
(you are authorized to ship one POV at AAFES expense, unless you do not own a POV or are transferring from
Japan/Okinawa. PLEASE PROVIDE THE MAKE/MODEL/YEAR AND VIN NUMBER of the POV you will ship. Your
Orders cannot be prepared without this information. *
Will you be shipping any Pets *
Will you be shipping any weapons:
if yes, you need to complete Form DD 2760 and provide to me, and I need the make/model and serial number
of each weapon, needs to be listed on your PCS Orders) *
Employee's Birth Date (DDMMMYYY) *
The airlines now require we provide an emergency contact name and phone number for travelers. This needs to
be a family member (not one traveling with you), need the full name/work/home phone number. *
OVERSEAS TO CONUS - PCS REQUEST - New Item
In case we are required to get in touch with you and you have already left your duty station please provide a
name/address and phone number of that individual.
TRAVEL: HQS Relocation/Travel will be making all airline reservations. We recommend you depart on the
Thursday or Friday before your report date. If you plan on departing from a location other than your duty
station or arriving at a different location other than your new duty station it will be on a cost basis. We will
need to know this up fron so we can work with the airlines to get your desired flight booked and you can get
your vacation leave approved in advance.
SUMMARY: You will receive your orders/transfer agreement via e-mail along with other pertinent information.
Also, please review the PCS Portal, a lot of your questions will most probably be already answered. Please if
you need to contact us feel free to do so anytime, PH: 800-497-1535.
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COMMENTS/QUESTIONS
FT
This completes the Questionnaire. Please click on FINISH when you are through and don't forget to contact your
local HRM to schedule your PCS Out-Briefing. Thank you!
Finish
Cancel
PRIVACY ACT STATEMENT
OMB NO. 0702OMB approval expires
MMM DD, YYYY
FT
AGENCY DISCLOSURE NOTICE
The public reporting burden for this collection of information is estimated to average 45 minutes per
response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information. Send comments
regarding this burden estimate or any other aspect of this collection of information, including suggestions for
reducing the burden, to the Department of Defense, Washington Headquarters Services, Executive Services
Directorate, Information Management Division, 4800 Mark Center Drive, East Tower, Suite 02G09,
Alexandria, VA 22350-3100 (0702-XXXX). Respondents should be aware that notwithstanding any other
provision of law, no person shall be subject to any penalty for failing to comply with a collection of
information if it does not display a currently valid OMB control number.
PLEASE DO NOT RETURN YOUR RESPONSE TO THE ABOVE ADDRESS.
Responses should be sent to the Headquarters of the Army and Air Force Exchange Service; Office of
Human Resources (Travel) at 3911 S. Walton Walker Blvd., Dallas, TX 75236-1598.
AUTHORITY: Title 10 U.S.C. §3013, “Secretary of the Army”; Title 10 U.S.C. §8013, “Secretary of the Air Force”; Army Regulation
215-8/AFI 34-211(I), “Army and Air Force Exchange Service Operations”; and Executive Order 9397 (SSN), as amended.
A
PRINCIPAL PURPOSES(S): To process official travel requests for military and civilian employees of the Army and Air Force Exchange
Service; to determine eligibility of individual's dependents to travel; to obtain necessary clearance where foreign travel is involved,
including assisting individual in applying for passports and visas and counseling where proposed travel involves visiting/transiting
communist countries and danger zones.
D
R
ROUTINE USE(S): Your records may be disclosed outside of DoD pursuant to Title 5 U.S.C. §552a(b)(3) regarding DoD “Blanket
Routine Uses” published at http://dpcld.defense.gov/Privacy/SORNsIndex/BlanketRoutineUses.aspx. This may include disclosures to
the attaché or law enforcement authorities of foreign countries, the U.S. Department of Justice or Department of Defense legal/
intelligence/investigative agencies for security, investigative, intelligence, and/or counterintelligence operations.
DISCLOSURE: Voluntary, however failure to provide all the information needed my result in denial of your PCS orders.
A copy of the Privacy Impact Assessment (PIA) for this collection may be located at http://ciog6.army.mil/Portals/1/PIA/2013/EXHRMTMG.pdf.
INSTRUCTIONS
1. Please read the above Agency Disclosure Notice and Privacy Act Statement prior to completing or answering the following
questions.
2. In order to provide you with appropriate orders, each question must be answered.
3. When complete, press the submit button and your information will be automatically forwarded to the Exchange authorized HR
travel associate for completion of your PCS orders.
