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TAB 1: Relocation Table of Contents Enhanced Relocation Forms Designed by Duane and Serri Wilkinson
Consultants: Debbie Ferrara and Rachael Wivell
Employees must: NOAA's Relocation website http://corporateservices.noaa.gov/~finance/RELO.html
1. First save each file/form to their computer, before inputting any information into any of the files/forms.
This will be your individual file for your relocation. If you do not save these files on your computer, information will be lost.
2. ONLY need to fill in the highlighted areas on each form.
Please note: By dragging your mouse over the cells with the red triangles in each of these forms, the comment section
Click links one at a They may take a few a few seconds to
will give information to guide you through these forms. Click onlinks one time. time as they may take seconds to load. load.
TAB 2: CD150 Request for Authorization of Travel and Moving Expenses
1st form to be completed. Must be completed and signed by the employee and his/her approving official.
TAB 3: Relocation Expense Worksheet
2nd form to be completed. May be completed by either the employee or document preparer.
TAB 4: CD29 Travel Order
3rd form to be completed. Usually completed by a document preparer and must be signed by an approving official.
Employees must have an completed and signed CD-150, a completed Relocation Worksheet, and a completed and
signed Travel Order before proceeding and before incurring any expenses.
TAB 5: Househunting Trip
TAB 6: Unexpired Lease Tab
TAB 7: En Route Trip
The entries on this voucher will carry forward to remaining vouchers, eliminating duplication.
CONUS Travel Voucher - inside United Sates/OCONUS Travel Voucher - Alaska, Hawaii, Canada, Mexico and Puerto Rico
TAB 8: First 30 Days Temp Quarters
TAB 9: Second 30 Days Temp Quarters
TAB 10: Sale of Residence
TAB 11: Purchase a Residence
TAB 12: RITA Instructions
TAB 13: RITA Checklist for Submission
TAB 14: RITA Certification Statement
TAB 15: RITA Voucher
TAB 16: RITA Checklist for Submission for a 2nd year (if filling a 2nd year)
TAB 17: RITA Certification Statement for a 2nd year (if filling a 2nd year)
TAB 18: RITA Voucher for a 2nd year (if filling a 2nd year)
Please direct any questions to your servicing Relocation Services Coordinator (RSC) below:
Transferee’s New Official Contact: E-mail Phone:
Duty Station Serviced by:
Germantown, MD Rachael Wivell rachael.s.wivell@noaa.gov (301) 444-2136
Germantown, MD Nannette Naylor Bah nannette.naylorbah@noaa.gov (301) 444-2782
Norfolk, VA Wanda Gonsalves wanda.m.gonsalves@noaa.gov (757) 441-6527
Kansas City, MO Debbie Ferrara debbie.a.ferrara@noaa.gov (816) 426-7822
Boulder, CO Steve Tatum steve.tatum@noaa.gov (303) 497-6199
Seattle, WA Deanna Trosper deanna.m.trosper@noaa.gov (206) 526-4426
FORM CD-150 U.S. DEPARTMENT OF COMMERCE
NOTE TO EMPLOYEE: Travel information is needed for
(Rev. 9-03)
issuance of a valid Travel Order which you must have in
PRESCRIBED BY your possession in order to claim reimbursement for travel,
DOC TRAVEL HANDBOOK transportation, and applicable allowances provided by the
Federal Travel Regulation (FTR). If you wish authorization
for the cost of travel, transportation and applicable
REQUEST FOR AUTORIZATION OF TRAVEL expenses as provided by the FTR and agree to repay this
cost in case you do not remain with the Government for at
AND MOVING EXPENSES least twelve (12) months, complete this form. DO NOT
TYPE OF AUTHORIZATION: (Check one) BEGIN TRAVEL OR INCUR EXPENDITURES UNTIL
AFTER YOU SIGN THIS FORM AND RECEIVE
(a) FIRST DUTY STATION (New Appointee)
AUTHORIZATION ON AN APPROVED TRAVEL ORDER.
(b) PERMANENT CHANGE OF OFFICIAL DUTY STATION A COPY OF THIS FORM MUST BE ATTACHED TO THE
IF THERE ARE ANY QUESTIONS CONCERNING THE COMPLETION OF THIS FORM OR TRAVEL ORDER. For reimbursement of expenses, travel
ANY OF THE ALLOWANCES LISTED, CONTACT documents related to this relocation should be sent to
the following payment center:
Name of Travel Order Document Preparer (Phone Number)
RETURN THIS FORM NO LATER THAN _____________________________________________________ TO:
SECTION I -- GENERAL INFORMATION Completed by Employee and/or Human Resources
1. EMPLOYEE Last, First M. 2. ORGANIZATION CODE 3. SOCIAL SECURITY NUMBER
IF BOX (A) 4. ADDRESS OF RESIDENCE AT TIME OF APPOINTMENT 5. ADDRESS OF OLD DUTY STATION TO WHICH TRAVEL ORDER SHOULD BE MAILED
ABOVE IS (Street, City, State, Zip Code) (If different from item 4)
CHECKED
COMPLETE
ITEMS 4 - 8
6. POSITION TO WHICH APPOINTED 7. LOCATION OF POSITION (City, State) 8. PROPOSED EFFECTIVE DATE OF APPOINTMENT
9. CHANGE OF OFFICIAL DUTY STATION (City, State) 10. PROPOSED REPORTING DATE AT NEW STATION
IF BOX (b)
ABOVE IS FROM: TO:
CHECKED
COMPLETE
ITEMS
9 -- 10
SIGNATURE AND TITLE OF APPOINTING OFFICIAL TELEPHONE NO. DATE
SECTION II -- TRAVEL INFORMATION Completed by Employee
The information provided in this section will be used by the Authorizing Official to determine the appropriate allowances to be authorized. If box (a) above is checked,
complete items 11–19 (where applicable). If box (b) above is checked, complete items 11–25 (where applicable).
11a. ADDRESS OF EMPLOYEE'S (OLD) RESIDENCE 11B. DISTANCE FROM OLD RESIDENCE TO 12. IS NEW STATION 50 MILES GREATER THAN THE
0 OLD STATION DISTANCE IN 11B ? YES NO
0
(If no, do not complete this form . Relocation allowances are not
authorized). (See FTR 302-2.6)
13. MODE OF TRAVEL FOR WHICH AUTHORIZATION IS REQUESTED (Privately owned vehicle, air, bus, train, etc.)
APPROXIMATE DATE OF
MODE DEPARTURE POINT DEPARTURE ARRIVAL
(a) FOR SELF
(b) FOR IMMEDIATE FAMILY
14. IF YOU AND YOUR FAMILY WILL TRAVEL SEPERATELY, EXPLAIN
15. NAMES OF IMMEDIATE FAMILY MEMEBERS FOR WHOM AUTHORIZATION IS REQUESTED RELATIONSHIP CHILDS BIRTH DATE
16. USE OF MORE THAN ONE PRIVATELY OWNED AUTOMOBILE REQUESTED YES NO
17. WILL HOUSEHOLD GOODS AND PERSONAL EFFECTS APPROXIMATE ESTIMATED WEIGHT NO. OF ROOMS
BE MOVED ? (See FTR 302-7) DATE
YES NO
LOCATION OF HOUSEHOLD GOODS AND PERSONAL EFFECTS DESTINATION
18. WILL STORAGE OF HOUSEHOLD GOODS BE REQUIRED ? (See FTR 302-7)
YES NO NUMBER OF DAYS TEMPORARY NONTEMPORARY (Justify. See FTR 302-8)
19. TRANSPORTATION OF MOBILE HOME IN LIEU OF TRANSPORTATION AND TEMPORARY STORAGE OF HOUSEHOLD GOODS (Items 17 and 18).
I certify the mobile home is for use as a residence for me and my immediate family at the destination (See FTR 302-10).
YES NO If yes, initial here for certification of above statement.
HOUSEHUNTING TRIP
20. TRIP TO SEEK RESIDENCE REQUESTED (Justify. See FTR 302-5). MODE OF TRAVEL INCLUSIVE DATES REQUESTED
YES NO POV
SELF SPOUSE BOTH COMMON CARRIER/TRAIN
21. TEMPORARY QUARTERS REQUESTED (Justify. See FTR 302-6).
YES NO
SUBSISTENCE EXPENSES FOR ARE REQUESTED FOR NOT MORE THAN DAYS WHILE OCCUPYING
(Self, family, self and family)
TEMPORARY QUARTERS, APPROXIMATE DATES OF TEMPORARY QUARTERS TO
22. EXPECTED ESTATE EXPENSES (See FTR 302-11.)
SELLING BUYING
ESTIMATED VALUE OF HOME TERMINATING LEASE
RESIDENCE RESIDENCE
TO BE SOLD $
23. THIRD PARTY RELOCATION CONTRACTOR SERVICES REQUESTED (See FTR 302-12).
(Check with your Authorizing Official to determine if these services are available in your Operating Unit.)
YES I am interested in the service of a third party relocation contractor to provide for the sale of my residence at my old official duty station. I understand that the
fees paid to void my entitlement to direct reimbursement of these fees. I agree to reimburse the Government for any and all expenses and fees paid to the
contractor on my behalf for the services received if I fail to fulfill the requirements of my service agreement. If yes, initial here. ---->>>
NO I am not interested in the services of a third party relocation contractor to provide for the sale of my residence at my old official duty station. I understand that I may not
request this service for the relocation on or after the effective date of transfer to my new official station. If no, initial here. >
YES
I am interested in the service of a third party relocation contractor for assistance in home marketing and /or home finding.
OR ( These services are at no cost to the Government or the employee.)
NO
24 ALLOWANCES FOR MSICELLANEOUS EXPENSES (See FTR 302-16.) AND RELOCATION INCOME TAX ALLOWANCE (See FTR 302-17).
25 SHIPMENT OF PRIVATELY OWNED VEHICLE REQUESTED (Justify. YES NO
See FTR 302-9.)
SECTION III ---- SERVICE AGREEMENT MUST BE COMPLETED BY EMPLOYEE
In consideration of the payment of travel and transportation expenses and applicable allowances as provided by regulation and
incurred on my behalf by (Operating Unit)
in connection with (a) the appointment to my first duty station, or (b) the permanent change of my official station. I agree to
remain in the employment of the United States Government for twelve (12) months following the effective date of transfer or
appointment unless separated for reasons beyond my control and acceptable to the department or agency in which I am
employed. I understand and agree that if I violate this agreement, any payments made pursuant to it shall be recoverable from
me as debt due the United States.
Also, I agree that if I receive Withholding Tax Allowance (WTA) payments for claims filed for relocation transfer expenses. I will repay any
excess WTA payments made to me. I will submit the required certified tax information and file a Relocation Income Tax Allowance (RITA)
claim. If I do not file the claim for RITA, I agree to repay the Government for the entire Withholding Tax Allowance expended by the United
States in connection with my transfer. I understand that under such circumstances such funds are recoverable from me as debt due the United
States (FTR 302-17).
EMPLOYEE'S SIGNATURE DATE HOME TELEPHONE (Area Code first) WORK TELEPHONE ( Area Code first)
SECTION IV ------ PRIVACY ACT NOTIFICATION
The following information is provided in compliance with the Privacy Act of 1974 (5 USC 522a). Solicitation of the information on this form is authorized by 5
USC, Chapter 57 as implemented by the Federal Travel Regulation, E.O. 9397 of November 22, 1943, E.O. 11012 of March 27, 1962, E.O. 11609 of July
22, 1971, E.O. 12466 of February 27, 1984, and E.O. 12522 of June 24, 1985. The Social Security Number (SSN) is mandatory and will be used as an
employee identifier. The SSN serves as a primary validation for accountability and payment authorization in the Department of Commerce travel systems.
Failure to provide the requested information will result in a delay in obtaining a valid Travel Order, Travel Advance and delay or suspension of claims for
reimbursement.
SECTION V --- TRAVEL AUTHORIZATION / CERTIFICATION COMPLETED BY GAINING AUTHORIZING OFFICIAL
The employee / appointee is authorized to travel and incur necessary expenses, as indicated on the attached Travel Order, Number dated
issued in accordance with the Department of Commerce Travel Handbook. This relocation is in the interest of the Government and
not primarily for the convenience or benefit of the employee or at his / her request.
Signature of Authorizing Official Title Date
SECTION VI ---- CERTIFICATION FOR SHIPMENT OF HOUSEHOLD GOODS COMPLETED BY TRANSPORTATION OFFICER
In accordance with 41 CFR Part 302-7, I certify that a cost that a cost comparison to determine the method to be used for shipment of household goods
has been obtained from the General Services Administration (GSA) (copy attached). It has been determined that the most advantageous method to the
Government for shipment of household goods for this relocation is:
Commuted Rate --- Employee makes all arrangements with carrier and pays the carrier directly.
Government Bill of Lading (GBL) --- Government makes arrangements with the carrier and is responsible for payment to the carrier.
Signature of Bureau Official / Transportation Officer Telephone Number Date
SECTION VII --- JUSTIFICATION / REMARKS Employee may use this section to explain any item.
Use this space for justification or remarks. Indicate item numbers to which justification or remarks apply. If additional space is needed,
use the back of this page or separate sheets of paper and attach to this form.
SECTION VIII --- DISTRIBUTION
1 copy: Employee's official personnel file
1 copy: Office copy
2 copies for employee: (1) Copy (with GSA cost comparison) attached to the Travel Order submitted with the first reimbursement claim made on a Travel Voucher;
(2) Employee's personal copy
1 copy: Relocation Services Coordinator, If applicable, with two complete copies of the Travel Order.
ESTIMATED RELOCATION EXPENSE WORKSHEET
Note to the employee:
Congratulations on your new position. We want your relocation experience to be a pleasant one.
Please be informed that you must not begin travel or incur expenses until after this form has been completed,
along with the "CD-150 Service Agreement," and an approved "CD-29 Travel Order."
This form has been simplified for the employee. Only fill in the yellow/red highlighted areas.
Formulas have been added to ease the burden during your relocation transition.
If you have any questions, after you start on this form regarding your relocation, please contact your gaining Relocation
Specialist at the Servicing Finance Branch Office below.
In addition, you will need to acquire the names/emails/phones of your Gaining Office's Travel Order Document Preparer
who will prepare your relocation "CD-29 Travel Orders" and the Authorizing Official who will sign your relocation "CD-29
Travel Orders."
Gaining Finance Branch Contacts:
Servicing Finance Office: Telephone Number Relocation Specialist
Eastern Finance Branch (757) 441-6527 Wanda Gonsalves
Central Finance Branch (816) 426-7822 Debbie Ferrara
Mountain Finance Branch (303) 497-6199 Steve Tatum
Western Finance Branch (206) 526-4426 Deanna Trosper
Washington D.C. Metro Area (301) 444-2136 Rachael Wivell
and NOAA Travel Policy Office (301) 413-3066 Fax (Relocation Policy)
Accounting Operations Division (AOD) (301) 444-2782 Nanette Naylor-Bah
(Voucher Auditor)
INSTRUCTIONS: This form must be completed before the "CD-29 Travel Order" is completed. Once this form is
completed, it must be submitted to your servicing Relocation Specialist and your Gaining Office's Travel Order Document
Preparer, along with the signed "CD-150 Service Agreement."
Employee:
First, you are advised to start with acquiring your estimates for Transportation in Section V and Storage of
Household Goods in Section VI. Estimates may take a few days, so go to those sections first.
Must complete Sections I, II, III, IV, VII and VIII, unless otherwise instructed by your Gaining Office's Document Preparer.
If you are a new appointee , you are limited to transportation costs for en route travel for both you and your
immediate family, per diem for en route travel for you only, and transportation and storage of your household
goods.
If you are a transferee , you are entitled to most of the relocation entitlements stated herein. You will need to
coordinate with your authorizing official on discretionary entitlements, such as a househunting trip and/or
temporary quarters. Your "CD-150 Service Agreement" provides you the opportunity to explain your needs
and/or special circumstances.
Gaining Office's Travel Order Document Preparer: Will use the employee's information from this form to preparer the
"CD-29 Travel Order" and forward to the Authorizing Official for signature. Please note that once the computations are
completed for Sections II - VIII, their totals will be automatically sent to Section IX and those final numbers will be recorded
in Block 11 of the "CD-29 Travel Order."
This form is intended to be a tool to help estimate relocation costs and will be used by the servicing Finance Office to enter
the relocation costs into the Integrated Travel Manager Relocation (ITMR) system, as well as obligate the expenses into
the Core Financial System (CFS). It does not replace the "CD-29 Travel Order" as the official travel authorization or
denote eligibility to these entitlements, nor does it estimate the Relocation Income Tax Allowance (RITA), Federal
Insurance Contributions Act (FICA), and Health Insurance Tax (HIT). The RITA, FICA, and HIT will be calculated by the
ITMR system and obligated in the CFS.
0
I. GENERAL INFORMATION Completed by Employee
It is extremely important that the information provided in this section is completed in its entirety and as accurately as
possible. Data provided in this section will determine entitlements, taxability of relocation expenses (see IRS Publication
521), and the mailing address of your new duty station's office will be used to issue the IRS Form W-2 which reports
relocation expenses.
Note: NOAA issues IRS Form W-2s separately from the W-2s that report salary which is completed by National Finance
Center in New Orleans. The new duty station's office address provided on this form will only affect the mailing address for
the IRS Form W-2 which reports relocation expenses.
Employee's Old Duty Station's Residence Address:
Street: 0
Apt: 0
City, ST Zip: 0
Employee's New Duty Station's Office Address:
Office/Business Name:
Street:
Building/Floor:
City, ST Zip:
Place an "X" in front of one of the retirement systems you currently have or will have.
CSRS: FERS Other (CSRS-OFFSET)
Forms W-2 Forms 1099-R Schedule SE
EMPLOYEE $ $ $
SPOUSE (If filing jointly) $ $ $
TOTAL (all three columns) $0.00
Place an "X" in front of one of the four filing status items below that was or will be claimed on IRS Form 1040
1 Single Taxpayer 3 Married filing Jointly/Qualifying widow or widower
2 Head of Household 4 Married filing Separately
Rates (expressed as a decimal)
FEDERAL: Year 1 Year 2
STATE (SPECIFY STATE):
Distance Requirement:
A. miles What is the distance from our old residence to your new duty station?
B. 0 miles What is the distance from our old residence to your old duty station?
C. <<<<<<< If the distance in "A" is 50 miles or more further than the distance in "B" check the box.
Relocation Special Status: Please check one box
Transferee (Employee who transfers from one Federal location to another)
New Appointee (First time Federal employee, returning Federal employee, or student Trainee)
SES Separation for Retirement
Overseas Tour Renewal
Overseas to U.S. Return for Separation
Reduction in Force Relocation
0
II. HOUSEHUNTING TRIP (FTR 302-5) Completed by Employee
Maximum of 10 days may be authorized by your new duty station's Authorizing Official. Househunting Trip must be
granted/authorized on your "CD-29 Travel Order, " otherwise you will not be granted permission to complete this portion of
the trip. Locality rate will be used for all househunting trips. When driving by POV, calculate per diem based on driving
300 miles per day.
Approximate Dates you wish to travel : Begin: 0 End: 0
Number of days authorized to travel POV:
0 miles divided by 300 miles/day = 0 nights of paid lodging
Cost of Per Diem for Lodging and M&IE:
Family member Number Lodging M&IE
Employee or unaccompanied spouse
Accompanying spouse 0 $0.00 $0.00
Total per circumstance $0.00 $0.00
How many nights lodging will be required. 0 $0.00
How many days of M&IE will be required. $0.00
(M&IE) Meals and Incidental Expenses 0 $0.00
TOTAL COST OF PER DIEM FOR LODGING AND M&IE: $0.00
Cost of Transportation:
Common Carrier: $0.00
Must use ADTRAV for reservations.
Must charge to CBA or JP Morgan travel card.
ADTRAV Reservation Center 866-430-8929
ADTRAV Fax 205-949-4233 to receive tickets
Other Transportation when utilizing Common Carrier/Train:
Taxi Fares and Shuttles
Rental Car
Other transportation:
POV 0.00 $0.00 $0.00
Other Miscellaneous Expense:
Tolls, Parking, Lodging/Hotel Taxes: $0.00
TOTAL HOUSEHUNTING TRIP: $0.00
0
III. TRAVEL EN ROUTE TO NEW DUTY STATION (FTR 302-4) Completed by Employee
For CONUS, the per diem rate for en route travel will be the standard CONUS rate.
For OCONUS, the per diem rate will be the locality rate.
When driving by POV, calculate per diem based on driving 300 miles per day.
Date your hiring official told you to start travel: Begin: 0 End: 0
Number of days authorized to travel POV:
0 miles divided by 300 miles/day = 0 nights of paid lodging
Cost of Per Diem for Lodging and M&IE:
Family member Number Lodging M&IE
Employee $0.00 $0.00
Unaccompanied spouse 0 $0.00 $0.00
Accompanying spouse 0 $0.00 $0.00
Dependent Children 12 years and older 0 $0.00 $0.00
Dependent Children under 12 years old 0 $0.00 $0.00
Total per circumstance $0.00 $0.00
How many nights lodging will be required. 0 $0.00
How many days of M&IE will be required. $0.00
( M&IE) Meals and Incidental Expenses 0 $0.00
TOTAL EN ROUTE PER DIEM FOR LODGING AND M&IE: $0.00
Cost of Transportation:
Common Carrier: $0.00
Must use ADTRAV for reservations.
Must charge to CBA or JP Morgan travel card.
ADTRAV Reservation Center 866-430-8929
ADTRAV Fax 205-949-4233 to receive tickets
Other Transportation when utilizing Common Carrier/Train:
Taxi Fares and Shuttles
Rental Car
Other transportation:
POV #1 0.00 $0.00
POV #2 0.00 $0.00 $0.00
0
Other Miscellaneous Expense:
Tolls, Parking, Lodging/Hotel Taxes: $0.00
TOTAL EN ROUTE TRIP: $0.00
0
IV. COST OF SUBSISTENCE WHILE OCCUPYING TEMPORARY QUARTERS (FTR 302-6)
Completed by Employee
For CONUS, the per diem rate for Temporary Quarters will be the standard CONUS rate.
For OCONUS, the per diem rate for Temporary Quarters will be the locality rate.
Maximum 120 days may be authorized, noting all temp quarters must be authorized on your "CD-29 Travel Orders."
First 30 Days CONUS Temporary Quarters:
Figuring Maximum Allowance on CONUS Temporary Quarters
Family member Number Lodging M&IE
Employee or unaccompanied spouse $0.00 $0.00
Accompanying spouse 0 $0.00 $0.00
How many Children 12 years and older 0 $0.00 $0.00
How many Children under 12 years 0 $0.00 $0.00
Total per circumstance $0.00 $0.00
First Month of Allowance for CONUS Temporary Quarters: $0.00 Days: 30 $0.00
Second 30 Days CONUS Temporary Quarters:
Figuring Maximum Allowance on CONUS Temporary Quarters
Family member Number Lodging M&IE
Employee or unaccompanied spouse $0.00 $0.00
Accompanying spouse 0 $0.00 $0.00
How many Children 12 years and older 0 $0.00 $0.00
How many Children under 12 years 0 $0.00 $0.00
Total per circumstance $0.00 $0.00
Second Month of Allowance for CONUS Temporary Quarters: $0.00 Days: 30 $0.00
First 30 Days OCONUS Temporary Quarters:
Figuring Maximum Allowance on OCONUS Temporary Quarters
Family member Number Lodging M&IE
Employee or unaccompanied spouse $0.00 $0.00
Accompanying spouse 0 $0.00 $0.00
How many Children 12 years and older 0 $0.00 $0.00
How many Children under 12 years 0 $0.00 $0.00
Total per circumstance $0.00 $0.00
First Month of Maximum for OCONUS Temporary Quarters: $0.00 Days: 30 $0.00
Second 30 Days OCONUS Temporary Quarters:
Figuring Maximum Allowance on OCONUS Temporary Quarters
Family member Number Lodging M&IE
Employee or unaccompanied spouse $0.00 $0.00
Accompanying spouse 0 $0.00 $0.00
How many Children 12 years and older 0 $0.00 $0.00
How many Children under 12 years 0 $0.00 $0.00
Total per circumstance $0.00 $0.00
Second Month Allowance for OCONUS Temporary Quarters: $0.00 Days: 30 $0.00
Amendments Only:
First must be verbally authorized before completing this section.
Third 30 Days Temporary will use Second 30 Days Total: Days: 0 $0.00
Fourth 30 Days Temporary will use Second 30 Days Total: Days: 0 $0.00
TOTAL TEMPORARY QUARTERS: $0.00
0
V. TRANSPORTATION OF HOUSEHOLD GOODS (MAX. 18,000 lbs.), TEMPORARY
STORAGE (90 DAYS), and TRANSPORTATION OF POV (FTR.302-7, FTR 302-9)
Employee call your Finance Branch Transportation Specialist with requested information below to receive your estimates.
Under the actual expense method, the Government will arrange for both the transportation and payment of your household
goods. Contact your servicing transportation specialist below for an estimate on household goods.
When an employee assumes responsibility for the transportation of household goods, he will be reimbursed under the
commuted rate system.
Gaining Finance Branch Transportation Contact:
Servicing Finance Office: Telephone Number Transportation Specialist
Eastern Finance Branch (757) 441-6468 Anita Holley <Anita.B.Holley@noaa.gov>
Central Finance Branch (816) 426-7822 Debbie Ferrara <Debbie.A.Ferrara@noaa.gov>
Mountain Finance Branch (303) 497-6199 Steve Tatum <Steve.Tatum@noaa.gov>
Western Finance Branch (206) 526-4430 Kevin Godfrey <Kevin.S.Godfrey@noaa.gov>
Washington D.C. Metro Area (GSA) (703) 605-2896 Angela Jones <Angela.Jones@gsa.gov>
Transportation and Storage of Household Goods/Transportation of POV:
Actual Expense Method (Commercial Bill of Lading) billed and paid by Government
Shipping of Household Goods
Mobile Home Transportation (in lieu of household goods transaction) $0.00
Transportation of POV $0.00
Temporary Storage of Household Goods $0.00
Total Transportation and Storage of Household Goods/Transportation of POV
Billed and paid by Government $0.00
Commuted Rate System billed and paid by Employee
Shipping of Household Goods
Mobile Home Transportation (in lieu of household goods transaction) $0.00
Transportation of POV $0.00
Temporary Storage of Household Goods $0.00
Total Transportation and Storage of Household Goods/Transportation of POV
Billed and paid by Employee $0.00
TOTAL TRANSPORTATION and STORAGE OF HOUSEHOLD GOODS/
TRANSPORTATION OF POV $0.00
VI. EXTENDED STORAGE OF HOUSEHOLD GOODS (FTR 302-8)
Commercial Bill of Lading
Extended Storage of Household Goods
Commuted
Extended Storage of Household Goods
TOTAL EXTENDED STORAGE OF HOUSEHOLD GOODS $0.00
0
VII. REAL ESTATE (FTR 302-11 & FTR 302-12) Completed by Employee
Old duty station residence:
Estimated selling price of your old residence:
(The amount paid for third party services will
range from 11% - 30% depending on how
the home is sold. To ensure adequate funding,
the obligation for third party services must be
based on 30%, and the travel order must
authorize third party services.) $0.00
Employees who are not authorized third party
services will be obligated based on 10%. $0.00
Lease Breaking Expenses at Old Duty Station……………………….…………....
(No property to sell)
New duty station residence:
Estimated purchase price at your new residence:
(If there is any possibility you might buy,
please estimate so money may be obligated
in case you do decide to purchase a home.
If you don't have money obligated, your
travel orders will have to be amended
in order for you to purchase at a later date.) $0.00
TOTAL REAL ESTATE: $0.00
VIII. MISCELLANEOUS EXPENSE ALLOWANCE (FTR 302-16)
Completed by Employee (Select only one)
Employee only:
$500 or one week’s basic gross pay, whichever is less
Employee with immediate family:
$1,000 or two week’s basic gross pay, whichever is less
TOTAL MISCELLANEOUS EXPENSE ALLOWANCE: $0.00
0
IX. ESTIMATES FOR FORM "CD-29 Travel Order"
This form will be submitted in its entirety to your Gaining Office's Travel Order Document Preparer.
Section A
Object Transferred CD-29 Block 12
Transportation Class From
- billed directly to Government Above
Common Carrier Figures
Househunting Trip 2143 (a) $0.00
En Route Trip 2143 (b) $0.00 $0.00
Transportation Household Goods - CBL 2211 (c) $0.00
Transportation POV - CBL 2211 (d) $0.00 $0.00
Storage of Household Goods - CBL 2528 (e) $0.00
Extended Storage of Household Goods - CBL 2528 (f) $0.00 $0.00
CD-29 Travel Order, Block 12A: $0.00
Section B
Object Transferred CD-29 Block 12
Other Transportation Class From Above
Mileage, Taxi, Shuttle, Rental Car Figures
Househunting Trip 2140 (g) $0.00
En Route Trip 2140 (h) $0.00 $0.00
Substance Expense Actual Per Diem
Per Diem
Househunting Trip 2140 (i) $0.00
En Route Trip 2140 (j) $0.00 $0.00
Other Expenses
Miscellaneous Expenses
Househunting Trip 2140 (k) $0.00
En Route Trip 2140 (l) $0.00 $0.00
Miscellaneous Expense Allowance 1216 (m) $0.00 $0.00
Temporary Quarters
First/Second/Third/Fourth Temp Quarters 1209 (n) $0.00 $0.00
Relocation Expenses (other than listed above)
Commuted Rate System
Transportation Household Goods 2211 (o) $0.00
Transportation of POV 2211 (p) $0.00 $0.00
Storage of Household Goods 2528 (q) $0.00
Extended Storage of Households 2528 (r) $0.00 $0.00
Real Estate 1214 (s) $0.00 $0.00
CD-29 Travel Order, Block 12, SubTotal B: $0.00
Total Estimated Cost of CD-29 Travel Order, Block 12 for A & B: $0.00
Wanda Gonsalves <Wanda.M.Gonsalves@noaa.gov>
Debbie Ferrara <Debbie.A.Ferrara@noaa.gov>
Steve Tatum <Steve.Tatum@noaa.gov>
Deanna Trosper <Deanna.M.Trosper@noaa.gov>
Rachael Wivell <Rachael.S.Wivell@noaa.gov>
(Relocation Policy)
Nanette Naylor-Bah <Nannette.Naylorbah@noaa.gov>
(Voucher Auditor)
Last three years of Relocation Income Tax (RIT) Allowance Tables - found 3/4 down the page
http://www.gsa.gov/Portal/gsa/ep/contentView.do?contentType=GSA_BASIC&contentId=24030&noc=T#Relocation%20Incom
You are required to drive an average of 300 miles per day, except the last day of travel.
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelId=-24569&specialContentType=FTR&file=FT
Househunting entitlements page 5
http://corporateservices.noaa.gov/~finance/RELO.html
GSA website Part 302-5—Allowance for Househunting Trip Expenses
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelId=-24569&specialContentType=FTR&file=FT
GSA Domestic lodging/per diem rates
http://www.gsa.gov/Portal/gsa/ep/contentView.do?contentId=17943&contentType=GSA_BASIC
ADTRAV Travel Management Center, use to set up Travel Profile
http://www.adtrav.com/doc/
You are required to drive an average of 300 miles per day, except the last day of travel.
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelId=-24569&specialContentType=FTR&file=FT
GSA is responsible for the mileage reimbursement rate for using a POV for relocation purposes.
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelPage=%2Fep%2Fchannel%2FgsaOverview.
GSA's State Tax Exemption Forms Overview - Tax exempt forms are provided in PDF and Word format. Not all states respo
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=8203&channelPage=%2Fep%2Fchannel%2FgsaOverview.js
GSA's State Tax Letters -each state requests different documentation to be tax exempt
http://apps.fss.gsa.gov/services/gsa-smartpay/taxletter/index.cfm
En Route entitlements page 6
http://corporateservices.noaa.gov/~finance/RELO.html
GSA website Part 302-4—Allowances for Subsistence and Transportation
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelId=-24569&specialContentType=FTR&file=FT
For CONUS…...GSA Domestic lodging/per diem rates
http://www.gsa.gov/Portal/gsa/ep/contentView.do?contentId=17943&contentType=GSA_BASIC
For OCONUS…...GSA rates for Alaska, Hawaii, Canada, Mexico and Puerto Rico
http://perdiem.hqda.pentagon.mil/perdiem/perdiemrates.html
ADTRAV Travel Management Center, use to set up Travel Profile
http://www.adtrav.com/doc/
You are required to drive an average of 300 miles per day, except the last day of travel.
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelId=-24569&specialContentType=FTR&file=FT
GSA is responsible for the mileage reimbursement rate for using a POV for relocation purposes.
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelPage=%2Fep%2Fchannel%2FgsaOverview.
GSA's State Tax Exemption Forms Overview - Tax exempt forms are provided in PDF and Word format. Not all states respo
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=8203&channelPage=%2Fep%2Fchannel%2FgsaOverview.js
GSA's State Tax Letters -each state requests different documentation to be tax exempt
http://apps.fss.gsa.gov/services/gsa-smartpay/taxletter/index.cfm
Allowance for Temporary Quarters Expenses entitlements page 9
http://corporateservices.noaa.gov/~finance/RELO.html
GSA website Part 302-6—Allowance for Temporary Quarters Subsistence Expenses
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelId=-24569&specialContentType=FTR&file=FT
For CONUS…...GSA Domestic lodging/per diem rates
http://www.gsa.gov/Portal/gsa/ep/contentView.do?contentId=17943&contentType=GSA_BASIC
For OCONUS…...GSA rates for Alaska, Hawaii, Canada, Mexico and Puerto Rico
http://perdiem.hqda.pentagon.mil/perdiem/perdiemrates.html
Transportation and Temporary Storage of Household Goods entitlements pages 10/11/12/13
http://corporateservices.noaa.gov/~finance/RELO.html
GSA website Part 302-7—Transportation and Temporary Storage of Household Goods and Professional Books, Papers, and
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelId=-24569&specialContentType=FTR&file=FT
GSA website Part 302-9—Allowances for Transportation and Emergency Storage of a Privately Owned Vehicle
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelId=-24569&specialContentType=FTR&file=FT
Anita Holley <Anita.B.Holley@noaa.gov>
Debbie Ferrara <Debbie.A.Ferrara@noaa.gov>
Steve Tatum <Steve.Tatum@noaa.gov>
Kevin Godfrey <Kevin.S.Godfrey@noaa.gov>
Angela Jones <Angela.Jones@gsa.gov>
Allowances for Expenses Incurred in Connection with Residence Transactions pages 15-21
http://corporateservices.noaa.gov/~finance/RELO.html
GSA website Part 302-11—Allowances for Expenses Incurred in Connection With Residence Transactions
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelId=-24569&specialContentType=FTR&file=FT
GSA Website Part 302-12—Use of a Relocation Services Company
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelId=-24569&specialContentType=FTR&file=FT
Lease Breaking entitlements page 17
http://corporateservices.noaa.gov/~finance/RELO.html
MISCELLANEOUS EXPENSE ALLOWANCE (MEA) page 14
http://corporateservices.noaa.gov/~finance/RELO.html
GSA website Part 302-16—Allowance for Miscellaneous Expenses
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelId=-24569&specialContentType=FTR&file=FT
ocation%20Income%20Tax%20Allowance%20(RITA)%20Application
pe=FTR&file=FTR/Chapter302p004.html
pe=FTR&file=FTR/Chapter302p005.html#wp1121582
pe=FTR&file=FTR/Chapter302p004.html
2FgsaOverview.jsp&channelId=-24648
all states responded to the survey letter.
FgsaOverview.jsp&channelId=-16881
pe=FTR&file=FTR/Chapter302p004.html#wp1121315
pe=FTR&file=FTR/Chapter302p004.html
2FgsaOverview.jsp&channelId=-24648
all states responded to the survey letter.
FgsaOverview.jsp&channelId=-16881
pe=FTR&file=FTR/Chapter302p006.html#wp1121849
oks, Papers, and Equipment (PBP&E)
pe=FTR&file=FTR/Chapter302p007.html#wp1122121
pe=FTR&file=FTR/Chapter302p009.html#wp1122687
pe=FTR&file=FTR/Chapter302p011.html#wp1123326
pe=FTR&file=FTR/Chapter302p012.html#wp1123851
pe=FTR&file=FTR/Chapter302p016.html#wp1124261
FORM CD-29 U.S. DEPARTMENT OF COMMERCE 1 TYPE OF AUTHORIZATION
2. TRAVEL ORDER NO.
(Rev. 6-08) TEMPORARY X RELOCATION A signed CD-150, Request
DUTY for Authorization of Travel and Moving Expenses, must
TRAVEL ORDER be attached.
3A. BUREAU NAME / ORGANIZATIONAL UNIT 3B. PRESENT OFFICIAL STATION
4A. TRAVELER'S NAME 4B. TRAVELER'S TITLE 4C. SOCIAL SECURITY NO.
(Last 4 digits Only)
5. PURPOSE AND JUSTIFICATION STATEMENT 6A. TYPE OF TRAVEL CODE
4 for everything, except 3 for Househunting
6B. PURPOSE OF TRIP CODE
6
6C. BUREAU CODE
14
7. ITINERARY
8. PERIOD OF TRAVEL 8A. BEGIN ON OR ABOUT 8B. END ON OR ABOUT 9. REQUISITION NUMBER
10. ACCOUNTING CLASSIFICATION CODE 12. ESTIMATED COST
FCFY PROJECT-TASK ORGANIZATION OBJECT CLASS A. TRANSPORTATION
(XXXX) (XXXXXXX-XXX) (XX-XX-XXXX-XX-XX-XX-XX) (XX-XX-XX-XX) (Billed directly to Government) $
B. OTHER TRANSPORTATION
11. MODE OF TRANSPORTATION INCLUDING POV MILEAGE $
COMMON CARRIER SUBSISTENCE EXPENSE
BUS RAIL EXTRA FARE (Justify in item 15) (Per Diem / Actual) $
AIR COACH AIR- EXTRA FARE (Attach CD-334) OTHER EXPENSES
PRIVATELY-OWNED VEHICLE (Item 14) $
AUTO PLANE RATE PER MILE $ (See FTR 301-10.303 or TEMPORARY QUARTERS
DETERMINED MORE ADVANTAGEOUS TO THE GOVERNMENT 302-4.300) SUBSISTENCE EXPENSE $
FOR CONVENIENCE OF THE TRAVELER (See FTR 301-10.309 AND 301-10.310 RELOCATION EXPENSES
RENTED MOTOR VEHICLE (See FTR 301-10.450) OTHER MEANS (Specify) (other than listed above) $
COMMON CARRIER REFUNDS SUB-TOTAL B $
When a ticket is exchanged for one of lesser value, the carrier should issue a TOTAL A & B $
receipt or a ticket refund application and is required to make refund directly ACCOUNTING OFFICE ADDRESS
to the appropriate accounting office.
TRAVELER'S POTENTIAL LIABILITY NOTICE
Travelers are accountable for all transportation tickets or other transportation procurement documents received by them in connection with their official travel. If trips are cancelled or itineraries
changed after tickets are issued to the traveler, the traveler is liable for the value of the tickets issued until all coupons have been used for official travel purposes or all unused tickets or coupons
are properly accounted for.
13. SUBSISTENCE EXPENSE RATES AUTHORIZED
In accordance with the DOC Travel Handbook or as specifically approved by and authorizing official
under unusual circumstances. See FTR 301-11.
14. OTHER EXPENSES AUTHORIZED 15. SPECIAL PROVISIONS / REMARKS
MEETING REGISTRATION FEES
HIRE OF TAXIS BETWEEN LODGING AND OR PLACE (S) OF BUSINESS
EXCESS BAGGAGE (Justify in Item 15) (See FTR 301-12.2)
OTHER (Specify and Justify in Item 15)
Travel voucher must be submitted within 5 days after completion of travel, and travel advance balance must be refunded at that time.
16. PRINTED NAME & SIGNATURE OF REQUESTING / APPROVING OFFICIAL TITLE DATE
17. PRINTED NAME & SIGNATURE OF AUTHORIZING OFFICER TITLE DATE
PRIVACY ACT NOTIFICATION CERTIFICATE OF AUTHORIZATION BY
The following information is provided in compliance with the Privacy Act of 1974 (5 USC 552a). Solicitation of the information on this
DESIGNATED AUTHORIZING OFFICER
form is authorized by 5 USC, Chapter 57 as implemented by the Federal Travel Regulation (41 CFR Chapter 300-304), E.O. 11609 of
July 22, 1971, and E.O. 11012 of March 27, 1962. The Social Security Number (SSN) on the CD-29 is mandatory and will be used as You are herby authorized to travel at Government expense under and in
an employee identifier. The SSN serves as a primary validation for accountability and payment authorization in the Department of accordance with the Federal Travel Regulation. The number of this order
Commerce travel system. Failure to provide the requested information will result in a delay in obtaining a valid Travel Order. Travel must appear on each voucher claiming reimbursement for expenses
Advance and the procurement of common carrier transportation. incurred consequent to this order.
When you receive this form signed by the Authorizing Official, please look it over carefully.
This form has granted you permission to incur expenses related to moving to your new duty station.
If you notice something is missing, example househunting trip or spouse traveling separately,
please have this form adjusted ASAP before you incur expenses. You may not file a voucher for
anything outside of what has been granted permission on this form.
Make several copies of the signed form you received from your Authorizing Official.
It must be attached to every voucher sent into your NOAA Finance Center.
NOAA Finance Centers may not pay you, unless the signed form is attached to every voucher.