4. All approved signatures will be obtained by the HR representative and you will be provided a copy of your final approved PCS
orders.
5. Please see your HR manager should you have any concerns or need more information relative to obtaining your approved orders.
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FT
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Cartus Services Request - New Item
Property Finding/Home Buying Assistance
Mortgage Lender (Direct Bill w/AAFES)
Rental Assistance
None
Buyer Value Option (BVO) - market your home prior to beginning the appraisal process. You must first sign up
with Cartus for this option which is advantageous for AAFES in terms of cost savings. Please note, no response is
required, this is a informative statement only.
12. PCS Order number *
13. Report Date *
14. Marital Status *
FT
15. Control Number (Headquarters Use Only)
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PLEASE NOTE: these services are not authorized for associates who are retiring.
Finish
Cancel
PRIVACY ACT STATEMENT
OMB NO. 0702OMB approval expires
MMM DD, YYYY
FT
AGENCY DISCLOSURE NOTICE
The public reporting burden for this collection of information is estimated to average 45 minutes per
response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information. Send comments
regarding this burden estimate or any other aspect of this collection of information, including suggestions for
reducing the burden, to the Department of Defense, Washington Headquarters Services, Executive Services
Directorate, Information Management Division, 4800 Mark Center Drive, East Tower, Suite 02G09,
Alexandria, VA 22350-3100 (0702-XXXX). Respondents should be aware that notwithstanding any other
provision of law, no person shall be subject to any penalty for failing to comply with a collection of
information if it does not display a currently valid OMB control number.
PLEASE DO NOT RETURN YOUR RESPONSE TO THE ABOVE ADDRESS.
Responses should be sent to the Headquarters of the Army and Air Force Exchange Service; Office of
Human Resources (Travel) at 3911 S. Walton Walker Blvd., Dallas, TX 75236-1598.
AUTHORITY: Title 10 U.S.C. §3013, “Secretary of the Army”; Title 10 U.S.C. §8013, “Secretary of the Air Force”; Army Regulation
215-8/AFI 34-211(I), “Army and Air Force Exchange Service Operations”; and Executive Order 9397 (SSN), as amended.
A
PRINCIPAL PURPOSES(S): To process official travel requests for military and civilian employees of the Army and Air Force Exchange
Service; to determine eligibility of individual's dependents to travel; to obtain necessary clearance where foreign travel is involved,
including assisting individual in applying for passports and visas and counseling where proposed travel involves visiting/transiting
communist countries and danger zones.
D
R
ROUTINE USE(S): Your records may be disclosed outside of DoD pursuant to Title 5 U.S.C. §552a(b)(3) regarding DoD “Blanket
Routine Uses” published at http://dpcld.defense.gov/Privacy/SORNsIndex/BlanketRoutineUses.aspx. This may include disclosures to
the attaché or law enforcement authorities of foreign countries, the U.S. Department of Justice or Department of Defense legal/
intelligence/investigative agencies for security, investigative, intelligence, and/or counterintelligence operations.
DISCLOSURE: Voluntary, however failure to provide all the information needed my result in denial of your PCS orders.
A copy of the Privacy Impact Assessment (PIA) for this collection may be located at http://ciog6.army.mil/Portals/1/PIA/2013/EXHRMTMG.pdf.
INSTRUCTIONS
1. Please read the above Agency Disclosure Notice and Privacy Act Statement prior to completing or answering the following
questions.
2. In order to provide you with appropriate orders, each question must be answered.
3. When complete, press the submit button and your information will be automatically forwarded to the Exchange authorized HR
travel associate for completion of your PCS orders.
4. All approved signatures will be obtained by the HR representative and you will be provided a copy of your final approved PCS
orders.
5. Please see your HR manager should you have any concerns or need more information relative to obtaining your approved orders.
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FT
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Household Goods Request - New Item
9. Current Duty Station (Address & Facility #) example: Beale AFB, Marysville, CA 95903 Fac# 4793 *
10. New Duty Station (Address & Facility # if known) example: Luke AFB, Glendale, AZ 85307 *
11. Current Home Address to include Zipcode (if an apartment, pls give name of complex) *
12. Is your current home address where HHG will be picked up from? *
Yes
No
FT
13. If no to question #12, please provide address where HHG will be picked up from.
14. County where you live in (not Country) *
15. Work/Office Phone Number (commerical) *
A
16. Home Phone Number *
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17. Cell Phone Number *
18. Home address at new duty station. Input only if you have a delivery address for your HHG. *
19. Work/Office phone number at new Duty Station *
20. Temporary or Permament Home/Cell Phone Numbers at New Duty Station (if available) *
If this is an Overseas move, please read carefully and respond appropriately. If this is not an Overseas move,
select "no" or type "n/a". Hawaii, Alaska, Guam and Puerto Rico are considered overseas moves. They are nonforeign overseas moves.