SECTION A IDENTIFICATION Househunting Trip FORM CD-370 U.S. DEPARTMENT OF COMMERCE
(Exception to SF-1012; Approved GSA 2-82)
SOCIAL SECURITY NUMBER NAME (Last) (First) (Middle Initial) (Rev. 9-03)
N/A 0 TRAVEL VOUCHER
Bureau Code CD-29 TRAVEL ORDER DATES FOR TRAVEL EXPENSE TYPE RECLAIM AMOUNT MAILING ADDRESS OF CHECK
0 FROM THRU CODE INCLUDED SALARY CHECK ADDRESS
14
PURPOSE CODE 6 mm/dd/yyyy mm/dd/yyyy 3 SPECIAL ADDRESS (Non-Government Traveler or New Hire)
ORGANIZATION OFFICIAL DUTY STATION (City and State) RESIDENT CITY AND STATE
0
SECTION B - TICKET COSTS BILLED DIRECTLY TO GOVERNMENT (Air,Rail,Bus,Ship)
AMOUNT VENDOR NUMBER OF CLASS EXPLANATION OF TRAVEL SECTION D - CLAIMS FINANCE USE
TRAVELERS FROM TO 1. PER DIEM
0.00 $0.00
1. $ NO. DAYS
2. $ 2. MILEAGE
0 $0.00
3. $ TOTAL MILES
4. $ 3. OTHER
$0.00
TOTAL $ < TOTAL - SECTION B IMPORTANT: Return unused tickets to your travel services provider. TRAVEL
SECTION C - ACCOUNTING CLASSIFICATION CODE (Reimbursable Expense) 4. CAR RENTAL
$0.00
(Distribute Total Claim Amount from Section D to the Applicable Accounting Classification Code(s) as Indicated on the Travel Order) (PAID BY TRAVELER)
FCFY PROJECT-TASK ORGANIZATION OBJECT CLASS CLAIM 5. COMMON CARRIER
$0.00
(xxxx) (xxxxxx-xxx) (xx-xx-xxxx-xx-xx-xx-xx) (xx-xx-xx-xx) AMOUNT TRANSPORTATION
1 0 0 21-40-00-00 $0.00 6. ACTUAL SUBSISTENCE
0.00 $0.00
2 NO. DAYS
3 0 0 12-16-00-00 $0.00 7. MISCELLANEOUS
$0.00
4 EXPENSES
5 8. REAL ESTATE EXPENSES
6 (FORM CD-371)
7 9. TEMPORARY QUARTERS
TOTAL CLAIM AMOUNT(This Block must Agree with Block 11) > $0.00 (FORM CD-372)
SECTION E - CERTIFICATIONS 10. RELOCATION INCOME
FRADULENT CLAIM - Falsification of an item in an expense account works a forfeiture of the claim (28 U.S.C. 2514) and may result in a TAX ALLOWANCE
()
fine of not more than $10,000 or imprisonment for not more than 5 years or both (18 U.S.C. 287; id. 1001)
CLAIMANT'S RESPONSIBILITIES AND SIGNATURE email address: @noaa.gov
I hereby assign to the United States any right I may have against any parties in connection with ( ) day worker CLAIMANT'S SIGNATURE 11. TOTAL CLAIM
reimbursable transportation charges described below, purchased under cash payment procedures (LINES 1 THRU 10) $0.00
(41 CFR 101-41.203-2). I certify this voucher is true and correct to the best of my knowledge and belief, ( ) shift worker DATE WORK PHONE
and that payment or credit has not been received by me. 12. TRAVEL ADVANCE
PRIVACY ACT NOTICE. The following information is provided to comply with the Privacy Act of 1974 Home phone: AMOUNT OUTSTANDING
(P.L> 93-579). The information requested on this form is incurred by the employee and to claim other entitlements and Cell phone:
have a need for such information in the performance of their duties. Information will be transferred to appropriate Federal, State, local or foreign agencies, when relevant to civil, criminal, TO BE APPLIED TO OUTSTANDING
or regulatory investigations or prosecutions or pursuant to a requirement by GSA or such other agency in connection with the hiring or firing, or security clearance, or such other investigation ADVANCE (LINE 12)
of the performance of official duty in Government service. Failure to provide the information required will result in delay or suspension of the employee's claim for reimbursement. 14. ADVANCE AMOUNT REPAID
APPROVING OFFICERS' RESPONSIBILITES AND SIGNATURE
In approving this voucher, I have determined that: APPROVING OFFICIAL SIGNATURE 15. REMAINING ADVANCE BALANCE
(1) Reimbursement is claimed for official travel only. (Line 11 minus Line 13 minus Line 14)
(2) Use of rental car, taxicab, or other special conveyance for which reimbursement is claimed is to the Governments advantage. NAME AND TITLE 16. NET TO TRAVELER
$0.00
(3) Long distance phone calls and supplies or equipment purchased are necessary and in the interest of the Government. 0 (Line 11 minus Line 13)
DATE PHONE AUDITED BY (Examiner's Initials) TOTAL
(X) CD-29 ATTACHED ( ) CD-29 SUBMITTED WITH PREVIOUS VOUCHER DIFFERENCE
FORM CD-370
0 (Rev. 9-03)
SCHEDULE OF EXPENSES AND AMOUNTS CLAIMED U.S. DEPARTMENT OF COMMERCE
(Exception to SF-1012; Approved GSA 2-82)
Househunting Trip DATES MO DAY MO DAY MO DAY MO DAY MO DAY MO DAY MO DAY MO DAY MO DAY MO DAY MO DAY
> TOTALS
F CITY AND
R STATE
ITINERARY
O TIME (AM OR PM)
TRANSFER THESE TOTALS TO SECTION
M CARRIER D ON VOUCHER FRONT. IF ADDITIONAL
DAYS ARE REQUIRED,USE
FLIGHT NUMBER CONTINUATION SHEET (FORM CD-370A)
T CITY AND
O STATE
TIME (AM OR PM)
M&IE $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 1. NO. OF DAYS 0.00
1. PER DIEM LODGING AMOUNT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
TOTAL PER DIEM
CLAIM $
$0.00
TOTAL
2. TOTAL MILES
MILEAGE 0 0 0 0 0 0 0 0 0 0 0 0
2. POV TOTAL MILEAGE
CENTS PER MILE $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00
AMOUNT AMOUNT $
PARKING, TOLLS, HOTEL TAXES, ETC, $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 3. TOTAL OTHER
3. OTHER TRAVEL
TRAVEL
STORAGE OF HOUSEHOLD GOODS TOTAL WEIGHT OF GOODS> ACTUAL CHARGES > $ COMMUTED RATE > $ CLAIM LESSER AMOUNT $0.00
(Receipt and Car Rental Agreement 4. TOTAL CAR
4. CAR RENTAL $0.00
Required) $0.00 RENTAL
AMOUNT
PLANE, BUS, TRAIN (Paid
by Traveler)
(Receipt $0.00
Required)
$0.00
NO. OF TRIPS
5. COMMON TAXI, LIMO, LOCAL BUS,
CARRIER SUBWAY,SHUTTLE DAILY EXPENSE $0.00
$0.00
TRANSPORTATION OF HOUSEHOLD TOTAL WEIGHT OF GOODS TOTAL TRANSPORTATION OF
COMMUTED RATE TOTAL ADDITIONAL ALLOWANCES 5. TOTAL COMMON CARRIER
GOODS -- PAID BY TRAVELER SHIPPED HOUSEHOLD GOODS
(Weight Cert. or Bill of Lading Required)
$0.00 $0.00 $0.00
BREAKFAST (Include Tips)
LUNCH (Include Tips)
DINNER (Include Tips)
6. ACTUAL SUBSIS- LODGING (Receipt Required)
6. TOTAL NO. DAYS
TENCE
TIPS (Porter, etc.)
OTHER (Laundry, etc.)
TOTAL ( Cannot exceed amount TOTAL ACTUAL SUBSISTANCE
authorized. See DOC Travel
Handbook)
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
MISCELLANEOUS EXPENSES #1216 7. TOTAL MISC.
7. MISCELLA-
(Supplies, Telephone, Laundry, etc.)
NEOUS EXPENSES
$0.00
...START HERE to select proper M&IE and Lodging allowances...
Family member Number Lodging M&IE GSA Domestic lodging/per diem rates
Employee or unaccompanied spouse $0.00 $0.00 http://www.gsa.gov/Portal/gsa/ep/contentView.do?contentId=17943&contentType=GSA_BASIC
Accompanying spouse 0 $0.00 $0.00
Other dependents are not entitled Househunting entitlements
to a Househunting Trip http://corporateservices.noaa.gov/~finance/RELO.html
Total per circumstance $0.00 $0.00
(Exception to SF-1012; Approved GSA 2-82)
Read link below before taking a house hunting trip.
http://corporateservices.noaa.gov/~finance/RELO.html
GSA website Part 302-5—Allowance for Househunting Trip Expenses
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelId=-24569&specialContentType=FTR&file=FTR/Chapter302p005.html#wp11215
Withholding Tax Allowance (WTA) is explained on relocation website at
http://corporateservices.noaa.gov/~finance/RELO.html
Use this website to update your banking/personal information.
https://www.nfc.usda.gov/personal/ep_warning.asp
You are required to drive an average of 300 miles per day, except the last day of travel.
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelId=-24569&specialContentType=FTR&file=FTR/Chapter302p004.html
GSA is responsible for the mileage reimbursement rate for using a POV for relocation purposes.
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelPage=%2Fep%2Fchannel%2FgsaOverview.jsp&channelId=-24648
GSA's State Tax Exemption Forms Overview - Tax exempt forms are provided in PDF and Word format. Not all states responded to the survey letter.
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=8203&channelPage=%2Fep%2Fchannel%2FgsaOverview.jsp&channelId=-16881
GSA's State Tax Letters -each state requests different documentation to be tax exempt
http://apps.fss.gsa.gov/services/gsa-smartpay/taxletter/index.cfm
Chapter 302—Relocation Allowances
Subchapter F —Miscellaneous Allowances
Part 302-16—Allowance for Miscellaneous Expenses
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelId=-24569&specialContentType=FTR&file=FTR/Chapter302p016.html
(Exception to SF-1012; Approved GSA 2-82)
02p005.html#wp1121582
02p004.html
urvey letter.
02p016.html
SECTION A IDENTIFICATION Settlement of Unexpired Lease FORM CD-370 U.S. DEPARTMENT OF COMMERCE
SOCIAL SECURITY NUMBER NAME (Last) (First) (Middle Initial) (Rev. 9-03)
N/A 0 TRAVEL VOUCHER
Bureau Code CD-29 TRAVEL ORDER DATES FOR TRAVEL EXPENSE TYPE RECLAIM AMOUNT MAILING ADDRESS OF CHECK
0 FROM THRU CODE INCLUDED SALARY CHECK ADDRESS
14
PURPOSE 6 mm/dd/yyyy mm/dd/yyyy 4 $ SPECIAL ADDRESS (Non-Government Traveler, New Hire, or Relocation)
ORGANIZATION OFFICIAL DUTY STATION (City and State) RESIDENT CITY AND STATE
0
SECTION B - TICKET COSTS BILLED DIRECTLY TO GOVERNMENT (Air,Rail,Bus,Ship)
AMOUNT VENDOR NUMBER OF CLASS EXPLANATION OF TRAVEL SECTION D - CLAIMS FINANCE USE
TRAVELERS FROM TO 1. PER DIEM
1. $ NO. DAYS
2. $ 2. MILEAGE
0
3. $ TOTAL MILES
4. $ 3. OTHER
TOTAL $ < TOTAL - SECTION B IMPORTANT: Return unused tickets to your travel services provider. TRAVEL
SECTION C - ACCOUNTING CLASSIFICATION CODE (Reimbursable Expense) 4. CAR RENTAL
(Distribute Total Claim Amount from Section D to the Applicable Accounting Classification Code(s) as Indicated on the Travel Order) (PAID BY TRAVELER)
FCFY PROJECT-TASK ORGANIZATION OBJECT CLASS CLAIM 5. COMMON CARRIER
(xxxx) (xxxxxx-xxx) (xx-xx-xxxx-xx-xx-xx-xx) (xx-xx-xx-xx) AMOUNT TRANSPORTATION
1 0 0 0 12-14-00-00 $0.00 6. ACTUAL SUBSISTENCE
2 NO. DAYS
3 0 0 0 12-16-00-00 $0.00 7. MISCELLANEOUS
4 EXPENSES
5 8. REAL ESTATE EXPENSES
$0.00
6 (FORM CD-371)
7 9. TEMPORARY QUARTERS
TOTAL CLAIM AMOUNT(This Block must Agree with Block 11) > $0.00 (FORM CD-372)
SECTION E - CERTIFICATIONS 10. RELOCATION INCOME
FRADULENT CLAIM - Falsification of an item in an expense account works a forfeiture of the claim (28 U.S.C. 2514) and may result in a TAX ALLOWANCE
()
fine of not more than $10,000 or imprisonment for not more than 5 years or both (18 U.S.C. 287; id. 1001)
CLAIMANT'S RESPONSIBILITIES AND SIGNATURE email address: @noaa.gov
I hereby assign to the United States any right I may have against any parties in connection with ( ) day worker CLAIMANT'S SIGNATURE 11. TOTAL CLAIM
reimbursable transportation charges described below, purchased under cash payment procedures (LINES 1 THRU 10) $0.00
(41 CFR 101-41.203-2). I certify this voucher is true and correct to the best of my knowledge and ( ) shift worker DATE WORK PHONE
belief, and that payment or credit has not been received by me. 12. TRAVEL ADVANCE
PRIVACY ACT NOTICE. The following information is provided to comply with the Privacy Act of 1974 home: AMOUNT OUTSTANDING
(P.L> 93-579). The information requested on this form is incurred by the employee and to claim other entitlements and cell phone:
allowances as prescribed in the Federal Travel Regulations (41CFR, Chapters 300-304). The information contained in this form will be used by Federal Agency officers and employees who 13. AMOUNT OF VOUCHER (LINE 11)
have a need for such information in the performance of their duties. Information will be transferred to appropriate Federal, State, local or foreign agencies, when relevant to civil, criminal, TO BE APPLIED TO OUTSTANDING
connection with the hiring or firing, or security clearance, or such other investigation of the performance of official duty in Government service. Failure to provide the information ADVANCE (LINE 12)
of the performance of official duty in Government service. Failure to provide the information required will result in delay or suspension of the employee's claim for reimbursement. 14. ADVANCE AMOUNT REPAID
APPROVING OFFICERS' RESPONSIBILITES AND SIGNATURE
In approving this voucher, I have determined that: APPROVING OFFICIAL SIGNATURE 15. REMAINING ADVANCE BALANCE
(1) Reimbursement is claimed for official travel only. (Line 11 minus Line 13 minus Line 14)
(2) Use of rental car, taxicab, or other special conveyance for which reimbursement is claimed is to the Governments advantage. NAME AND TITLE 16. NET TO TRAVELER
$0.00
(3) Long distance phone calls and supplies or equipment purchased are necessary and in the interest of the Government. 0 (Line 11 minus Line 13)
DATE PHONE AUDITED BY (Examiner's Initials) TOTAL
(X) CD-29 ATTACHED ( ) CD-29 SUBMITTED WITH PREVIOUS VOUCHER DIFFERENCE
DoD regulations would be one place of reference for you to find written details of what would be expected of you for lease breaking.
Ch 5: Permanent Duty Travel C5750-C5765
Part P: Real Estate Transaction & Unexpired Lease Expense Alws/Section 1: General 2/1/2009
http://www.defensetravel.dod.mil/perdiem/trvlregs.html
found in "Joint Travel Regulations - Volume 2" - "Chapters 1 - 7" - "C5762"
C5762 UNEXPIRED LEASE SETTLEMENT COST REIMBURSEMENT
A. Allowable Expenses. Expenses (including broker's fees for obtaining a sublease or charges for advertising an
unexpired lease) incurred for settling an unexpired lease (including month-to-month rental) on a residence occupied
by an employee at the old PDS are reimbursable when:
1. Applicable laws or the lease terms provide for payment of settlement expenses,
2. They cannot be avoided by subleasing or other arrangement,
3. The employee has not contributed to the expense (e.g., by failing to give appropriate lease termination notice
promptly after the employee is officially notified of the date of transfer), and
4. The broker's fees or advertising charges are not in excess of those customarily charged for comparable
services in that locality.
B. Claim Procedure. An employee must submit a claim IAW directions in the DODFMR, Volume 9
(http://www.dtic.mil/comptroller/fmr/) for reimbursement of costs incurred incident to settlement of an unexpired
lease. Rental penalty cost must not be allowed if, upon official notification of the date of transfer, the employee
could have avoided the expense by giving timely notice of intent to vacate. Allowable cost items are limited to
those payments made by the employee that represent unavoidable expense directly attributable to lease termination
prior to the expiration date. The total expenses amount must be entered on the voucher. The employee must be
prepared to provide the following documentation, a/an:
1. Copy of the lease prescribing penalties or other costs payable if occupancy is terminated prior to the lease
expiration date,
2. Statement of the extent of bona fide attempts made to avoid penalty costs if the lease includes a savings
provision for subleasing or making other arrangements to avoid penalty costs, and
3. Itemization of expenses and necessary explanations for clarification of penalty costs and paid receipts for
each expense item.
If lease breaking is not in your rental contract,
then another way to find your state's HUD laws would be to find a point of contact on this list.
Send a copy of your state's lease breaking law to your Relocation Specialist with your lease agreement and canceled check.
HUD's Local Office Directory
http://www.hud.gov/localoffices.cfm
SECTION A IDENTIFICATION CONUS TRAVEL FORM CD-370 U.S. DEPARTMENT OF COMMERCE
SOCIAL SECURITY NUMBER NAME (Last) (First) (Middle Initial) (Rev. 9-03)
N/A 0 TRAVEL VOUCHER
Bureau Code CD-29 TRAVEL ORDER DATES FOR TRAVEL EXPENSE TYPE RECLAIM AMOUNT MAILING ADDRESS OF CHECK
14 0 FROM THRU CODE INCLUDED SPECIAL ADDRESS (Non-Government Traveler, New Hire, or Relocation)
PURPOSE CODE 6 mm/dd/yyyy mm/dd/yyyy 4 $ ( ) YES NOAA Staff Directory has been updated with new duty station.
ORGANIZATION OFFICIAL DUTY STATION (City and State) RESIDENT CITY AND STATE
0
SECTION B - TICKET COSTS BILLED DIRECTLY TO GOVERNMENT (Air,Rail,Bus,Ship)
AMOUNT VENDOR NUMBER OF CLASS EXPLANATION OF TRAVEL SECTION D - CLAIMS FINANCE USE
TRAVELERS FROM TO 1. PER DIEM 0.00 $0.00
1. $ NO. DAYS
2. $ 2. MILEAGE 0 $0.00
3. $ TOTAL MILES
4. $ 3. OTHER $0.00
TOTAL $ < TOTAL - SECTION B IMPORTANT: Return unused tickets to your travel services provider. TRAVEL
SECTION C - ACCOUNTING CLASSIFICATION CODE (Reimbursable Expense) 4. CAR RENTAL $0.00
(Distribute Total Claim Amount from Section D to the Applicable Accounting Classification Code(s) as Indicated on the Travel Order) (PAID BY TRAVELER)
FCFY PROJECT-TASK ORGANIZATION OBJECT CLASS CLAIM 5. COMMON CARRIER $0.00
(xxxx) (xxxxxx-xxx) (xx-xx-xxxx-xx-xx-xx-xx) (xx-xx-xx-xx) AMOUNT TRANSPORTATION
1 0 0 0 21-40-00-00 $0.00 6. ACTUAL SUBSISTENCE 0.00 $0.00
2 NO. DAYS
3 0 0 0 12-16-00-00 $0.00 7. MISCELLANEOUS $0.00
4 EXPENSES
5 8. REAL ESTATE EXPENSES
6 (FORM CD-371)
7 9. TEMPORARY QUARTERS
TOTAL CLAIM AMOUNT(This Block must Agree with Block 11) > $0.00 (FORM CD-372)
SECTION E - CERTIFICATIONS 10. RELOCATION INCOME ()
FRADULENT CLAIM - Falsification of an item in an expense account works a forfeiture of the claim (28 U.S.C. 2514) and may result in a TAX ALLOWANCE
fine of not more than $10,000 or imprisonment for not more than 5 years or both (18 U.S.C. 287; id. 1001)
CLAIMANT'S RESPONSIBILITIES AND SIGNATURE email address: @noaa.gov
I hereby assign to the United States any right I may have against any parties in connection with ( ) day worker CLAIMANT'S SIGNATURE 11. TOTAL CLAIM $0.00
reimbursable transportation charges described below, purchased under cash payment procedures (LINES 1 THRU 10)
(41 CFR 101-41.203-2). I certify this voucher is true and correct to the best of my knowledge and belief, ( ) shift worker DATE WORK PHONE
and that payment or credit has not been received by me. 12. TRAVEL ADVANCE
PRIVACY ACT NOTICE. The following information is provided to comply with the Privacy Act of 1974 home: AMOUNT OUTSTANDING
(P.L> 93-579). The information requested on this form is incurred by the employee and to claim other entitlements and cell phone:
allowances as prescribed in the Federal Travel Regulation (41CFR, Chapters 300-304). The information contained in this form will be used by Federal Agency officers and employees who 13. AMOUNT OF VOUCHER (LINE 11)
have a need for such information in the performance of their duties. Information will be transferred to appropriate Federal, State, local or foreign agencies, when relevant to civil, criminal, TO BE APPLIED TO OUTSTANDING
connection with the hiring or firing, or security clearance, or such other investigation of the performance of official duty in Government service. Failure to provide the information ADVANCE (LINE 12)
of the performance of official duty in Government service. Failure to provide the information required will result in delay or suspension of the employee's claim for reimbursement. 14. ADVANCE AMOUNT REPAID
APPROVING OFFICERS' RESPONSIBILITES AND SIGNATURE
In approving this voucher, I have determined that: APPROVING OFFICIAL SIGNATURE 15. REMAINING ADVANCE BALANCE
(1) Reimbursement is claimed for official travel only. (Line 11 minus Line 13 minus Line 14)
(2) Use of rental car, taxicab, or other special conveyance for which reimbursement is claimed is to the Governments advantage. NAME AND TITLE 16. NET TO TRAVELER $0.00
(3) Long distance phone calls and supplies or equipment purchased are necessary and in the interest of the Government. 0 (Line 11 minus Line 13)
DATE PHONE AUDITED BY (Examiner's Initials) TOTAL
(X) CD-29 ATTACHED ( ) CD-29 SUBMITTED WITH PREVIOUS VOUCHER DIFFERENCE
SECTION A IDENTIFICATION OCONUS TRAVEL FORM CD-370 U.S. DEPARTMENT OF COMMERCE
SOCIAL SECURITY NUMBER NAME (Last) (First) (Middle Initial) (Rev. 9-03)
N/A Last, First M. TRAVEL VOUCHER
Bureau Code CD-29 TRAVEL ORDER DATES FOR TRAVEL EXPENSE TYPE RECLAIM AMOUNT MAILING ADDRESS OF CHECK
0 FROM THRU CODE INCLUDED SPECIAL ADDRESS (Non-Government Traveler, New Hire, or Relocation)
14
PURPOSE CODE 6 mm/dd/yyyy mm/dd/yyyy 4 $ ( ) YES NOAA Staff Directory has been updated with new duty station.
ORGANIZATION OFFICIAL DUTY STATION (City and State) RESIDENT CITY AND STATE
0
SECTION B - TICKET COSTS BILLED DIRECTLY TO GOVERNMENT (Air,Rail,Bus,Ship)
AMOUNT VENDOR NUMBER OF CLASS EXPLANATION OF TRAVEL SECTION D - CLAIMS FINANCE USE
TRAVELERS FROM TO 1. PER DIEM
0.00 $0.00
1. $ NO. DAYS
2. $ 2. MILEAGE
0 $0.00
3. $ TOTAL MILES
4. $ 3. OTHER
$0.00
TOTAL $ < TOTAL - SECTION B IMPORTANT: Return unused tickets to your travel services provider. TRAVEL
SECTION C - ACCOUNTING CLASSIFICATION CODE (Reimbursable Expense) 4. CAR RENTAL
$0.00
(Distribute Total Claim Amount from Section D to the Applicable Accounting Classification Code(s) as Indicated on the Travel Order) (PAID BY TRAVELER)
FCFY PROJECT-TASK ORGANIZATION OBJECT CLASS CLAIM 5. COMMON CARRIER
$0.00
(xxxx) (xxxxxx-xxx) (xx-xx-xxxx-xx-xx-xx-xx) (xx-xx-xx-xx) AMOUNT TRANSPORTATION
1 0 0 0 21-40-00-00 $0.00 6. ACTUAL SUBSISTENCE
0.00 $0.00
2 NO. DAYS
3 0 0 0 12-16-00-00 $0.00 7. MISCELLANEOUS
$0.00
4 EXPENSES
5 8. REAL ESTATE EXPENSES
6 (FORM CD-371)
7 9. TEMPORARY QUARTERS
TOTAL CLAIM AMOUNT(This Block must Agree with Block 11) > $0.00 (FORM CD-372)
SECTION E - CERTIFICATIONS 10. RELOCATION INCOME
FRADULENT CLAIM - Falsification of an item in an expense account works a forfeiture of the claim (28 U.S.C. 2514) and may result in a TAX ALLOWANCE
()
fine of not more than $10,000 or imprisonment for not more than 5 years or both (18 U.S.C. 287; id. 1001)
CLAIMANT'S RESPONSIBILITIES AND SIGNATURE email address: @noaa.gov
I hereby assign to the United States any right I may have against any parties in connection with ( ) day worker CLAIMANT'S SIGNATURE 11. TOTAL CLAIM
reimbursable transportation charges described below, purchased under cash payment procedures (LINES 1 THRU 10) $0.00
(41 CFR 101-41.203-2). I certify this voucher is true and correct to the best of my knowledge and belief, ( ) shift worker DATE WORK PHONE
and that payment or credit has not been received by me. 12. TRAVEL ADVANCE
PRIVACY ACT NOTICE. The following information is provided to comply with the Privacy Act of 1974 home phone: AMOUNT OUTSTANDING
(P.L> 93-579). The information requested on this form is incurred by the employee and to claim other entitlements and cell phone:
allowances as prescribed in the Federal Travel Regulation (41CFR, Chapters 300-304). The information contained in this form will be used by Federal Agency officers and employees who 13. AMOUNT OF VOUCHER (LINE 11)
have a need for such information in the performance of their duties. Information will be transferred to appropriate Federal, State, local or foreign agencies, when relevant to civil, criminal, TO BE APPLIED TO OUTSTANDING
connection with the hiring or firing, or security clearance, or such other investigation of the performance of official duty in Government service. Failure to provide the information ADVANCE (LINE 12)
of the performance of official duty in Government service. Failure to provide the information required will result in delay or suspension of the employee's claim for reimbursement. 14. ADVANCE AMOUNT REPAID
APPROVING OFFICERS' RESPONSIBILITES AND SIGNATURE
In approving this voucher, I have determined that: APPROVING OFFICIAL SIGNATURE 15. REMAINING ADVANCE BALANCE
(1) Reimbursement is claimed for official travel only. (Line 11 minus Line 13 minus Line 14)
(2) Use of rental car, taxicab, or other special conveyance for which reimbursement is claimed is to the Governments advantage. NAME AND TITLE 16. NET TO TRAVELER
$0.00
(3) Long distance phone calls and supplies or equipment purchased are necessary and in the interest of the Government. (Line 11 minus Line 13)
DATE PHONE AUDITED BY (Examiner's Initials) TOTAL
(X) CD-29 ATTACHED ( ) CD-29 SUBMITTED WITH PREVIOUS VOUCHER DIFFERENCE
SECTION A IDENTIFICATION Employee and spouse separate en route FORM CD-370 U.S. DEPARTMENT OF COMMERCE
SOCIAL SECURITY NUMBER NAME (Last) (First) (Middle Initial) (Rev. 9-03)
N/A 0 TRAVEL VOUCHER
Bureau Code CD-29 TRAVEL ORDER DATES FOR TRAVEL EXPENSE TYPE RECLAIM AMOUNT MAILING ADDRESS OF CHECK
0 FROM THRU CODE INCLUDED SPECIAL ADDRESS (Non-Government Traveler, New Hire, or Relocation)
14
PURPOSE CODE 6 mm/dd/yyyy mm/dd/yyyy 4 $ ( ) YES NOAA Staff Directory has been updated with new duty station.
ORGANIZATION OFFICIAL DUTY STATION (City and State) RESIDENT CITY AND STATE
0 0 0
SECTION B - TICKET COSTS BILLED DIRECTLY TO GOVERNMENT (Air,Rail,Bus,Ship)
AMOUNT VENDOR NUMBER OF CLASS EXPLANATION OF TRAVEL SECTION D - CLAIMS FINANCE USE
TRAVELERS FROM TO 1. PER DIEM
0.00 $0.00
1. $ NO. DAYS
2. $ 2. MILEAGE
0 $0.00
3. $ TOTAL MILES
4. $ 3. OTHER
$0.00
TOTAL $ < TOTAL - SECTION B IMPORTANT: Return unused tickets to your travel services provider. TRAVEL
SECTION C - ACCOUNTING CLASSIFICATION CODE (Reimbursable Expense) 4. CAR RENTAL
$0.00
(Distribute Total Claim Amount from Section D to the Applicable Accounting Classification Code(s) as Indicated on the Travel Order) (PAID BY TRAVELER)
FCFY PROJECT-TASK ORGANIZATION OBJECT CLASS CLAIM 5. COMMON CARRIER
$0.00
(xxxx) (xxxxxx-xxx) (xx-xx-xxxx-xx-xx-xx-xx) (xx-xx-xx-xx) AMOUNT TRANSPORTATION
1 0 0 0 21-40-00-00 $0.00 6. ACTUAL SUBSISTENCE
0.00 $0.00
2 NO. DAYS
3 0 0 0 12-16-00-00 $0.00 7. MISCELLANEOUS
$0.00
4 EXPENSES
5 8. REAL ESTATE EXPENSES
6 (FORM CD-371)
7 9. TEMPORARY QUARTERS
TOTAL CLAIM AMOUNT(This Block must Agree with Block 11) > $0.00 (FORM CD-372)
SECTION E - CERTIFICATIONS 10. RELOCATION INCOME
FRADULENT CLAIM - Falsification of an item in an expense account works a forfeiture of the claim (28 U.S.C. 2514) and may result in a TAX ALLOWANCE
()
fine of not more than $10,000 or imprisonment for not more than 5 years or both (18 U.S.C. 287; id. 1001)
CLAIMANT'S RESPONSIBILITIES AND SIGNATURE email address: @noaa.gov
I hereby assign to the United States any right I may have against any parties in connection with ( ) day worker CLAIMANT'S SIGNATURE 11. TOTAL CLAIM
reimbursable transportation charges described below, purchased under cash payment procedures (LINES 1 THRU 10) $0.00
(41 CFR 101-41.203-2). I certify this voucher is true and correct to the best of my knowledge and belief, ( ) shift worker DATE WORK PHONE
and that payment or credit has not been received by me. 0 12. TRAVEL ADVANCE
PRIVACY ACT NOTICE. The following information is provided to comply with the Privacy Act of 1974 home: AMOUNT OUTSTANDING
(P.L> 93-579). The information requested on this form is incurred by the employee and to claim other entitlements and cell phone:
allowances as prescribed in the Federal Travel Regulation (41CFR, Chapters 300-304). The information contained in this form will be used by Federal Agency officers and employees who 13. AMOUNT OF VOUCHER (LINE 11)
have a need for such information in the performance of their duties. Information will be transferred to appropriate Federal, State, local or foreign agencies, when relevant to civil, criminal, TO BE APPLIED TO OUTSTANDING
connection with the hiring or firing, or security clearance, or such other investigation of the performance of official duty in Government service. Failure to provide the information ADVANCE (LINE 12)
of the performance of official duty in Government service. Failure to provide the information required will result in delay or suspension of the employee's claim for reimbursement. 14. ADVANCE AMOUNT REPAID
APPROVING OFFICERS' RESPONSIBILITES AND SIGNATURE
In approving this voucher, I have determined that: APPROVING OFFICIAL SIGNATURE 15. REMAINING ADVANCE BALANCE
(1) Reimbursement is claimed for official travel only. (Line 11 minus Line 13 minus Line 14)
(2) Use of rental car, taxicab, or other special conveyance for which reimbursement is claimed is to the Governments advantage. NAME AND TITLE 16. NET TO TRAVELER
$0.00
(3) Long distance phone calls and supplies or equipment purchased are necessary and in the interest of the Government. 0 (Line 11 minus Line 13)
DATE PHONE AUDITED BY (Examiner's Initials) TOTAL
(X) CD-29 ATTACHED ( ) CD-29 SUBMITTED WITH PREVIOUS VOUCHER 0 DIFFERENCE
0 FORM CD-370
(Rev. 9-03) SCHEDULE OF EXPENSES AND AMOUNTS CLAIMED U.S. DEPARTMENT OF COMMERCE
CONUS TRAVEL DATES > MO DAY MO DAY MO DAY MO DAY MO DAY MO DAY MO DAY MO DAY MO DAY MO DAY MO DAY
TOTALS
F CITY AND
R STATE
ITINERARY
O TIME (AM OR PM)
TRANSFER THESE TOTALS TO SECTION
M CARRIER D ON VOUCHER FRONT. IF ADDITIONAL
DAYS ARE REQUIRED,USE
FLIGHT NUMBER CONTINUATION SHEET (FORM CD-370A)
T CITY AND
O STATE
TIME (AM OR PM)
M&IE $0.00 $0.00 1. NO. OF DAYS 0.00
1. PER DIEM LODGING AMOUNT
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
TOTAL PER DIEM
CLAIM $
$0.00
TOTAL
2. TOTAL MILES
MILEAGE 0 0 0
2. POV TOTAL MILEAGE
CENTS PER MILE $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00
AMOUNT AMOUNT $
3. OTHER PARKING, TOLLS, HOTEL TAXES, ETC. $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 3. TOTAL OTHER
TRAVEL TRAVEL
STORAGE OF HOUSEHOLD GOODS TOTAL WEIGHT OF GOODS> ACTUAL CHARGES > $ COMMUTED RATE > $ CLAIM LESSER AMOUNT $0.00
(Receipt and Car Rental Agreement 4. TOTAL CAR
4. CAR RENTAL
Required) $0.00 RENTAL $0.00
PLANE, BUS, TRAIN (Paid by AMOUNT
Traveler) (Receipt Required)
$0.00
$0.00
NO. OF TRIPS
5. COMMON TAXI, LIMO, LOCAL BUS,
CARRIER SUBWAY DAILY EXPENSE $0.00
$0.00
TRANSPORTATION OF HOUSEHOLD GOODS -- TOTAL WEIGHT OF GOODS COMMUTED RATE TOTAL
ADDITIONAL TOTAL TRANSPORTATION OF
5. TOTAL COMMON CARRIER
PAID BY TRAVELER SHIPPED ALLOWANCES HOUSEHOLD GOODS
(Weight Cert. or Bill of Lading Required)
$0.00 $0.00 $0.00
BREAKFAST (Include Tips)
LUNCH (Include Tips)
DINNER (Include Tips)
6. ACTUAL LODGING (Receipt Required)
6. TOTAL NO. DAYS
SUBSIS- TENCE
TIPS (Porter, etc.)
OTHER (Laundry, etc.) 0
TOTAL ( Cannot exceed amount TOTAL ACTUAL SUBSISTANCE
authorized. See DOC Travel Handbook) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
MISCELLANEOUS EXPENSES #1216 7. TOTAL MISC.
7. MISCELLA-
NEOUS (Supplies, Telephone, Laundry, etc.)
EXPENSES Misc Exp $500/$1000 $0.00
...START HERE to select proper M&IE and Lodging allowances...
Family member Number Lodging M&IE GSA Domestic lodging/per diem rates
Employee or unaccompanied spouse $0.00 $0.00 http://www.gsa.gov/Portal/gsa/ep/contentView.do?contentId=17943&contentType=GSA_BASIC
Accompanying spouse 0 $0.00 $0.00
Child 12 years and older 0 $0.00 $0.00 Relocation entitlements
Child under 12 years 0 $0.00 $0.00 http://corporateservices.noaa.gov/~finance/RELO.html
Total per circumstance $0.00 $0.00
Last, First M. FORM CD-370
(Rev. 9-03) SCHEDULE OF EXPENSES AND AMOUNTS CLAIMED
U.S. DEPARTMENT OF COMMERCE
OCONUS TRAVEL MO DAY MO DAY MO DAY MO DAY MO DAY MO DAY MO DAY MO DAY MO DAY MO DAY MO DAY
DATES > TOTALS
F CITY AND
R STATE
ITINERARY
O TIME (AM OR PM)
TRANSFER THESE TOTALS TO SECTION
M CARRIER D ON VOUCHER FRONT. IF ADDITIONAL
DAYS ARE REQUIRED,USE
FLIGHT NUMBER CONTINUATION SHEET (FORM CD-370A)
T CITY AND
O STATE
TIME (AM OR PM)
M&IE $0.00 $0.00 1. NO. OF DAYS 0.00
1. PER DIEM LODGING AMOUNT
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
TOTAL PER DIEM
CLAIM $
$0.00
TOTAL
2. TOTAL MILES
MILEAGE 0 0 0 0 0 0 0 0 0 0 0 0
2. POV TOTAL MILEAGE
CENTS PER MILE $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00
AMOUNT AMOUNT $
3. OTHER PARKING, TOLLS, HOTEL TAXES, ETC. $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 3. TOTAL OTHER
TRAVEL TRAVEL
STORAGE OF HOUSEHOLD GOODS TOTAL WEIGHT OF GOODS> ACTUAL CHARGES > $ COMMUTED RATE > $ CLAIM LESSER AMOUNT $0.00
(Receipt and Car Rental Agreement 4. TOTAL CAR
4. CAR RENTAL $0.00
Required) $0.00 RENTAL
PLANE, BUS, TRAIN (Paid by AMOUNT
Traveler) (Receipt Required)
$0.00
$0.00
NO. OF TRIPS
5. COMMON TAXI, LIMO, LOCAL BUS,
CARRIER SUBWAY DAILY EXPENSE $0.00
$0.00
TRANSPORTATION OF HOUSEHOLD GOODS -- TOTAL WEIGHT OF GOODS COMMUTED RATE TOTAL
ADDITIONAL TOTAL TRANSPORTATION OF
5. TOTAL COMMON CARRIER
PAID BY TRAVELER SHIPPED ALLOWANCES HOUSEHOLD GOODS
(Weight Cert. or Bill of Lading Required)
$0.00 $0.00 $0.00
BREAKFAST (Include Tips)
LUNCH (Include Tips)
DINNER (Include Tips)
6. ACTUAL LODGING (Receipt Required)
6. TOTAL NO. DAYS
SUBSIS- TENCE
TIPS (Porter, etc.)
OTHER (Laundry, etc.)
TOTAL ( Cannot exceed amount TOTAL ACTUAL SUBSISTANCE
authorized. See DOC Travel Handbook) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
MISCELLANEOUS EXPENSES #1216 7. TOTAL MISC.
7. MISCELLA-
NEOUS ( Supplies, Telephone, Laundry, etc.)
EXPENSES Misc Exp $500/$1000 $0.00
...START HERE to select proper M&IE and Lodging allowances...
Family member Number Lodging M&IE GSA rates for Alaska, Hawaii, Canada, Mexico and Puerto Rico
Employee or unaccompanied spouse $0.00 $0.00 http://perdiem.hqda.pentagon.mil/perdiem/perdiemrates.html
Accompanying spouse 0 $0.00 $0.00 GSA Domestic lodging/per diem rates
Child 12 years and older 0 $0.00 $0.00 http://www.gsa.gov/Portal/gsa/ep/contentView.do?contentId=17943&contentType=GSA_BASIC
Child under 12 years 0 $0.00 $0.00 Relocation entitlements
Total per circumstance $0.00 $0.00 http://corporateservices.noaa.gov/~finance/RELO.html
FORM CD-370
0 (Rev. 9-03) SCHEDULE OF EXPENSES AND AMOUNTS CLAIMED U.S. DEPARTMENT OF COMMERCE
Employee/Spouse separate en route DATES
MO DAY MO DAY MO DAY MO DAY MO DAY MO DAY MO DAY MO DAY MO DAY MO DAY MO DAY
> TOTALS
F CITY AND
R STATE
ITINERARY
O TIME (AM OR PM)
TRANSFER THESE TOTALS TO SECTION
M CARRIER D ON VOUCHER FRONT. IF ADDITIONAL
DAYS ARE REQUIRED,USE
FLIGHT NUMBER CONTINUATION SHEET (FORM CD-370A)
T CITY AND
O STATE
TIME (AM OR PM)
M&IE $0.00 $0.00 1. NO. OF DAYS 0.00
1. PER DIEM LODGING AMOUNT
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
TOTAL PER DIEM
CLAIM $
$0.00
TOTAL
2. TOTAL MILES
MILEAGE 0 0 0 0 0 0 0 0 0 0 0 0
2. POV TOTAL MILEAGE
CENTS PER MILE $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00
AMOUNT AMOUNT $
3. OTHER PARKING, TOLLS, HOTEL TAXES, ETC. $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 3. TOTAL OTHER
TRAVEL TRAVEL
STORAGE OF HOUSEHOLD GOODS TOTAL WEIGHT OF GOODS> ACTUAL CHARGES > $ COMMUTED RATE > $ CLAIM LESSER AMOUNT $0.00
(Receipt and Car Rental Agreement 4. TOTAL CAR
4. CAR RENTAL
Required)
RENTAL $0.00
PLANE, BUS, TRAIN (Paid by AMOUNT
Traveler) (Receipt Required)
$0.00
NO. OF TRIPS
5. COMMON TAXI, LIMO, LOCAL BUS,
CARRIER SUBWAY DAILY EXPENSE
$0.00
TRANSPORTATION OF HOUSEHOLD GOODS -- TOTAL WEIGHT OF GOODS ADDITIONAL TOTAL TRANSPORTATION OF
COMMUTED RATE TOTAL 5. TOTAL COMMON CARRIER
PAID BY TRAVELER SHIPPED ALLOWANCES HOUSEHOLD GOODS
(Weight Cert. or Bill of Lading Required)
$0.00 $0.00 $0.00
BREAKFAST (Include Tips)
LUNCH (Include Tips)
DINNER (Include Tips)
6. ACTUAL LODGING (Receipt Required)
6. TOTAL NO. DAYS
SUBSIS- TENCE
TIPS (Porter, etc.)
OTHER (Laundry, etc.) 0
TOTAL ( Cannot exceed amount TOTAL ACTUAL SUBSISTANCE
authorized. See DOC Travel Handbook) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
MISCELLANEOUS EXPENSES #1216 7. TOTAL MISC.
7. MISCELLA-
NEOUS (Supplies, Telephone, Laundry, etc.)
EXPENSES Misc Exp $500/$1000 $0.00
...START HERE to select proper M&IE and Lodging allowances...
Family member Number Lodging M&IE GSA Domestic lodging/per diem rates
Employee or unaccompanied spouse $0.00 $0.00 http://www.gsa.gov/Portal/gsa/ep/contentView.do?contentId=17943&contentType=GSA_BASIC
Accompanying spouse 0 $0.00 $0.00 GSA rates for Alaska, Hawaii, Canada, Mexico and Puerto Rico
Child 12 years and older 0 $0.00 $0.00 http://perdiem.hqda.pentagon.mil/perdiem/perdiemrates.html
Child under 12 years 0 $0.00 $0.00 Relocation entitlements
Total per circumstance $0.00 $0.00 http://corporateservices.noaa.gov/~finance/RELO.html
Please check NOAA Staff Directory to make sure your new duty station has been updated.
https://nsd.rdc.noaa.gov/nsd/moreinfo
Withholding Tax Allowance (WTA) is explained on relocation website at
http://corporateservices.noaa.gov/~finance/RELO.html
Use this website to update your banking/personal information.
https://www.nfc.usda.gov/personal/ep_warning.asp
You are required to drive an average of 300 miles per day, except the last day of travel.
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelId=-24569&specialContentType=FTR&file=FTR/Chapter302p004.html
GSA is responsible for the mileage reimbursement rate for using a POV for relocation purposes.
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelPage=%2Fep%2Fchannel%2FgsaOverview.jsp&channelId=-24648
GSA's State Tax Exemption Forms Overview - Tax exempt forms are provided in PDF and Word format. Not all states responded to the survey letter.
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=8203&channelPage=%2Fep%2Fchannel%2FgsaOverview.jsp&channelId=-16881
GSA's State Tax Letters -each state requests different documentation to be tax exempt
http://apps.fss.gsa.gov/services/gsa-smartpay/taxletter/index.cfm
Chapter 302—Relocation Allowances
Subchapter F —Miscellaneous Allowances
Part 302-16—Allowance for Miscellaneous Expenses
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelId=-24569&specialContentType=FTR&file=FTR/Chapter302p016.html
Please check NOAA Staff Directory to make sure your new duty station has been updated.
https://nsd.rdc.noaa.gov/nsd/moreinfo
Withholding Tax Allowance (WTA) is explained on relocation website at
http://corporateservices.noaa.gov/~finance/RELO.html
Use this website to update your banking/personal information.
https://www.nfc.usda.gov/personal/ep_warning.asp
You are required to drive an average of 300 miles per day, except the last day of travel.