When you go overseas, you are authorized to:
• Ship your HHG to your new duty station.
• Permanently store HHG’s in the vicinity of your current (present) duty station until you return to CONUS.
• Ship unaccompanied baggage (also referred to as hold baggage). This shipment is not authorized to go into
storage; you are required to accept this shipment when it arrives. Since this is transported by an expedited
mode, it is more expensive. Note: The Exchange/AAFES will be required to charge you all storage fees if the
baggage goes into temporary storage. Charges would also include unpacking, handling in and delivery out.
Typically, each shipment is contracted to a different company, so we do not recommend any
HHG/Unaccompanied shipments be scheduled for the same day, but on separate days.
Household Goods Request - New Item
21. Is this an Overseas move? *
Yes
No
22. The Exchange/AAFES estimates 1,500 lbs. per full room of furniture. Please estimate the weight of HHG you
will be moving. *
23. If you estimate 4,000 - 9,000 lbs., provide two (2) days. One day to pack and one day to load. If you
estimate 10,000 lbs. or more, provide three (3) days. Two days to pack and one day to load. The
Exchange/AAFES does not pay overtime or holidays, please do not select weekends or holidays.
Provide requested pack/pick-up dates for HHG moving. Please include all applicable dates. *
24. Will you be shipping any weapons? *
Yes
No
No, shipment, Yes I will store in non-temp storage.
FT
25. Provide make/model/seriel number of each weapon *
If yes to question #24, Federal laws require you to complete form DD-2760 certifying you have not been
convicted of a"misdemeanor crime of domestic violence". Form DD-2760 can be located on the AAFES Intranet
Forms & Pubs link, refer to DoD Forms.
D
R
A
You are not authorized to ship weapons to the following countries: Germany, Japan, Okinawa, Italy or Turkey.
Going overseas your are authorized to store the weapons in your non-temp storage shipment; but, the weapons
will still be required to be listed on your PCS orders.
26. Storage: You are authorized non-temp (permament) storage at your old duty station until you PCS back to
the states. Please provide requested pack/pick-up dates for storage (DDMMMYYYY) and the estimated weight
you will be storing. Please include all applicable dates.
Input N/A if you do not need to store anything. *
27. Unaccompanied Baggage (Overseas Moves Only) what is your requested pack/pick-up date? (DDMMMYYYY)
Input N/A if you will not be shipping. *
Unaccompanied Baggage Shipment is restricted to 350 lbs. (over 12 yrs old) and 175 lbs. (under 12 yrs old).
Maximum authorized weight is 1,000 lbs.
In lieu of shipping unaccompanied baggage, you can:
1. Mail items or
2. Take two (2) extra pieces of luggage on the plane (per family).
NOTE: Both options above need prior approval by Audry McGhee, 214-312-2296 or Harold Reed, 214-312-6385.
*
28. Provide your internet email address(s) *
29. Please indicate which moving carrier/company you prefer. United Van Lines, Atlas Van Lines, Mayflower
Transit, Graebel Van Lines. Unfortunately, you cannot select for overseas moves. *
Household Goods Request - New Item
Since your move is booked through this office, please notify us of any changes ASAP so your paperwork and
Relo File can be updated.
Please provide any additional comments at this time.
Please stop here and select the FINISH tab to complete your form.
STOP - PLEASE DO NOT CONTINUE - THE FOLLOWING WILL BE COMPLETED BY THE HQ RELOCATION OFFICE.
CONUS Moves Only - GBL Number - NO,
CODE
FT
Origin Rate
Area/County
Destination Rate
Area/County
D
R
Carrier SCAC
Shipment Awarded To
A
Mileage/Schedule
Booking Agent and Phone Number
Date Sent to Booking Agent (DDMMMYYYY)
Destination Agent/T.O.
Comments
Finish
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File Type | application/pdf |
File Modified | 2015-12-29 |
File Created | 2015-10-22 |