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelId=-24569&specialContentType=FTR&file=FTR/Chapter302p004.html
GSA is responsible for the mileage reimbursement rate for using a POV for relocation purposes.
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelPage=%2Fep%2Fchannel%2FgsaOverview.jsp&channelId=-24648
GSA's State Tax Exemption Forms Overview - Tax exempt forms are provided in PDF and Word format. Not all states responded to the survey letter.
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=8203&channelPage=%2Fep%2Fchannel%2FgsaOverview.jsp&channelId=-16881
GSA's State Tax Letters -each state requests different documentation to be tax exempt
http://apps.fss.gsa.gov/services/gsa-smartpay/taxletter/index.cfm
Chapter 302—Relocation Allowances
Subchapter F —Miscellaneous Allowances
Part 302-16—Allowance for Miscellaneous Expenses
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelId=-24569&specialContentType=FTR&file=FTR/Chapter302p016.html
Withholding Tax Allowance (WTA) is explained on relocation website at
http://corporateservices.noaa.gov/~finance/RELO.html
Use this website to update your banking/personal information.
https://www.nfc.usda.gov/personal/ep_warning.asp
You are required to drive an average of 300 miles per day, except the last day of travel.
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelId=-24569&specialContentType=FTR&file=FTR/Chapter302p004.html
GSA is responsible for the mileage reimbursement rate for using a POV for relocation purposes.
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelPage=%2Fep%2Fchannel%2FgsaOverview.jsp&channelId=-24648
GSA's State Tax Exemption Forms Overview - Tax exempt forms are provided in PDF and Word format. Not all states responded to the survey letter.
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=8203&channelPage=%2Fep%2Fchannel%2FgsaOverview.jsp&channelId=-16881
GSA's State Tax Letters -each state requests different documentation to be tax exempt
http://apps.fss.gsa.gov/services/gsa-smartpay/taxletter/index.cfm
Chapter 302—Relocation Allowances
Subchapter F —Miscellaneous Allowances
Part 302-16—Allowance for Miscellaneous Expenses
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelId=-24569&specialContentType=FTR&file=FTR/Chapter302p016.html
p004.html
vey letter.
p016.html
p004.html
vey letter.
p016.html
p004.html
vey letter.
p016.html
FORM CD-372 U.S. DEPARTMENT OF COMMERCE Name Per diem in travel status ended
(REV. 3-85) LF Date Time
DAO-204-1 0
1/0/1900 0:00
Entered temporary quarters Location of temporary quarters
EXPENSE RECORD FOR Date Time
0
TEMPORARY QUARTERS 1/0/1900
REPORTING DATE ON OR AFTER Vacated temporary quarters Number in temporary quarters
November 14, 1983 Date Time Employee Family Members
1 0
FIRST 30-DAY PERIOD DATE LODGING MEALS OTHER TOTAL
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
Expenses during first 30 day period $0.00 $0.00 $0.00 $0.00
Maximum allowance for the month 30 DAYS X TOTAL$ $0.00 Amount $0.00
...START HERE to select proper Lodging and M&IE allowances…
Figuring Maximum Allowance
Family member Number Lodging M&IE Amount claimed $0.00
Employee or unaccompanied spouse $0.00 $0.00 First 30-day period
Accompanying spouse 0 $0.00 $0.00
How many Children 12 years and older 0 $0.00 $0.00 Amount claimed
How many Children under 12 years 0 $0.00 $0.00 Second 30-day period
Total per circumstance $0.00 $0.00 (Total from back page)
Total for Maximum Allowance $0.00
I certify that the subsistence expenses, as provided in the Federal Travel Regulation (FTR), for which reimbursement is herein claimed, were incurred during
occupancy of temporary quarters by myself, my family or both, and that the time spent in such temporary quarters was the minimum needed to enable me to
obtain and occupy permanent quarters.
Signature of employee Date
Employee/spouse have different en route. They have entered into First 30 Days Temp Quarters at different times.
FORM CD-372 U.S. DEPARTMENT OF COMMERCE Name Per diem in travel status ended
(REV. 3-85) LF Date Time
DAO-204-1 0
1/0/1900 0:00
Entered temporary quarters Location of temporary quarters
EXPENSE RECORD FOR Date Time
0
TEMPORARY QUARTERS 1/0/1900
REPORTING DATE ON OR AFTER Vacated temporary quarters Number in temporary quarters
November 14, 1983 Date Time Employee Family Members
0 0
FIRST 30-DAY PERIOD DATE LODGING MEALS OTHER TOTAL
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
Expenses during first 30 day period $0.00 $0.00 $0.00 $0.00
Maximum allowance for the month 30 DAYS X TOTAL$ $0.00 Amount $0.00
...START HERE to select proper Lodging and M&IE allowances…
Figuring Maximum Allowance
Family member Number Lodging M&IE Amount claimed
$0.00
Employee or unaccompanied spouse $0.00 $0.00 First 30-day period
Accompanying spouse 0 $0.00 $0.00
How many Children 12 years and older 0 $0.00 $0.00 Amount claimed
How many Children under 12 years 0 $0.00 $0.00 Second 30-day period
Total per circumstance $0.00 $0.00 (Total from back page)
Total for Maximum Allowance $0.00
I certify that the subsistence expenses, as provided in the Federal Travel Regulation (FTR), for which reimbursement is herein claimed, were incurred during
occupancy of temporary quarters by myself, my family or both, and that the time spent in such temporary quarters was the minimum needed to enable me to
obtain and occupy permanent quarters.
Signature of employee Date
SECTION A IDENTIFICATION First 30 Days Temp Quarters FORM CD-370 U.S. DEPARTMENT OF COMMERCE
SOCIAL SECURITY NUMBER NAME (Last) (First) (Middle Initial) (Rev. 9-03)
N/A 0 TRAVEL VOUCHER
Bureau Code CD-29 TRAVEL ORDER DATES FOR TRAVEL EXPENSE TYPE RECLAIM AMOUNT MAILING ADDRESS OF CHECK
0 FROM THRU CODE INCLUDED SALARY CHECK ADDRESS
14
PURPOSE 6 1/0/1900 1/0/1900 4 $ SPECIAL ADDRESS (Non-Government Traveler or New Hire)
ORGANIZATION OFFICIAL DUTY STATION (City and State) RESIDENT CITY AND STATE
0 0 0
SECTION B - TICKET COSTS BILLED DIRECTLY TO GOVERNMENT (Air,Rail,Bus,Ship)
AMOUNT VENDOR NUMBER OF CLASS EXPLANATION OF TRAVEL SECTION D - CLAIMS FINANCE USE
TRAVELERS FROM TO 1. PER DIEM
1. $ NO. DAYS
2. $ 2. MILEAGE
3. $ TOTAL MILES
4. $ 3. OTHER
TOTAL $ < TOTAL - SECTION B IMPORTANT: Return unused tickets to your travel services provider. TRAVEL
SECTION C - ACCOUNTING CLASSIFICATION CODE (Reimbursable Expense) 4. CAR RENTAL
(Distribute Total Claim Amount from Section D to the Applicable Accounting Classification Code(s) as Indicated on the Travel Order) (PAID BY TRAVELER)
FCFY PROJECT-TASK ORGANIZATION OBJECT CLASS CLAIM 5. COMMON CARRIER
(xxxx) (xxxxxx-xxx) (xx-xx-xxxx-xx-xx-xx-xx) (xx-xx-xx-xx) AMOUNT TRANSPORTATION
1 0 0 0 12-09-00-00 $0.00 6. ACTUAL SUBSISTENCE
2 NO. DAYS
3 7. MISCELLANEOUS
4 EXPENSES
5 8. REAL ESTATE EXPENSES
6 (FORM CD-371)
7 9. TEMPORARY QUARTERS
$0.00
TOTAL CLAIM AMOUNT(This Block must Agree with Block 11) > $0.00 (FORM CD-372)
SECTION E - CERTIFICATIONS 10. RELOCATION INCOME
FRADULENT CLAIM - Falsification of an item in an expense account works a forfeiture of the claim (28 U.S.C. 2514) and may result in a TAX ALLOWANCE
fine of not more than $10,000 or imprisonment for not more than 5 years or both (18 U.S.C. 287; id. 1001)
CLAIMANT'S RESPONSIBILITIES AND SIGNATURE email address: @noaa.gov ( )
CLAIMANT'S SIGNATURE
I hereby assign to the United States any right I may have against any parties in connection with ( ) day worker 11. TOTAL CLAIM
reimbursable transportation charges described below, purchased under cash payment procedures (LINES 1 THRU 10) $0.00
(41 CFR 101-41.203-2). I certify this voucher is true and correct to the best of my knowledge and belief, ( ) shift worker DATE WORK PHONE
and that payment or credit has not been received by me. 0 12. TRAVEL ADVANCE
PRIVACY ACT NOTICE. The following information is provided to comply with the Privacy Act of 1974 home: AMOUNT OUTSTANDING
(P.L> 93-579). The information requested on this form is incurred by the employee and to claim other entitlements and cell phone:
allowances as prescribed in the Federal Travel Regulation (41CFR, Chapters 300-304). The information contained in this form will be used by Federal Agency officers and employees who 13. AMOUNT OF VOUCHER (LINE 11)
have a need for such information in the performance of their duties. Information will be transferred to appropriate Federal, State, local or foreign agencies, when relevant to civil, criminal, TO BE APPLIED TO OUTSTANDING
connection with the hiring or firing, or security clearance, or such other investigation of the performance of official duty in Government service. Failure to provide the information ADVANCE (LINE 12)
of the performance of official duty in Government service. Failure to provide the information required will result in delay or suspension of the employee's claim for reimbursement. 14. ADVANCE AMOUNT REPAID
APPROVING OFFICERS' RESPONSIBILITES AND SIGNATURE
In approving this voucher, I have determined that: APPROVING OFFICIAL SIGNATURE 15. REMAINING ADVANCE BALANCE
(1) Reimbursement is claimed for official travel only. (Line 11 minus Line 13 minus Line 14)
(2) Use of rental car, taxicab, or other special conveyance for which reimbursement is claimed is to the Governments advantage. NAME AND TITLE 16. NET TO TRAVELER
$0.00
(3) Long distance phone calls and supplies or equipment purchased are necessary and in the interest of the Government. 0 (Line 11 minus Line 13)
DATE PHONE AUDITED BY TOTAL
(X) CD-29 ATTACHED ( ) CD-29 SUBMITTED WITH PREVIOUS VOUCHER 0 (Examiner's Initials) DIFFERENCE
Employee and spouse separate First 30 Days Temp Quarters
SECTION A IDENTIFICATION FORM CD-370 U.S. DEPARTMENT OF COMMERCE
SOCIAL SECURITY NUMBER NAME (Last) (First) (Middle Initial) (Rev. 9-03)
N/A 0 TRAVEL VOUCHER
Bureau Code CD-29 TRAVEL ORDER DATES FOR TRAVEL EXPENSE TYPE RECLAIM AMOUNT MAILING ADDRESS OF CHECK
0 FROM THRU CODE INCLUDED SALARY CHECK ADDRESS
14
PURPOSE 6 1/0/1900 1/0/1900 4 $ SPECIAL ADDRESS (Non-Government Traveler or New Hire)
ORGANIZATION OFFICIAL DUTY STATION (City and State) RESIDENT CITY AND STATE
0 0 0
SECTION B - TICKET COSTS BILLED DIRECTLY TO GOVERNMENT (Air,Rail,Bus,Ship)
AMOUNT VENDOR NUMBER OF CLASS EXPLANATION OF TRAVEL SECTION D - CLAIMS FINANCE USE
TRAVELERS FROM TO 1. PER DIEM
1. $ NO. DAYS
2. $ 2. MILEAGE
3. $ TOTAL MILES
4. $ 3. OTHER
TOTAL $ < TOTAL - SECTION B IMPORTANT: Return unused tickets to your travel services provider. TRAVEL
SECTION C - ACCOUNTING CLASSIFICATION CODE (Reimbursable Expense) 4. CAR RENTAL
(Distribute Total Claim Amount from Section D to the Applicable Accounting Classification Code(s) as Indicated on the Travel Order) (PAID BY TRAVELER)
FCFY PROJECT-TASK ORGANIZATION OBJECT CLASS CLAIM 5. COMMON CARRIER
(xxxx) (xxxxxx-xxx) (xx-xx-xxxx-xx-xx-xx-xx) (xx-xx-xx-xx) AMOUNT TRANSPORTATION
1 0 0 0 12-09-00-00 $0.00 6. ACTUAL SUBSISTENCE
2 NO. DAYS
3 7. MISCELLANEOUS
4 EXPENSES
5 8. REAL ESTATE EXPENSES
6 (FORM CD-371)
7 9. TEMPORARY QUARTERS
$0.00
TOTAL CLAIM AMOUNT(This Block must Agree with Block 11) > $0.00 (FORM CD-372)
SECTION E - CERTIFICATIONS 10. RELOCATION INCOME
FRADULENT CLAIM - Falsification of an item in an expense account works a forfeiture of the claim (28 U.S.C. 2514) and may result in a TAX ALLOWANCE
fine of not more than $10,000 or imprisonment for not more than 5 years or both (18 U.S.C. 287; id. 1001)
CLAIMANT'S RESPONSIBILITIES AND SIGNATURE email address: @noaa.gov ( )
CLAIMANT'S SIGNATURE
I hereby assign to the United States any right I may have against any parties in connection with ( ) day worker 11. TOTAL CLAIM
reimbursable transportation charges described below, purchased under cash payment procedures (LINES 1 THRU 10) $0.00
(41 CFR 101-41.203-2). I certify this voucher is true and correct to the best of my knowledge and belief, ( ) shift worker DATE WORK PHONE
and that payment or credit has not been received by me. 0 12. TRAVEL ADVANCE
PRIVACY ACT NOTICE. The following information is provided to comply with the Privacy Act of 1974 home: AMOUNT OUTSTANDING
(P.L> 93-579). The information requested on this form is incurred by the employee and to claim other entitlements and cell phone:
allowances as prescribed in the Federal Travel Regulation (41CFR, Chapters 300-304). The information contained in this form will be used by Federal Agency officers and employees who 13. AMOUNT OF VOUCHER (LINE 11)
have a need for such information in the performance of their duties. Information will be transferred to appropriate Federal, State, local or foreign agencies, when relevant to civil, criminal, TO BE APPLIED TO OUTSTANDING
connection with the hiring or firing, or security clearance, or such other investigation of the performance of official duty in Government service. Failure to provide the information ADVANCE (LINE 12)
of the performance of official duty in Government service. Failure to provide the information required will result in delay or suspension of the employee's claim for reimbursement. 14. ADVANCE AMOUNT REPAID
APPROVING OFFICERS' RESPONSIBILITES AND SIGNATURE
In approving this voucher, I have determined that: APPROVING OFFICIAL SIGNATURE 15. REMAINING ADVANCE BALANCE
(1) Reimbursement is claimed for official travel only. (Line 11 minus Line 13 minus Line 14)
(2) Use of rental car, taxicab, or other special conveyance for which reimbursement is claimed is to the Governments advantage. NAME AND TITLE 16. NET TO TRAVELER
$0.00
(3) Long distance phone calls and supplies or equipment purchased are necessary and in the interest of the Government. 0 (Line 11 minus Line 13)
DATE PHONE AUDITED BY TOTAL
(X) CD-29 ATTACHED ( ) CD-29 SUBMITTED WITH PREVIOUS VOUCHER 0 (Examiner's Initials) DIFFERENCE
Withholding Tax Allowance (WTA) is explained on relocation website at
http://corporateservices.noaa.gov/~finance/RELO.html
Use this website to update your banking/personal information.
https://www.nfc.usda.gov/personal/ep_warning.asp
302-6.110 What effect do partial days have on my actual TQSE reimbursement?
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&specialContentType=FTR&file=FTR%2FChapter302p006.html&c
Chapter 302—Relocation Allowances
Subchapter F —Miscellaneous Allowances
Part 302-16—Allowance for Miscellaneous Expenses
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelId=-24569&specialContentType=FTR&file=FTR/Chapter3
GSA's State Tax Exemption Forms Overview - Tax exempt forms are provided in PDF and Word format. Not all states responded to the
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=8203&channelPage=%2Fep%2Fchannel%2FgsaOverview.jsp&channelI
GSA's State Tax Letters -each state requests different documentation to be tax exempt
http://apps.fss.gsa.gov/services/gsa-smartpay/taxletter/index.cfm
Withholding Tax Allowance (WTA) is explained on relocation website at
http://corporateservices.noaa.gov/~finance/RELO.html
Use this website to update your banking/personal information.
https://www.nfc.usda.gov/personal/ep_warning.asp
Chapter 302—Relocation Allowances
Subchapter F —Miscellaneous Allowances
Part 302-16—Allowance for Miscellaneous Expenses
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelId=-24569&specialContentType=FTR&file=FTR/Chapter3
GSA's State Tax Exemption Forms Overview - Tax exempt forms are provided in PDF and Word format. Not all states responded to the
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=8203&channelPage=%2Fep%2Fchannel%2FgsaOverview.jsp&channelI
GSA's State Tax Letters -each state requests different documentation to be tax exempt
http://apps.fss.gsa.gov/services/gsa-smartpay/taxletter/index.cfm
302p006.html&channelId=-24569
e=FTR/Chapter302p016.html
esponded to the survey letter.
w.jsp&channelId=-16881
e=FTR/Chapter302p016.html
esponded to the survey letter.
w.jsp&channelId=-16881
SECOND 30-DAY PERIOD DATE LODGING MEALS OTHER TOTAL
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
Expenses during second 30 day period $0.00 $0.00 $0.00 $0.00
Maximum allowance 30 DAYS X TOTAL$ $0.00 Amount $0.00
...START HERE to select proper Lodging and M&IE allowances…
Figuring Maximum Allowance
Family member Number Lodging M&IE
Employee or unaccompanied spouse $0.00 $0.00
Accompanying spouse 0 $0.00 $0.00
How many Children 12 years and older 0 $0.00 $0.00 Amount claimed
How many Children under 12 years 0 $0.00 $0.00 Second 30-day period $0.00
Total per circumstance $0.00 $0.00 (Total from back page)
Total for Maximum Allowance $0.00
Instructions
1. Use this form to support temporary quarters expenses. Note: Temporary quarters must be authorized in advance on the
Travel Order (CD-29).
2. Record actual expenses. Estimated expenses will not be allowed.
3. Record expenses on a daily basis for (1) lodging, (2) meals, and (3) all other items of subsistence expenses. Receipts must
be obtained to support lodging and laundry and cleaning expenses (except when coin-operated facilities are used.)
4. Explain "other" expenses.
5. The amount claimed is for the 30-day period (or part thereof). It makes no difference if the actual allowable expenses incurred
in any given day exceed the maximum for that day.
6. Claim the lesser of (1) actual expenses or (2) maximum allowance for 30-day period.
7. Sign the statement of the form with signature as it appears on the payroll and attach to reimbursement voucher (CD-370).
Employee/spouse have different en route. They have entered into Second 30 Days Temp Quarters at different times.
SECOND 30-DAY PERIOD DATE LODGING MEALS OTHER TOTAL
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
Expenses during second 30 day period $0.00 $0.00 $0.00 $0.00
Maximum allowance 30 DAYS X TOTAL$ $0.00 Amount $0.00
...START HERE to select proper Lodging and M&IE allowances…
Figuring Maximum Allowance
Family member Number Lodging M&IE
Employee or unaccompanied spouse $0.00 $0.00
Accompanying spouse 0 $0.00 $0.00
How many Children 12 years and older 0 $0.00 $0.00 Amount claimed
How many Children under 12 years 0 $0.00 $0.00 Second 30-day period $0.00
Total per circumstance $0.00 $0.00 (Total from back page)
Total for Maximum Allowance $0.00
Instructions
1. Use this form to support temporary quarters expenses. Note: Temporary quarters must be authorized in advance on the
Travel Order (CD-29).
2. Record actual expenses. Estimated expenses will not be allowed.
3. Record expenses on a daily basis for (1) lodging, (2) meals, and (3) all other items of subsistence expenses. Receipts must
be obtained to support lodging and laundry and cleaning expenses (except when coin-operated facilities are used.)
4. Explain "other" expenses.
5. The amount claimed is for the 30-day period (or part thereof). It makes no difference if the actual allowable expenses incurred
in any given day exceed the maximum for that day.
6. Claim the lesser of (1) actual expenses or (2) maximum allowance for 30-day period.
7. Sign the statement of the form with signature as it appears on the payroll and attach to reimbursement voucher (CD-370).
FORM CD-372 U.S. DEPARTMENT OF COMMERCE Name Per diem in travel status ended
(REV. 3-85) LF Date Time
DAO-204-1 0
1/0/1900 0:00
Entered temporary quarters Location of temporary quarters
EXPENSE RECORD FOR Date Time
0
TEMPORARY QUARTERS 1/0/1900 0:00
REPORTING DATE ON OR AFTER Vacated temporary quarters Number in temporary quarters
November 14, 1983 Date Time Employee Family members
1/0/1900 0 0
FIRST 30-DAY PERIOD DATE LODGING MEALS OTHER TOTAL
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Expenses during first 30 day period $0.00 $0.00 $0.00 $0.00
Maximum allowance for the month 30 DAYS X TOTAL$ $0.00 Amount $0.00
...START HERE to select proper Lodging and M&IE allowances…
Figuring Maximum Allowance
Family member Amount claimed
$0.00
Employee or unaccompanied spouse First 30-day period
Accompanying spouse
How many Children 12 years and older Amount claimed
How many Children under 12 years Second 30-day period $0.00
Total per circumstance (Total from back page)
Total for Maximum Allowance
I certify that the subsistence expenses, as provided in the Federal Travel Regulation (FTR), for which reimbursement is herein claimed, were incurred during
occupancy of temporary quarters by myself, my family or both, and that the time spent in such temporary quarters was the minimum needed to enable me to
obtain and occupy permanent quarters.
Signature of employee Date
Employee/spouse have different en route. They have entered into Second 30 Days Temp Quarters at different times.
FORM CD-372 U.S. DEPARTMENT OF COMMERCE Name Per diem in travel status ended
(REV. 3-85) LF Date Time
DAO-204-1 0
1/0/1900 0:00
Entered temporary quarters Location of temporary quarters
EXPENSE RECORD FOR Date Time
0
TEMPORARY QUARTERS 1/0/1900 0:00
REPORTING DATE ON OR AFTER Vacated temporary quarters Number in temporary quarters
November 14, 1983 Date Time Employee Family members
1/0/1900 0 0
FIRST 30-DAY PERIOD DATE LODGING MEALS OTHER TOTAL
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Expenses during first 30 day period $0.00 $0.00 $0.00 $0.00
Maximum allowance for the month 30 DAYS X TOTAL$ $0.00 Amount $0.00
...START HERE to select proper Lodging and M&IE allowances…
Figuring Maximum Allowance
Family member Amount claimed
$0.00
Employee or unaccompanied spouse First 30-day period
Accompanying spouse
How many Children 12 years and older Amount claimed
How many Children under 12 years Second 30-day period $0.00
Total per circumstance (Total from back page)
Total for Maximum Allowance
I certify that the subsistence expenses, as provided in the Federal Travel Regulation (FTR), for which reimbursement is herein claimed, were incurred during
occupancy of temporary quarters by myself, my family or both, and that the time spent in such temporary quarters was the minimum needed to enable me to
obtain and occupy permanent quarters.
Signature of employee Date
SECTION A IDENTIFICATION Second 30 Days Temp Quarters FORM CD-370 U.S. DEPARTMENT OF COMMERCE
SOCIAL SECURITY NUMBER NAME (Last) (First) (Middle Initial) (Rev. 9-03)
N/A 0 TRAVEL VOUCHER
Bureau Code CD-29 TRAVEL ORDER DATES FOR TRAVEL EXPENSE TYPE RECLAIM AMOUNT MAILING ADDRESS OF CHECK
0 FROM THRU CODE INCLUDED SALARY CHECK ADDRESS
14
PURPOSE 6 1/0/1900 1/0/1900 4 $ SPECIAL ADDRESS (Non-Government Traveler or New Hire)
ORGANIZATION OFFICIAL DUTY STATION (City and State) RESIDENT CITY AND STATE
0 0 0
SECTION B - TICKET COSTS BILLED DIRECTLY TO GOVERNMENT (Air,Rail,Bus,Ship)
AMOUNT VENDOR NUMBER OF CLASS EXPLANATION OF TRAVEL SECTION D - CLAIMS FINANCE USE
TRAVELERS FROM TO 1. PER DIEM
1. $ NO. DAYS
2. $ 2. MILEAGE
3. $ TOTAL MILES
4. $ 3. OTHER
TOTAL $ < TOTAL - SECTION B IMPORTANT: Return unused tickets to your travel services provider. TRAVEL
SECTION C - ACCOUNTING CLASSIFICATION CODE (Reimbursable Expense) 4. CAR RENTAL
(Distribute Total Claim Amount from Section D to the Applicable Accounting Classification Code(s) as Indicated on the Travel Order) (PAID BY TRAVELER)
FCFY PROJECT-TASK ORGANIZATION OBJECT CLASS CLAIM 5. COMMON CARRIER
(xxxx) (xxxxxx-xxx) (xx-xx-xxxx-xx-xx-xx-xx) (xx-xx-xx-xx) AMOUNT TRANSPORTATION
1 0 0 0 12-09-00-00 $0.00 6. ACTUAL SUBSISTENCE
2 NO. DAYS
3 7. MISCELLANEOUS
4 EXPENSES
5 8. REAL ESTATE EXPENSES
6 (FORM CD-371)
7 9. TEMPORARY QUARTERS
$0.00
TOTAL CLAIM AMOUNT(This Block must Agree with Block 11) > $0.00 (FORM CD-372)
SECTION E - CERTIFICATIONS 10. RELOCATION INCOME
FRADULENT CLAIM - Falsification of an item in an expense account works a forfeiture of the claim (28 U.S.C. 2514) and may result in a TAX ALLOWANCE
fine of not more than $10,000 or imprisonment for not more than 5 years or both (18 U.S.C. 287; id. 1001)
CLAIMANT'S RESPONSIBILITIES AND SIGNATURE email address: @noaa.gov ( )
CLAIMANT'S SIGNATURE
I hereby assign to the United States any right I may have against any parties in connection with ( ) day worker 11. TOTAL CLAIM
reimbursable transportation charges described below, purchased under cash payment procedures (LINES 1 THRU 10) $0.00
(41 CFR 101-41.203-2). I certify this voucher is true and correct to the best of my knowledge and belief, ( ) shift worker DATE WORK PHONE
and that payment or credit has not been received by me. 0 12. TRAVEL ADVANCE
PRIVACY ACT NOTICE. The following information is provided to comply with the Privacy Act of 1974 home: AMOUNT OUTSTANDING
(P.L> 93-579). The information requested on this form is incurred by the employee and to claim other entitlements and cell phone:
allowances as prescribed in the Federal Travel Regulation (41CFR, Chapters 300-304). The information contained in this form will be used by Federal Agency officers and employees who 13. AMOUNT OF VOUCHER (LINE 11)
have a need for such information in the performance of their duties. Information will be transferred to appropriate Federal, State, local or foreign agencies, when relevant to civil, criminal, TO BE APPLIED TO OUTSTANDING
connection with the hiring or firing, or security clearance, or such other investigation of the performance of official duty in Government service. Failure to provide the information ADVANCE (LINE 12)
of the performance of official duty in Government service. Failure to provide the information required will result in delay or suspension of the employee's claim for reimbursement. 14. ADVANCE AMOUNT REPAID
APPROVING OFFICERS' RESPONSIBILITES AND SIGNATURE
In approving this voucher, I have determined that: APPROVING OFFICIAL SIGNATURE 15. REMAINING ADVANCE BALANCE
(1) Reimbursement is claimed for official travel only. (Line 11 minus Line 13 minus Line 14)
(2) Use of rental car, taxicab, or other special conveyance for which reimbursement is claimed is to the Governments advantage. NAME AND TITLE 16. NET TO TRAVELER
$0.00
(3) Long distance phone calls and supplies or equipment purchased are necessary and in the interest of the Government. 0 (Line 11 minus Line 13)
DATE PHONE AUDITED BY TOTAL
(X) CD-29 ATTACHED ( ) CD-29 SUBMITTED WITH PREVIOUS VOUCHER 0 (Examiner's Initials) DIFFERENCE
SECTION A IDENTIFICATIONEmployee/spouse separate Second 30 Days Temp Quarters FORM CD-370 U.S. DEPARTMENT OF COMMERCE
SOCIAL SECURITY NUMBER NAME (Last) (First) (Middle Initial) (Rev. 9-03)
N/A 0 TRAVEL VOUCHER
Bureau Code CD-29 TRAVEL ORDER DATES FOR TRAVEL EXPENSE TYPE RECLAIM AMOUNT MAILING ADDRESS OF CHECK
0 FROM THRU CODE INCLUDED SALARY CHECK ADDRESS
14
PURPOSE 6 1/0/1900 1/0/1900 0 $ SPECIAL ADDRESS (Non-Government Traveler or New Hire)
ORGANIZATION OFFICIAL DUTY STATION (City and State) RESIDENT CITY AND STATE
0 0 0
SECTION B - TICKET COSTS BILLED DIRECTLY TO GOVERNMENT (Air,Rail,Bus,Ship)
AMOUNT VENDOR NUMBER OF CLASS EXPLANATION OF TRAVEL SECTION D - CLAIMS FINANCE USE
TRAVELERS FROM TO 1. PER DIEM
1. $ NO. DAYS
2. $ 2. MILEAGE
3. $ TOTAL MILES
4. $ 3. OTHER
TOTAL $ < TOTAL - SECTION B IMPORTANT: Return unused tickets to your travel services provider. TRAVEL
SECTION C - ACCOUNTING CLASSIFICATION CODE (Reimbursable Expense) 4. CAR RENTAL
(Distribute Total Claim Amount from Section D to the Applicable Accounting Classification Code(s) as Indicated on the Travel Order) (PAID BY TRAVELER)
FCFY PROJECT-TASK ORGANIZATION OBJECT CLASS CLAIM 5. COMMON CARRIER
(xxxx) (xxxxxx-xxx) (xx-xx-xxxx-xx-xx-xx-xx) (xx-xx-xx-xx) AMOUNT TRANSPORTATION
1 0 0 0 12-09-00-00 $0.00 6. ACTUAL SUBSISTENCE
2 NO. DAYS
3 7. MISCELLANEOUS
4 EXPENSES
5 8. REAL ESTATE EXPENSES
6 (FORM CD-371)
7 9. TEMPORARY QUARTERS
$0.00
TOTAL CLAIM AMOUNT(This Block must Agree with Block 11) > $0.00 (FORM CD-372)
SECTION E - CERTIFICATIONS 10. RELOCATION INCOME
FRADULENT CLAIM - Falsification of an item in an expense account works a forfeiture of the claim (28 U.S.C. 2514) and may result in a TAX ALLOWANCE
fine of not more than $10,000 or imprisonment for not more than 5 years or both (18 U.S.C. 287; id. 1001)
CLAIMANT'S RESPONSIBILITIES AND SIGNATURE email address: @noaa.gov ( )
CLAIMANT'S SIGNATURE
I hereby assign to the United States any right I may have against any parties in connection with ( ) day worker 11. TOTAL CLAIM
reimbursable transportation charges described below, purchased under cash payment procedures (LINES 1 THRU 10) $0.00
(41 CFR 101-41.203-2). I certify this voucher is true and correct to the best of my knowledge and belief, ( ) shift worker DATE WORK PHONE
and that payment or credit has not been received by me. 0 12. TRAVEL ADVANCE
PRIVACY ACT NOTICE. The following information is provided to comply with the Privacy Act of 1974 home: AMOUNT OUTSTANDING
(P.L> 93-579). The information requested on this form is incurred by the employee and to claim other entitlements and cell phone:
allowances as prescribed in the Federal Travel Regulation (41CFR, Chapters 300-304). The information contained in this form will be used by Federal Agency officers and employees who 13. AMOUNT OF VOUCHER (LINE 11)
have a need for such information in the performance of their duties. Information will be transferred to appropriate Federal, State, local or foreign agencies, when relevant to civil, criminal, TO BE APPLIED TO OUTSTANDING
connection with the hiring or firing, or security clearance, or such other investigation of the performance of official duty in Government service. Failure to provide the information ADVANCE (LINE 12)
of the performance of official duty in Government service. Failure to provide the information required will result in delay or suspension of the employee's claim for reimbursement. 14. ADVANCE AMOUNT REPAID
APPROVING OFFICERS' RESPONSIBILITES AND SIGNATURE
In approving this voucher, I have determined that: APPROVING OFFICIAL SIGNATURE 15. REMAINING ADVANCE BALANCE
(1) Reimbursement is claimed for official travel only. (Line 11 minus Line 13 minus Line 14)
(2) Use of rental car, taxicab, or other special conveyance for which reimbursement is claimed is to the Governments advantage. NAME AND TITLE 16. NET TO TRAVELER
$0.00
(3) Long distance phone calls and supplies or equipment purchased are necessary and in the interest of the Government. 0 (Line 11 minus Line 13)
DATE PHONE AUDITED BY TOTAL
(X) CD-29 ATTACHED ( ) CD-29 SUBMITTED WITH PREVIOUS VOUCHER 0 (Examiner's Initials) DIFFERENCE
Withholding Tax Allowance (WTA) is explained on relocation website at
http://corporateservices.noaa.gov/~finance/RELO.html
Use this website to update your banking/personal information.
https://www.nfc.usda.gov/personal/ep_warning.asp
Chapter 302—Relocation Allowances
Subchapter F —Miscellaneous Allowances
Part 302-16—Allowance for Miscellaneous Expenses
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelId=-24569&specialContentType=FTR&file=FTR/Chapter302p016.html
GSA's State Tax Exemption Forms Overview - Tax exempt forms are provided in PDF and Word format. Not all states responded to the survey letter.
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=8203&channelPage=%2Fep%2Fchannel%2FgsaOverview.jsp&channelId=-16881
GSA's State Tax Letters -each state requests different documentation to be tax exempt
http://apps.fss.gsa.gov/services/gsa-smartpay/taxletter/index.cfm
Withholding Tax Allowance (WTA) is explained on relocation website at
http://corporateservices.noaa.gov/~finance/RELO.html
Use this website to update your banking/personal information.
https://www.nfc.usda.gov/personal/ep_warning.asp
Chapter 302—Relocation Allowances
Subchapter F —Miscellaneous Allowances
Part 302-16—Allowance for Miscellaneous Expenses
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelId=-24569&specialContentType=FTR&file=FTR/Chapter302p016.html
GSA's State Tax Exemption Forms Overview - Tax exempt forms are provided in PDF and Word format. Not all states responded to the survey letter.
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=8203&channelPage=%2Fep%2Fchannel%2FgsaOverview.jsp&channelId=-16881
GSA's State Tax Letters -each state requests different documentation to be tax exempt
http://apps.fss.gsa.gov/services/gsa-smartpay/taxletter/index.cfm
FROM CD-37 1 LF (1- U.S. DEPARTMENT OF COMMERCE
94) DAO 204-1
EMPLOYEE APPLICATION FOR REIMBURSEMENT OF EXPENSES INCURED UPON
SALE OR PURCHASE (OR BOTH) OF RESIDENCE UPON CHANGE OF OFFICIAL STATION
(Instructions at bottom of page)
I. EMPLOYEE -- CLAIMANT:
NAME MAILING ADDRESS
Check applicable box if earlier claim for real estate
expenses submitted for this transfer.
0
YES NO
II. TRANSFER DATA:
OLD OFFICIAL STATION NEW OFFICIAL STATION DATE OF NOTIFICATION OF TRANSFER
0
0 1/0/1900
0
TRAVEL AUTHORIZATION DATE DATE REPORTED FOR DUTY AT NEW OFFICIAL STATION DATE SERVICE AGREEMENT SIGNED
0 1/0/1900 0
III. RESIDENCE PROPERTY DATA: AT OLD OFFICIAL STATION AT NEW OFFICIAL STATION
COMPLETE ADDRESS
OF RESIDENCE
NUMBER OF DWELLING
UNITS ON PROPERTY
SALE AND /OR
PURCHASE PRICE
DATE OF CLOSING
OR SETTLEMENT
AMOUNT OF EXPENSE
$0.00 $0.00
BEING CLAIMED
EMPLOYEE CERTIFICATION(S):
I hereby certify that the amount claimed in connection with the above sale represents
I hereby certify that the amount claimed in connection with the above purchase represents only the amounts
only amounts actually paid by me and that title to the property was in my name and/or a
actually paid by me and that title to the property is in my name and /or a member of my immediate family and is my
member of my immediate family and that the property was my residence when I was first
new residence.
definitely informed of my transfer.
(Signature of Employee) (Date) (Signature of Employee) (Date)
IV. APPROVALS:
A. SALES EXPENSE -- B. PURCHASE EXPENSE -- C. FINAL ADMINISTRATIVE APPROVAL
( FINANCE OFFICE) FOR PAYMENT --
The expenses of the sale applied for above are hereby The expenses of the purchase applied for above are hereby approved as Payment of this claim is approved in the
approved as being (1) reasonable in amount and (2) being (1) reasonable in amount and (2) customarily paid by a buyer in the
amount of $
customarily paid by a seller in the locality where the locality where the property is located.
property is located.
( ) As claimed ( ) As claimed
If amount approved is less than amount claimed, see attached memo.
( ) As reduced, per attached memo ( ) As reduced, per attached memo
(Signature) (Date) (Signature) (Date) (Signature) (Date)
(Title) (Title) (Title)
INSTRUCTIONS
A. EMPLOYEE -- CLAIMANT B. HEAD OF OFFICE
1. For Sales: Send original and copy of the application, travel voucher and supporting documentation, to the
1. Prepare application in triplicate (if your office requires a file copy), completing Parts I, II,
and III of face and enter all applicable amounts and totals on reverse side. head of the office at the locality of the claimant's old official station, for handling and execution of the approval,
unless bureau review and approval functions are performed elsewhere. (See item IV.A).
2. Attach one complete set of documents required to support claim - sales agreement 2. For Purchases: Approval of the claim must be executed by the head of the office, or designee, at the locality of
between buyer and seller, settlement or loan closing statement., invoices and statements to the claimant's new official station, unless bureau review and approval functions are performed elsewhere. (See
support other items claimed for reimbursement etc. These should be photocopies, as they will item IV.B)
not be returned. Be sure you have signed the employee certification(s).
3. Prepare and attach CD-370. travel voucher form. (Record total amounts claimed on this 3. Final administrative approval payment of the claim must be executed by an appropriate approving official at
form on the travel voucher.) the designated Administrative Service Center Finance Office. (See item IV.C) Such official shall independently
determine, in accordance with the provisions of the Federal Travel Regulation (FTR), the propriety of all
reimbursements claimed.
4. Submit original and first copy of application and supporting documentation, together with 4. Technical assistance in determining the reasonableness of an expense, as well as answers concerning local
form CD-370, to the head of your office at new official station or the appropriate official custom and practices with respect to the charging of closing costs, may be obtained from the local or area office of
designated by your department or bureau. Retain a copy of the application. Any third party the Department of Housing and Urban Development (HUD) serving the area in which the expense occurred. Refer
copy would be retained for office files if required. to FTR 302-6.3(C) for details.
COSTS INCURRED AND PAID IN SELLING RESIDENCE AT OLD OFFICIAL
STATION OR PURCHASING RESIDENCE AT NEW OFFICIAL STATION LOCATION (OR BOTH)
HUD Stmt
ITEM EXPLANATION FORMER RESIDENCE NEW RESIDENCE
reference #
1. BROKERAGE FEES: The sales commission paid to a broker or real estate agent for selling former
residence. Also, fees for listing a residence and payment for multiple listing service, if not included in
commission paid to the broker or agent.
2. ADVERTISING: Expenses paid for newspaper and other advertising when a direct sale is made without
the services of a real estate broker or real estate agent.
3. APPRAISAL FEE: The amount paid to a professional appraiser for establishing a suggested sale price for
the residence.
4. LEGAL AND RELATED COSTS: The amounts paid for cost of (1) searching title, preparing abstract, and
legal fees for a title opinion, or (2) costs of preparing conveyances, other instruments, and contracts; related
notary fees; costs making surveys, preparing drawings or plats, recording fees and recording taxes or other
charges paid incident to recordation (e.g., mortgage discharge recording fees); etc.
5. MISCELLANEOUS COSTS: Amounts paid in connection with sale of former residence and purchase of
new residence. ( Normally. These expenses (except A.) are paid by the purchaser; however. Depending on local
customs and practices, the seller may be required to pay some of them.)
A. PREPAYMENT CHARGE: The amount paid as required in the mortgage or other, security instrument as
a charge for prepayment; or if not specifically required by the mortgage instrument, yet customarily charged by
the lender, the amount paid limited to 3 months prevailing interest on the loan balance.
B. LENDER'S APPRAISAL FEE: The amount paid for the mortgagee-lender's charge for residence appraisal.
C. LOAN ORIGINATION FEE: The amount paid for the loan origination fee not in excess of 1% without
itemization of the lender's administrative charges. Reimbursement may exceed 1% only if employee shows by
clear and convincing evidence that the higher rate does not include prepaid interest, points, or a mortgage
discount; AND that the higher rate is customarily charged in the locality where the residence is located.
D. FHA OR VA APPLICATION FEE: The amount paid. (FHA VA Funding Fee is not reimbursable).
E. CERTIFICATIONS: The amount paid for any required certifications as to structural soundness or
physical condition of property, when required by mortgagee-lender, FHA or VA.
F. Credit report: The amount paid for credit or factual data report on the buyer, if required by
mortgagee-lender, FHA or VA.
G. MORTGAGE TITLE POLICY: The amount paid for mortgage (or lender's) title insurance policy (as
distinguished from a mortgage insurance policy on the life of the borrower) and owner's title insurance policy,
provided it is a prerequisite to financing or transfer of the property.
H. ESCROW AGENT'S FEE: The amount paid to an escrow agent, title company, or similar entity
for closing a real estate transaction.
I. STATE REVENUE STAMPS: The amount paid.
J. SALES OR TRANSFER TAXES; MORTGAGE TAX, IF ANY: The amount paid.
6. OTHER INCIDENTAL EXPENSES: Such other reasonable and customary charges or fees paid as may be
authorized and not properly includable in items listed above (itemize and explain; if necessary, attach separate
sheet).
TOTAL FORMER RESIDENCE > $0.00
TOTAL NEW RESIDENCE > $0.00
NOTE: In accordance with the real estate expense provisions of the FTR, costs of insurance against damage or loss or property, maintenance and operating costs and property
taxes are reimbursable. Also, mortgage discounts, interest on loans, points, and losses in connection with the sale or purchase of a residence due to price or market conditions are
not reimbursable. Notwithstanding the above, no fee, cost, charge, or expense is reimbursable which is determined to be a part of the finance charge under the Truth in Lending Act,
title I, Public Law 90-321 and Regulation Z issued pursuant thereto by the Board of Governors of the Federal Reserve System.
FOOTNOTES:
1 Total Former Residence - The aggregate amount of expenses which may be reimbursed is the amount, but it shall not exceed 10 % of the sale price, or
the current maximum dollar amount specified by FTR 302-6.2 (g), whichever is smaller.
2 Total New Residence - The aggregate amount of expenses which may be reimbursed is this amount, but it shall not exceed 5% of purchase price, or the
current maximum dollar amount specified by FTR 302-6.2 (g), whichever is smaller.
3 Total Former and New Residence - If property is multiple family unit type (excluding condominium), or includes land or buildings in excess of that which
relates to the residence site, expenses will be prorated and allowed for the residence and its site only.
SECTION A IDENTIFICATION FORM CD-370 U.S. DEPARTMENT OF COMMERCE
SOCIAL SECURITY NUMBER NAME (Last) (First) (Middle Initial) (Rev. 9-03)
N/A 0 TRAVEL VOUCHER
Bureau Code CD-29 TRAVEL ORDER DATES FOR TRAVEL EXPENSE TYPE RECLAIM AMOUNT MAILING ADDRESS OF CHECK
0 FROM THRU CODE INCLUDED SALARY CHECK ADDRESS
14
PURPOSE 6 mm/dd/yyyy mm/dd/yyyy 4 $ SPECIAL ADDRESS (Non-Government Traveler or New Hire)
ORGANIZATION OFFICIAL DUTY STATION (City and State) RESIDENT CITY AND STATE
0 0 0
SECTION B - TICKET COSTS BILLED DIRECTLY TO GOVERNMENT (Air,Rail,Bus,Ship)
AMOUNT VENDOR NUMBER OF CLASS EXPLANATION OF TRAVEL SECTION D - CLAIMS FINANCE USE
TRAVELERS FROM TO 1. PER DIEM
( )
1. $ NO. DAYS
2. $ 2. MILEAGE
( )
3. $ TOTAL MILES
4. $ 3. OTHER
TOTAL $ < TOTAL - SECTION B IMPORTANT: Return unused tickets to your travel services provider. TRAVEL
SECTION C - ACCOUNTING CLASSIFICATION CODE (Reimbursable Expense) 4. CAR RENTAL
(Distribute Total Claim Amount from Section D to the Applicable Accounting Classification Code(s) as Indicated on the Travel Order) (PAID BY TRAVELER)
FCFY PROJECT-TASK ORGANIZATION OBJECT CLASS CLAIM 5. COMMON CARRIER
(xxxx) (xxxxxx-xxx) (xx-xx-xxxx-xx-xx-xx-xx) (xx-xx-xx-xx) AMOUNT TRANSPORTATION
1 0 0 0 12-14-00-00 $0.00 6. ACTUAL SUBSISTENCE
( )
2 NO. DAYS
3 7. MISCELLANEOUS
4 EXPENSES
5 8. REAL ESTATE EXPENSES
6 (FORM CD-371)
7 9. TEMPORARY QUARTERS
$0.00
TOTAL CLAIM AMOUNT(This Block must Agree with Block 11) > $0.00 (FORM CD-372)
SECTION E - CERTIFICATIONS 10. RELOCATION INCOME
FRADULENT CLAIM - Falsification of an item in an expense account works a forfeiture of the claim (28 U.S.C. 2514) and may result in a TAX ALLOWANCE
fine of not more than $10,000 or imprisonment for not more than 5 years or both (18 U.S.C. 287; id. 1001)
CLAIMANT'S RESPONSIBILITIES AND SIGNATURE email address: @noaa.gov ( )
I hereby assign to the United States any right I may have against any parties in connection with ( ) day worker CLAIMANT'S SIGNATURE 11. TOTAL CLAIM
reimbursable transportation charges described below, purchased under cash payment procedures (LINES 1 THRU 10) $0.00
(41 CFR 101-41.203-2). I certify this voucher is true and correct to the best of my knowledge and belief, ( ) shift worker DATE WORK PHONE
0 12. TRAVEL ADVANCE
and that payment or credit has not been received by me.
PRIVACY ACT NOTICE. The following information is provided to comply with the Privacy Act of 1974 home: AMOUNT OUTSTANDING
(P.L> 93-579). The information requested on this form is incurred by the employee and to claim other entitlements and cell phone:
allowances as prescribed in the Federal Travel Regulation (41CFR, Chapters 300-304). The information contained in this form will be used by Federal Agency officers and employees who 13. AMOUNT OF VOUCHER (LINE 11)
have a need for such information in the performance of their duties. Information will be transferred to appropriate Federal, State, local or foreign agencies, when relevant to civil, criminal, TO BE APPLIED TO OUTSTANDING
connection with the hiring or firing, or security clearance, or such other investigation of the performance of official duty in Government service. Failure to provide the information ADVANCE (LINE 12)
of the performance of official duty in Government service. Failure to provide the information required will result in delay or suspension of the employee's claim for reimbursement. 14. ADVANCE AMOUNT REPAID
APPROVING OFFICERS' RESPONSIBILITES AND SIGNATURE
In approving this voucher, I have determined that: APPROVING OFFICIAL SIGNATURE 15. REMAINING ADVANCE BALANCE
(1) Reimbursement is claimed for official travel only. (Line 11 minus Line 13 minus Line 14)
(2) Use of rental car, taxicab, or other special conveyance for which reimbursement is claimed is to the Governments advantage. NAME AND TITLE 16. NET TO TRAVELER
$0.00
(3) Long distance phone calls and supplies or equipment purchased are necessary and in the interest of the Government. 0 (Line 11 minus Line 13)
DATE PHONE AUDITED BY TOTAL
(X) CD-29 ATTACHED ( ) CD-29 SUBMITTED WITH PREVIOUS VOUCHER 0 (Examiner's Initials) DIFFERENCE
Chapter 302—Relocation Allowances
Subchapter E—Residence Transaction Allowances
Part 302-11—Allowances for Expenses Incurred in Connection With Residence Transactions
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelId=-24569&specialContentType=FTR&file=FTR/C
Withholding Tax Allowance (WTA) is explained on relocation website at
http://corporateservices.noaa.gov/~finance/RELO.html
Use this website to update your banking/personal information.
https://www.nfc.usda.gov/personal/ep_warning.asp
pe=FTR&file=FTR/Chapter302p011.html
FROM CD-37 1 LF (1- U.S. DEPARTMENT OF COMMERCE
94) DAO 204-1
EMPLOYEE APPLICATION FOR REIMBURSEMENT OF EXPENSES INCURED UPON
SALE OR PURCHASE (OR BOTH) OF RESIDENCE UPON CHANGE OF OFFICIAL STATION
(Instructions at bottom of page)
I. EMPLOYEE -- CLAIMANT:
NAME MAILING ADDRESS
Check applicable box if earlier claim for real estate
0 expenses submitted for this transfer.
0 0
0 YES NO
II. TRANSFER DATA:
OLD OFFICIAL STATION NEW OFFICIAL STATION DATE OF NOTIFICATION OF TRANSFER
0
0 1/0/1900
0
TRAVEL AUTHORIZATION DATE DATE REPORTED FOR DUTY AT NEW OFFICIAL STATION DATE SERVICE AGREEMENT SIGNED
0 1/0/1900 0
III. RESIDENCE PROPERTY DATA: AT OLD OFFICIAL STATION AT NEW OFFICIAL STATION
COMPLETE ADDRESS
OF RESIDENCE
NUMBER OF DWELLING
UNITS ON PROPERTY
SALE AND /OR
PURCHASE PRICE
DATE OF CLOSING
OR SETTLEMENT
AMOUNT OF EXPENSE
$0.00 $0.00
BEING CLAIMED
EMPLOYEE CERTIFICATION(S):
I hereby certify that the amount claimed in connection with the above sale represents only
I hereby certify that the amount claimed in connection with the above purchase represents only the amounts
amounts actually paid by me and that title to the property was in my name and/or a member of
actually paid by me and that title to the property is in my name and /or a member of my immediate family and is my
my immediate family and that the property was my residence when I was first definitely
new residence.
informed of my transfer.
(Signature of Employee) (Date) (Signature of Employee) (Date)
IV. APPROVALS:
A. SALES EXPENSE -- B. PURCHASE EXPENSE -- C. FINAL ADMINISTRATIVE APPROVAL
( FINANCE OFFICE) FOR PAYMENT --
The expenses of the sale applied for above are hereby The expenses of the purchase applied for above are hereby approved as Payment of this claim is approved in the
approved as being (1) reasonable in amount and (2) being (1) reasonable in amount and (2) customarily paid by a buyer in the
amount of $
customarily paid by a seller in the locality where the locality where the property is located.
property is located.
( ) As claimed ( ) As claimed
If amount approved is less than amount claimed, see attached memo.
( ) As reduced, per attached memo ( ) As reduced, per attached memo
(Signature) (Date) (Signature) (Date) (Signature) (Date)
(Title) (Title) (Title)
INSTRUCTIONS
A. EMPLOYEE -- CLAIMANT B. HEAD OF OFFICE
1. Prepare application in triplicate (if your office requires a file copy), completing Parts I, II, 1. For Sales: Send original and copy of the application, travel voucher and supporting documentation, to the head
and III of face and enter all applicable amounts and totals on reverse side. of the office at the locality of the claimant's old official station, for handling and execution of the approval, unless
bureau review and approval functions are performed elsewhere. (See item IV.A).
2. Attach one complete set of documents required to support claim - sales agreement 2. For Purchases: Approval of the claim must be executed by the head of the office, or designee, at the locality of
between buyer and seller, settlement or loan closing statement., invoices and statements to the claimant's new official station, unless bureau review and approval functions are performed elsewhere. (See item
support other items claimed for reimbursement etc. These should be photocopies, as they will IV.B)
not be returned. Be sure you have signed the employee certification(s).
3. Prepare and attach CD-370. travel voucher form. (Record total amounts claimed on this 3. Final administrative approval payment of the claim must be executed by an appropriate approving official at the
form on the travel voucher.) designated Administrative Service Center Finance Office. (See item IV.C) Such official shall independently
determine, in accordance with the provisions of the Federal Travel Regulation (FTR), the propriety of all
reimbursements claimed.
4. Submit original and first copy of application and supporting documentation, together with 4. Technical assistance in determining the reasonableness of an expense, as well as answers concerning local
form CD-370, to the head of your office at new official station or the appropriate official custom and practices with respect to the charging of closing costs, may be obtained from the local or area office of
designated by your department or bureau. Retain a copy of the application. Any third party the Department of Housing and Urban Development (HUD) serving the area in which the expense occurred. Refer to
copy would be retained for office files if required. FTR 302-6.3(C) for details.
COSTS INCURRED AND PAID IN SELLING RESIDENCE AT OLD OFFICIAL
STATION OR PURCHASING RESIDENCE AT NEW OFFICIAL STATION LOCATION (OR BOTH)
HUD Stmt
ITEM EXPLANATION FORMER RESIDENCE NEW RESIDENCE
reference #
1. BROKERAGE FEES: The sales commission paid to a broker or real estate agent for selling former
residence. Also, fees for listing a residence and payment for multiple listing service, if not included in
commission paid to the broker or agent.
2. ADVERTISING: Expenses paid for newspaper and other advertising when a direct sale is made without
the services of a real estate broker or real estate agent.
3. APPRAISAL FEE: The amount paid to a professional appraiser for establishing a suggested sale price for
the residence.
4. LEGAL AND RELATED COSTS: The amounts paid for cost of (1) searching title, preparing abstract, and
legal fees for a title opinion, or (2) costs of preparing conveyances, other instruments, and contracts; related
notary fees; costs making surveys, preparing drawings or plats, recording fees and recording taxes or other
charges paid incident to recordation (e.g., mortgage discharge recording fees); etc.
5. MISCELLANEOUS COSTS: Amounts paid in connection with sale of former residence and purchase of
new residence. ( Normally. These expenses (except A.) are paid by the purchaser; however. Depending on local
customs and practices, the seller may be required to pay some of them.)
A. PREPAYMENT CHARGE: The amount paid as required in the mortgage or other, security instrument as
a charge for prepayment; or if not specifically required by the mortgage instrument, yet customarily charged by
the lender, the amount paid limited to 3 months prevailing interest on the loan balance.
B. LENDER'S APPRAISAL FEE: The amount paid for the mortgagee-lender's charge for residence appraisal.
C. LOAN ORIGINATION FEE: The amount paid for the loan origination fee not in excess of 1% without
itemization of the lender's administrative charges. Reimbursement may exceed 1% only if employee shows by
clear and convincing evidence that the higher rate does not include prepaid interest, points, or a mortgage
discount; AND that the higher rate is customarily charged in the locality where the residence is located.
D. FHA OR VA APPLICATION FEE: The amount paid. (FHA VA Funding Fee is not reimbursable).
E. CERTIFICATIONS: The amount paid for any required certifications as to structural soundness or
physical condition of property, when required by mortgagee-lender, FHA or VA.
F. Credit report: The amount paid for credit or factual data report on the buyer, if required by
mortgagee-lender, FHA or VA.
G. MORTGAGE TITLE POLICY: The amount paid for mortgage (or lender's) title insurance policy (as
distinguished from a mortgage insurance policy on the life of the borrower) and owner's title insurance policy,
provided it is a prerequisite to financing or transfer of the property.
H. ESCROW AGENT'S FEE: The amount paid to an escrow agent, title company, or similar entity
for closing a real estate transaction.
I. STATE REVENUE STAMPS: The amount paid.
J. SALES OR TRANSFER TAXES; MORTGAGE TAX, IF ANY: The amount paid.
6. OTHER INCIDENTAL EXPENSES: Such other reasonable and customary charges or fees paid as may be
authorized and not properly includable in items listed above (itemize and explain; if necessary, attach separate
sheet).
TOTAL FORMER RESIDENCE > $0.00
TOTAL NEW RESIDENCE > $0.00
NOTE: In accordance with the real estate expense provisions of the FTR, costs of insurance against damage or loss or property, maintenance and operating costs and property
taxes are reimbursable. Also, mortgage discounts, interest on loans, points, and losses in connection with the sale or purchase of a residence due to price or market conditions
are not reimbursable. Notwithstanding the above, no fee, cost, charge, or expense is reimbursable which is determined to be a part of the finance charge under the Truth in
Lending Act, title I, Public Law 90-321 and Regulation Z issued pursuant thereto by the Board of Governors of the Federal Reserve System.
FOOTNOTES:
1 Total Former Residence - The aggregate amount of expenses which may be reimbursed is the amount, but it shall not exceed 10 % of the sale price, or
the current maximum dollar amount specified by FTR 302-6.2 (g), whichever is smaller.
2 Total New Residence - The aggregate amount of expenses which may be reimbursed is this amount, but it shall not exceed 5% of purchase price, or
the current maximum dollar amount specified by FTR 302-6.2 (g), whichever is smaller.
3 Total Former and New Residence - If property is multiple family unit type (excluding condominium), or includes land or buildings in excess of that which
relates to the residence site, expenses will be prorated and allowed for the residence and its site only.
SECTION A IDENTIFICATION FORM CD-370 U.S. DEPARTMENT OF COMMERCE
SOCIAL SECURITY NUMBER NAME (Last) (First) (Middle Initial) (Rev. 9-03)
N/A 0 TRAVEL VOUCHER
Bureau Code CD-29 TRAVEL ORDER DATES FOR TRAVEL EXPENSE TYPE RECLAIM AMOUNT MAILING ADDRESS OF CHECK
0 FROM THRU CODE INCLUDED SALARY CHECK ADDRESS
14
PURPOSE 6 mm/dd/yyyy mm/dd/yyyy 4 $ SPECIAL ADDRESS (Non-Government Traveler or New Hire)
ORGANIZATION OFFICIAL DUTY STATION (City and State) RESIDENT CITY AND STATE
0 0 0
SECTION B - TICKET COSTS BILLED DIRECTLY TO GOVERNMENT (Air,Rail,Bus,Ship)
AMOUNT VENDOR NUMBER OF CLASS EXPLANATION OF TRAVEL SECTION D - CLAIMS FINANCE USE
TRAVELERS FROM TO 1. PER DIEM
( )
1. $ NO. DAYS
2. $ 2. MILEAGE
( )
3. $ TOTAL MILES
4. $ 3. OTHER
TOTAL $ < TOTAL - SECTION B IMPORTANT: Return unused tickets to your travel services provider. TRAVEL
SECTION C - ACCOUNTING CLASSIFICATION CODE (Reimbursable Expense) 4. CAR RENTAL
(Distribute Total Claim Amount from Section D to the Applicable Accounting Classification Code(s) as Indicated on the Travel Order) (PAID BY TRAVELER)
FCFY PROJECT-TASK ORGANIZATION OBJECT CLASS CLAIM 5. COMMON CARRIER
(xxxx) (xxxxxx-xxx) (xx-xx-xxxx-xx-xx-xx-xx) (xx-xx-xx-xx) AMOUNT TRANSPORTATION
1 0 0 0 12-14-00-00 $0.00 6. ACTUAL SUBSISTENCE
( )
2 NO. DAYS
3 7. MISCELLANEOUS
4 EXPENSES
5 8. REAL ESTATE EXPENSES
6 (FORM CD-371)
7 9. TEMPORARY QUARTERS
$0.00
TOTAL CLAIM AMOUNT(This Block must Agree with Block 11) > $0.00 (FORM CD-372)
SECTION E - CERTIFICATIONS 10. RELOCATION INCOME
FRADULENT CLAIM - Falsification of an item in an expense account works a forfeiture of the claim (28 U.S.C. 2514) and may result in a TAX ALLOWANCE
fine of not more than $10,000 or imprisonment for not more than 5 years or both (18 U.S.C. 287; id. 1001)
CLAIMANT'S RESPONSIBILITIES AND SIGNATURE email address: @noaa.gov ( )
I hereby assign to the United States any right I may have against any parties in connection with ( ) day worker CLAIMANT'S SIGNATURE 11. TOTAL CLAIM
reimbursable transportation charges described below, purchased under cash payment procedures (LINES 1 THRU 10) $0.00
(41 CFR 101-41.203-2). I certify this voucher is true and correct to the best of my knowledge and belief, ( ) shift worker DATE WORK PHONE
0 12. TRAVEL ADVANCE
and that payment or credit has not been received by me.
PRIVACY ACT NOTICE. The following information is provided to comply with the Privacy Act of 1974 home: AMOUNT OUTSTANDING
(P.L> 93-579). The information requested on this form is incurred by the employee and to claim other entitlements and cell phone:
allowances as prescribed in the Federal Travel Regulation (41CFR, Chapters 300-304). The information contained in this form will be used by Federal Agency officers and employees who 13. AMOUNT OF VOUCHER (LINE 11)
have a need for such information in the performance of their duties. Information will be transferred to appropriate Federal, State, local or foreign agencies, when relevant to civil, criminal, TO BE APPLIED TO OUTSTANDING
connection with the hiring or firing, or security clearance, or such other investigation of the performance of official duty in Government service. Failure to provide the information ADVANCE (LINE 12)
of the performance of official duty in Government service. Failure to provide the information required will result in delay or suspension of the employee's claim for reimbursement. 14. ADVANCE AMOUNT REPAID
APPROVING OFFICERS' RESPONSIBILITES AND SIGNATURE
In approving this voucher, I have determined that: APPROVING OFFICIAL SIGNATURE 15. REMAINING ADVANCE BALANCE
(1) Reimbursement is claimed for official travel only. (Line 11 minus Line 13 minus Line 14)
(2) Use of rental car, taxicab, or other special conveyance for which reimbursement is claimed is to the Governments advantage. NAME AND TITLE 16. NET TO TRAVELER
$0.00
(3) Long distance phone calls and supplies or equipment purchased are necessary and in the interest of the Government. 0 (Line 11 minus Line 13)
DATE PHONE AUDITED BY TOTAL
(X) CD-29 ATTACHED ( ) CD-29 SUBMITTED WITH PREVIOUS VOUCHER 0 (Examiner's Initials) DIFFERENCE
Chapter 302—Relocation Allowances
Subchapter E—Residence Transaction Allowances
Part 302-11—Allowances for Expenses Incurred in Connection With Residence Transactions
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelId=-24569&specialContentType=FTR&file=FT
Withholding Tax Allowance (WTA) is explained on relocation website at
http://corporateservices.noaa.gov/~finance/RELO.html
Use this website to update your banking/personal information.
https://www.nfc.usda.gov/personal/ep_warning.asp
ype=FTR&file=FTR/Chapter302p011.html
RELOCATION INCOME TAX ALLOWANCE (RITA) VOUCHER INSTRUCTIONS
HISTORY
Public Law 98-151, enacted (retroactive to) 14 November 1983, authorized reimbursement of all or part of the additional
Federal, State, and city income taxes incurred by a transferred government employee as a result of reimbursement for
certain relocation/permanent-change of-station (PCS) expenses. Public Law 98-473, enacted 12 October 1984, amended PL
98-151 by modifying the RITA to extend coverage to include all local income taxes, rather than city only, in addition to
Federal and State income taxes and by clarifying that reimbursement of "substantially all" of these additional income taxes is
authorized.
GENERAL INFORMATION
1. All employees should be aware the RITA legislation does NOT change any existing tax laws as reimbursements of certain
specific relocation/PCS expenses are still considered by the Internal Revenue Service (IRS) to be income to the employee.
Rather, the law as enacted provides a method by which employees may be reimbursed for additional income taxes paid as
the result of a relocation/PCS after the taxes have been withheld/paid or identified as an income tax liability to be paid (see
#7) .
2. The legislation specifically limits RITA claims by and subsequent payments to only those employees whose officially
authorized relocation/PCS resulted in an "actual reporting date on or after 14 November 1983."
3. A separate RITA claim must be filed for each calendar (tax) year during which any relocation/PCS-related income taxes
were withheld/paid. As a result, some employees are required to file more than one RITA claim, depending on the length of
time over which vouchers are filed and income taxes withheld/paid.
4. RITA claims must be vouchered separately from and exclusive of all other relocation/PCS expenses. No other
relocation/PCS-related expense(s) may be claimed on the same voucher submission as a RITA claim.
5. The RITA law authorizes reimbursement of additional income taxes resulting from certain moving expenses furnished in
kind or for which reimbursement or an allowance is provided to the transferring employee by the Government. However,
such moving expenses are covered by the RITA only to the extent they (1) are actually paid or incurred, and, (2) are not
allowable as a moving expense deduction on the employee's Federal tax return.
6. Moving expense categories covered by RITA include employee and/or family member(s) reimbursement for house-
hunting trip (if authorized), en route meals, temporary quarters, miscellaneous expense, sale and/or purchase of real estate,
and unexpired lease allowances. Other expense categories may apply for relocation/PCS's to and from overseas
assignments.
7. Another feature of the legislation is implementation (effective 1 January 1986) of a Withholding
Tax Allowance (WTA) calculation on the part of the servicing NOAA Finance Branch.
In a nutshell, this section of the law allows for each NOAA Finance Branch to figure a calculation of projected RITA expenses
and partial payment to the employee prior to actual filing of a RITA claim by the employee.
For example, a relocation/PCS voucher submitted for processing will be audited for payment by Finance. In addition to
authorizing reimbursement for such moving expenses as listed in #6 above, Finance will pay .3889% (WTA) on the taxable
moving expenses being reimbursed at that time. The amount of RITA the employee will be claiming in the next calendar/tax
year for this year's income taxes withheld/paid will reimburse the employee for the majority of that RITA claim less the WTA
previously paid. As a result, the RITA claim filed the second year will be for a much smaller amount, given the earlier WTA
payment to the employee for most of the estimated RITA allowance.
Furthermore, the system allows for a "gross-up" formula which ensures the employee is fully compensated for the initial tax
paid and the "tax on the tax" for that calendar/tax year. Therefore, the final RITA claim against a particular relocation/PCS
travel order means no further action is required of the employee.
8. Finally, because RITA procedures require filing a RITA claim each year following the tax/calendar year in which
relocation/PCS-related income taxes are withheld/paid, the law also calls for NOAA Finance Branches to notify the employee
that a RITA claim must be filed.
For example, an employee reimbursed via a relocation/PCS voucher in 2007 had income taxes withheld (mostly offset by the
WTA discussed in #7 above) but is required to "settle accounts" in 2008. The NOAA Finance Branches will notified
employees of this settlement requirement for RITAs for the 2007 tax year. If necessary, a second notice will be emailed to
employees again reminding as to the RITA filing requirement.
If no RITA claim is recorded as being received at NOAA Finance Branch, Finance may initiate action to recover via salary
deduction the amount of WTA paid during the previous year. This provision was included in the legislation to provide a
means of "keeping the books clean" by making mandatory yearly RITA filing rather than allowing employees to file a RITA
whenever they might get around to it.
As previously mentioned, this provision will not play a role until RITAs are required to be filed for 2008 income taxes withheld
from relocation/PCS vouchers during calendar year 2007.
It is hoped this explanation will assist in initiating your RITA claim(s). If after reading this entire package CAREFULLY you
have any questions, PLEASE call.
Chapter 302—Relocation Allowances
Subchapter F —Miscellaneous Allowances
Part 302-17—Relocation Income Tax (RIT) Allowance
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelId=-24569&specialContentType=FTR&file=FTR/Chapter302p01
e=FTR&file=FTR/Chapter302p017.html
CHECKLIST FOR SUBMISSION OF RELOCATION INCOME TAX ALLOWANCE (RITA)
1. Must have original signatures on your RITA voucher and RITA Certification Statement.
Make copies of completed forms for personal records.
2. Use Excel Relocation/PCS Forms or Tabs sent in email from NOAA Finance Office.
3. Submit all RITA packages through your approving office for signature, THEN to NOAA Finance Relocation Personnel.
The following MUST (as applicable) be included as part of all RITA packages submitted:
MUST check off and turn in with RITA Certification Statement and RITA Voucher to ensure complete package.
________ Copy of CD-29 (Travel Orders)
________ Copies (carbon or Xerox) of all employee W-2 (s) (Wage and Tax Statement) AND 1099-R
(for retired military, if applicable)
________ Copy (NOTARIZED) of employee's Form 1040-SE (Self-Employed), if applicable
________ Copy (carbon or Xerox) of all spouse W-2(s) (Wage and Tax Statement), AND/OR 1099-R
(for retired military, if applicable)
________ Copy (NOTARIZED) of spouse's Form 1040-SE (Self-Employed), if applicable
________ Copy of local tax table/formula, if applicable
________ Original signature needed on completed CD-370 (Travel Voucher)
________ Original signature needed on completed RITA Certification Statement
U.S. DEPARTMENT OF COMMERCE
RELOCATION INCOME TAX ALLOWANCE (RITA)
CERTIFICATION STATEMENT
EMPLOYEE NAME: 0
I (WE) certify that the following information, which is to be used in calculating the RITA to which I am entitled, has been (or will
be) shown on the income tax returns filed (or to be filed) by me (or by my spouse and me) with the applicable federal, state,
and local (specify below) tax authorities
for the 20 _YY__ tax year.
Enter compensation as shown on attached IRS Form(s) W-2 and/or Form(s) 1099-R (retired military), and if applicable, net
earnings (or loss) from self-employment income shown on attached Schedule SE (Form 1040):
Forms W-2 Forms 1099-R Schedule SE
EMPLOYEE $ $ $
SPOUSE (If filing jointly) $ $ $
TOTAL (all three columns) $0.00
Place an "X" in front of one of the four filing status items below that was or will be claimed on IRS Form 1040
1 Single Taxpayer 3 Married filing Jointly/Qualifying widow or widower
2 Head of Household 4 Married filing Separately
Rates (expressed as a decimal)
FEDERAL: Year 1 Year 2
STATE (SPECIFY STATE):
LOCAL(SPECIFY LOCALITY):
Effective date of transfer: 01/00/00
Distance Requirement:
A. 0 miles What is the distance from our old residence to your new work place?
B. 0 miles What is the distance from our old residence to your old work place?
C. <<<<<<< If the distance in "A" is 50 miles or more further than the distance in "B" check the box.
The above information and attached schedules and work sheets are true and accurate to the best of my (our) knowledge. I (we) agree to
notify the appropriate agency official of any changes to the above (i.e., from amended tax returns, tax audit, etc.) so that appropriate
adjustment to the RITA can be made. The required supporting documents are attached. Additional documentation will be furnished if
requested.
______________________ __________ _______________________ __________
Employee's Signature Date Spouse's Signature Date
I understand that if the withholding tax allowance amounts already reimbursed to me exceed the final RITA, I am obligated to
repay the excess amounts as a debt due the government.
_________________________ __________
Employee's Signature Date
Last three years of Relocation Income Tax (RIT) Allowance Tables - found 3/4 down the page
http://www.gsa.gov/Portal/gsa/ep/contentView.do?contentType=GSA_BASIC&contentId=24030&noc=T#Relocat
This list if for the "Rates for LOCAL (Specify Locality)" which may not include all states, please check your state
Alabama, Delaware, Indiana, Iowa, Kentucky, Maryland, Michigan, Missouri, New York, Ohio, Pennsylvania - kno
Example: Maryland
http://individuals.marylandtaxes.com/incometax/localtax.asp
You are required to drive an average of 300 miles per day, except the last day of travel.
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelId=-24569&specialContentType=
oc=T#Relocation%20Income%20Tax%20Allowance%20(RITA)%20Application
eck your state.
nsylvania - known about at this point.
ContentType=FTR&file=FTR/Chapter302p004.html
SECTION A IDENTIFICATION YYYY RITA CLAIM FORM CD-370 U.S. DEPARTMENT OF COMMERCE
(Exception to SF-1012; Approved GSA 2-82)
SOCIAL SECURITY NUMBER NAME (Last) (First) (Middle Initial) (Rev. 9-03)
N/A 0 TRAVEL VOUCHER
Bureau Code CD-29 TRAVEL ORDER DATES FOR TRAVEL EXPENSE TYPE RECLAIM AMOUNT MAILING ADDRESS OF CHECK
0 FROM THRU CODE INCLUDED SALARY CHECK ADDRESS
14
PURPOSE CODE 6 01/01/yyyy 12/31/yyyy 4 $ X SPECIAL ADDRESS (Non-Government Traveler or New Hire)
ORGANIZATION OFFICIAL DUTY STATION (City and State) RESIDENT CITY AND STATE
0 0 0
SECTION B - TICKET COSTS BILLED DIRECTLY TO GOVERNMENT (Air,Rail,Bus,Ship)
AMOUNT VENDOR NUMBER OF CLASS EXPLANATION OF TRAVEL SECTION D - CLAIMS FINANCE USE
TRAVELERS FROM TO 1. PER DIEM
1. $ NO. DAYS
2. $ 2. MILEAGE
3. $ TOTAL MILES
4. $ 3. OTHER
TOTAL $ < TOTAL - SECTION B IMPORTANT: Return unused tickets to your travel services provider. TRAVEL
SECTION C - ACCOUNTING CLASSIFICATION CODE (Reimbursable Expense) 4. CAR RENTAL
(Distribute Total Claim Amount from Section D to the Applicable Accounting Classification Code(s) as Indicated on the Travel Order) (PAID BY TRAVELER)
FCFY PROJECT-TASK ORGANIZATION OBJECT CLASS CLAIM 5. COMMON CARRIER
(xxxx) (xxxxxx-xxx) (xx-xx-xxxx-xx-xx-xx-xx) (xx-xx-xx-xx) AMOUNT TRANSPORTATION
1 0 0 0 12-35-00-00 6. ACTUAL SUBSISTENCE
2 NO. DAYS
3 7. MISCELLANEOUS
4 EXPENSES
5 8. REAL ESTATE EXPENSES
6 (FORM CD-371)
7 9. TEMPORARY QUARTERS
TOTAL CLAIM AMOUNT(This Block must Agree with Block 11) > (FORM CD-372)
SECTION E - CERTIFICATIONS 10. RELOCATION INCOME
FRADULENT CLAIM - Falsification of an item in an expense account works a forfeiture of the claim (28 U.S.C. 2514) and may result in a TAX ALLOWANCE
fine of not more than $10,000 or imprisonment for not more than 5 years or both (18 U.S.C. 287; id. 1001)
CLAIMANT'S RESPONSIBILITIES AND SIGNATURE email address: @noaa.gov RITA
I hereby assign to the United States any right I may have against any parties in connection with ( ) day worker CLAIMANT'S SIGNATURE 11. TOTAL CLAIM
reimbursable transportation charges described below, purchased under cash payment procedures (LINES 1 THRU 10)
(41 CFR 101-41.203-2). I certify this voucher is true and correct to the best of my knowledge and belief, ( ) shift worker DATE PHONE
and that payment or credit has not been received by me. 0 12. TRAVEL ADVANCE
PRIVACY ACT NOTICE. The following information is provided to comply with the Privacy Act of 1974 home: AMOUNT OUTSTANDING
(P.L> 93-579). The information requested on this form is incurred by the employee and to claim other entitlements and cell phone:
allowances as prescribed in the Federal Travel Regulation (41CFR, Chapters 300-304). The information contained in this form will be used by Federal Agency officers and employees who 13. AMOUNT OF VOUCHER (LINE 11)
have a need for such information in the performance of their duties. Information will be transferred to appropriate Federal, State, local or foreign agencies, when relevant to civil, criminal TO BE APPLIED TO OUTSTANDING
connection with the hiring or firing, or security clearance, or such other investigation of the performance of official duty in Government service. Failure to provide the information ADVANCE (LINE 12)
of the performance of official duty in Government service. Failure to provide the information required will result in delay or suspension of the employee's claim for reimbursement. 14. ADVANCE AMOUNT REPAID
APPROVING OFFICERS' RESPONSIBILITES AND SIGNATURE
In approving this voucher, I have determined that: APPROVING OFFICIAL SIGNATURE 15. REMAINING ADVANCE BALANCE
(1) Reimbursement is claimed for official travel only. (Line 11 minus Line 13 minus Line 14)
(2) Use of rental car, taxicab, or other special conveyance for which reimbursement is claimed is to the Governments advantage. NAME AND TITLE 16. NET TO TRAVELER
(3) Long distance phone calls and supplies or equipment purchased are necessary and in the interest of the Government. 0 (Line 11 minus Line 13)
DATE PHONE AUDITED BY (Examiner's Initials) TOTAL
(X) CD-29 ATTACHED ( ) CD-29 SUBMITTED WITH PREVIOUS VOUCHER 0 DIFFERENCE
CHECKLIST FOR SUBMISSION OF RELOCATION INCOME TAX ALLOWANCE (RITA)
1. Must have original signatures on your RITA voucher and RITA Certification Statement.
Make copies of completed forms for personal records.
2. Use Excel Relocation/PCS Forms or Tabs sent in email from NOAA Finance Office.
3. Submit all RITA packages through your approving office for signature, THEN to NOAA Finance Relocation Personnel.
The following MUST (as applicable) be included as part of all RITA packages submitted:
MUST check off and turn in with RITA Certification Statement and RITA Voucher to ensure complete package.
________ Copy of CD-29 (Travel Orders)
________ Copies (carbon or Xerox) of all employee W-2 (s) (Wage and Tax Statement) AND 1099-R
(for retired military, if applicable)
________ Copy (NOTARIZED) of employee's Form 1040-SE (Self-Employed), if applicable
________ Copy (carbon or Xerox) of all spouse W-2(s) (Wage and Tax Statement), AND/OR 1099-R
(for retired military, if applicable)
________ Copy (NOTARIZED) of spouse's Form 1040-SE (Self-Employed), if applicable
________ Copy of local tax table/formula, if applicable
________ Original signature needed on completed CD-370 (Travel Voucher)
________ Original signature needed on completed RITA Certification Statement
U.S. DEPARTMENT OF COMMERCE
RELOCATION INCOME TAX ALLOWANCE (RITA)
CERTIFICATION STATEMENT
EMPLOYEE NAME: 0
I (WE) certify that the following information, which is to be used in calculating the RITA to which I am entitled, has been (or will
be) shown on the income tax returns filed (or to be filed) by me (or by my spouse and me) with the applicable federal, state,
and local (specify below) tax authorities
for the 20 _YY__ tax year.
Enter compensation as shown on attached IRS Form(s) W-2 and/or Form(s) 1099-R (retired military), and if applicable, net
earnings (or loss) from self-employment income shown on attached Schedule SE (Form 1040):
Forms W-2 Forms 1099-R Schedule SE
EMPLOYEE $ $ $
SPOUSE (If filing jointly) $ $ $
TOTAL (all three columns) $0.00
Place an "X" in front of one of the four filing status items below that was or will be claimed on IRS Form 1040
1 Single Taxpayer 3 Married filing Jointly/Qualifying widow or widower
2 Head of Household 4 Married filing Separately
Rates (expressed as a decimal)
FEDERAL: Year 1 Year 2
STATE (SPECIFY STATE):
LOCAL(SPECIFY LOCALITY):
Effective date of transfer: 01/00/00
Distance Requirement:
A. 0 miles What is the distance from our old residence to your new work place?
B. 0 miles What is the distance from our old residence to your old work place?
C. <<<<<<< If the distance in "A" is 50 miles or more further than the distance in "B" check the box.
The above information and attached schedules and work sheets are true and accurate to the best of my (our) knowledge. I (we) agree to
notify the appropriate agency official of any changes to the above (i.e., from amended tax returns, tax audit, etc.) so that appropriate
adjustment to the RITA can be made. The required supporting documents are attached. Additional documentation will be furnished if
requested.
______________________ __________ _______________________ __________
Employee's Signature Date Spouse's Signature Date
I understand that if the withholding tax allowance amounts already reimbursed to me exceed the final RITA, I am obligated to
repay the excess amounts as a debt due the government.
_________________________ __________
Employee's Signature Date
Last three years of Relocation Income Tax (RIT) Allowance Tables - found 3/4 down the page
http://www.gsa.gov/Portal/gsa/ep/contentView.do?contentType=GSA_BASIC&contentId=24030&noc=T#Relocat
This list if for the "Rates for LOCAL (Specify Locality)" which may not include all states, please check your state
Alabama, Delaware, Indiana, Iowa, Kentucky, Maryland, Michigan, Missouri, New York, Ohio, Pennsylvania - kno
Example: Maryland
http://individuals.marylandtaxes.com/incometax/localtax.asp
You are required to drive an average of 300 miles per day, except the last day of travel.
http://www.gsa.gov/Portal/gsa/ep/channelView.do?pageTypeId=17113&channelId=-24569&specialContentType=
oc=T#Relocation%20Income%20Tax%20Allowance%20(RITA)%20Application
eck your state.
nsylvania - known about at this point.
ContentType=FTR&file=FTR/Chapter302p004.html
SECTION A IDENTIFICATION YYYY RITA CLAIM FORM CD-370 U.S. DEPARTMENT OF COMMERCE
(Exception to SF-1012; Approved GSA 2-82)
SOCIAL SECURITY NUMBER NAME (Last) (First) (Middle Initial) (Rev. 9-03)
N/A 0 TRAVEL VOUCHER
Bureau Code CD-29 TRAVEL ORDER DATES FOR TRAVEL EXPENSE TYPE RECLAIM AMOUNT MAILING ADDRESS OF CHECK
0 FROM THRU CODE INCLUDED SALARY CHECK ADDRESS
14
PURPOSE CODE 6 01/01/yyyy 12/31/yyyy 4 $ X SPECIAL ADDRESS (Non-Government Traveler or New Hire)
ORGANIZATION OFFICIAL DUTY STATION (City and State) RESIDENT CITY AND STATE
0 0 0
SECTION B - TICKET COSTS BILLED DIRECTLY TO GOVERNMENT (Air,Rail,Bus,Ship)
AMOUNT VENDOR NUMBER OF CLASS EXPLANATION OF TRAVEL SECTION D - CLAIMS FINANCE USE
TRAVELERS FROM TO 1. PER DIEM
1. $ NO. DAYS
2. $ 2. MILEAGE
3. $ TOTAL MILES
4. $ 3. OTHER
TOTAL $ < TOTAL - SECTION B IMPORTANT: Return unused tickets to your travel services provider. TRAVEL
SECTION C - ACCOUNTING CLASSIFICATION CODE (Reimbursable Expense) 4. CAR RENTAL
(Distribute Total Claim Amount from Section D to the Applicable Accounting Classification Code(s) as Indicated on the Travel Order) (PAID BY TRAVELER)
FCFY PROJECT-TASK ORGANIZATION OBJECT CLASS CLAIM 5. COMMON CARRIER
(xxxx) (xxxxxx-xxx) (xx-xx-xxxx-xx-xx-xx-xx) (xx-xx-xx-xx) AMOUNT TRANSPORTATION
1 0 0 0 12-35-00-00 6. ACTUAL SUBSISTENCE
2 NO. DAYS
3 7. MISCELLANEOUS
4 EXPENSES
5 8. REAL ESTATE EXPENSES
6 (FORM CD-371)
7 9. TEMPORARY QUARTERS
TOTAL CLAIM AMOUNT(This Block must Agree with Block 11) > (FORM CD-372)
SECTION E - CERTIFICATIONS 10. RELOCATION INCOME
FRADULENT CLAIM - Falsification of an item in an expense account works a forfeiture of the claim (28 U.S.C. 2514) and may result in a TAX ALLOWANCE
fine of not more than $10,000 or imprisonment for not more than 5 years or both (18 U.S.C. 287; id. 1001)
CLAIMANT'S RESPONSIBILITIES AND SIGNATURE email address: @noaa.gov RITA
I hereby assign to the United States any right I may have against any parties in connection with ( ) day worker CLAIMANT'S SIGNATURE 11. TOTAL CLAIM
reimbursable transportation charges described below, purchased under cash payment procedures (LINES 1 THRU 10)
(41 CFR 101-41.203-2). I certify this voucher is true and correct to the best of my knowledge and belief, ( ) shift worker DATE PHONE
and that payment or credit has not been received by me. 0 12. TRAVEL ADVANCE
PRIVACY ACT NOTICE. The following information is provided to comply with the Privacy Act of 1974 home: AMOUNT OUTSTANDING
(P.L> 93-579). The information requested on this form is incurred by the employee and to claim other entitlements and cell phone:
allowances as prescribed in the Federal Travel Regulation (41CFR, Chapters 300-304). The information contained in this form will be used by Federal Agency officers and employees who 13. AMOUNT OF VOUCHER (LINE 11)
have a need for such information in the performance of their duties. Information will be transferred to appropriate Federal, State, local or foreign agencies, when relevant to civil, criminal TO BE APPLIED TO OUTSTANDING
connection with the hiring or firing, or security clearance, or such other investigation of the performance of official duty in Government service. Failure to provide the information ADVANCE (LINE 12)
of the performance of official duty in Government service. Failure to provide the information required will result in delay or suspension of the employee's claim for reimbursement. 14. ADVANCE AMOUNT REPAID
APPROVING OFFICERS' RESPONSIBILITES AND SIGNATURE
In approving this voucher, I have determined that: APPROVING OFFICIAL SIGNATURE 15. REMAINING ADVANCE BALANCE
(1) Reimbursement is claimed for official travel only. (Line 11 minus Line 13 minus Line 14)
(2) Use of rental car, taxicab, or other special conveyance for which reimbursement is claimed is to the Governments advantage. NAME AND TITLE 16. NET TO TRAVELER
(3) Long distance phone calls and supplies or equipment purchased are necessary and in the interest of the Government. 0 (Line 11 minus Line 13)
DATE PHONE AUDITED BY (Examiner's Initials) TOTAL
(X) CD-29 ATTACHED ( ) CD-29 SUBMITTED WITH PREVIOUS VOUCHER 0 DIFFERENCE
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