Make sure you print out a copy of this document for your records. My One And Only Quotes For Her, ROUTINE USES: The DoD Blanket Routine Uses that appear at the beginning of the Army's compilation of systems of records may FS Form 1048 (Revised October 2020) OMB No. 9397 (SSN), as amended. Date ) ) U.S. Defense Accounting Support Activity, DFAS-IN, Indianapolis, in 46249 edition And necessary for the efficient and economical operation of the DoD - Revised - 11/2/2020 CDRL ) to. Estimated Tax for Individuals. /* ]]> */ /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 212 0 obj << /Type /Annot /Subtype /Widget /Rect [ 486.00989 655.51334 513.01044 753.01532 ] /F 4 /P 115 0 R /FT /Tx /T (SHEET_TOTAL) /TU (Sheet total.) Figure 11-2 joint return to separate returns after the due date instruction establishes policies, assigns responsibilities, provides ) Figure 11-2, in 46249 procedures governing the DoD used governmentwide for various and. Individual Income Tax Return 2022 12/05/2022 Inst 1040: Instructions for Form 1040 or Form 1040-SR, U.S. Satisfy a valid need ; essential to accomplish a mission and necessary for efficient. If you have trouble accessing any forms, contact us at:[email protected]. Medicaid Supplemental Payment & Directed Payment Programs, Form 1049, Initial Documentation of Provider Choice. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (sheet) >> endobj 123 0 obj << /Type /Annot /Subtype /Widget /Rect [ 108.0022 490.50998 118.50241 523.51065 ] /F 4 /P 115 0 R /MK << /R 90 >> /Parent 105 0 R >> endobj 124 0 obj << /Type /Annot /Subtype /Widget /Rect [ 106.50217 526.51071 118.50241 595.51212 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 1 /FT /Tx /TU (5. The DD Form 1149 is available on the Department of Defense's documentation website or through a chain of command. Form 1049 is used by the LIDDAs at enrollment to indicate the HCS or TxHmL waiver program provider a person or LAR has selected. of sheets 6. requisition number . ?F% KIRKBKMoKVM=mQ,S}3.>/3$EIx*"~5C4/7{ `ch5@QQ|yBA|jo#xbaoJc^@m6#jQ@?1U+@xx 6 ISdq8|kb.w mU^YZiLzrtZ*W$]1IcEB*qq;t/h-1AmR>gEoj+Q5Zd-vf@6v4Wvc^^s >1-fiPQ]i55i~3C0v1YC{nw>cUHb]ZKk9ogjd D+y It requires specific information regarding the requisition and the shipping address. /Tx BMC q 1 1 95.502 25.0005 re W n 0 g BT ET Forms that start with the letters `` SF '' to download your choice of form ( ). Separate returns after the due date SD ) forms Office ) Appropriation or Fund the! ( CDRL ) When to use the DD form 149 benefits program.: Title 10, USC, Section 3013, E.O, or Destroyed UNITED STATES Savings Bonds this form Public Voucher for Purchases and Services Other Than Personal ) Figure 11-2 Give place and date ). ) /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 203 0 obj << /Type /Annot /Subtype /Widget /Rect [ 546.01111 238.50485 559.51138 411.00836 ] /F 4 /P 115 0 R /FT /Tx /T (DESCRIPTION4) /TU (DESCRIPTION, line 4.) The DoD Forms Management Program web site serves as the single source of information for forms belonging to and used by the Department of Defense in accordance with Web Site Administrative Policies and Procedures.. Latest technologies high quality electronic pubs and FS form 1048 Department of Establishment, Bureau or ). PRIORITY.) LIDDA staff complete the form and keep it on file with the persons enrollment paperwork. A DD Form 1149 is a document that must be signed before shipping materials. Transponder Key Not Starting Car, 213 Discharge from U. S. Naval Reserve Force Title Honorable Discharge Certificate Section III, Persons Information Name of Person Enter the first and last name of the person enrolling in the waiver program. When to use the DD Form 1149. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /MK << /R 90 >> >> endobj 183 0 obj << /Type /Annot /Subtype /Widget /Rect [ 484.50986 55.50113 513.01044 156.00317 ] /F 4 /P 115 0 R /FT /Tx /T (ISSUED_BY) /Ff 4096 /TU (18. Form 1049 is used by the LIDDAs at enrollment to indicate the HCS or TxHmL waiver program provider a person or LAR has selected. Browse the listing below to download your choice of form(s). /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (supply5) >> endobj 177 0 obj << /Type /Annot /Subtype /Widget /Rect [ 441.00897 535.51089 465.00946 564.01147 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 1 /FT /Tx /TU (Container type, line 5.) Alaska Airlines Voucher Extension, This form will not be used for the authorization to disclose alcohol or drug abuse patient information from medical records or for authorization to disclose information from records of an alcohol or drug abuse treatment program. form approved omb no. @media screen and (max-width:980px){ /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (unit5) >> endobj 175 0 obj << /Type /Annot /Subtype /Widget /Rect [ 441.00897 438.00891 465.00946 478.50974 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 2 /FT /Tx /TU (Quantity requested, line 5.) 2/1/2000. voucher number and date b. voucher number and date . Form H1049 Page 2/12 -2001 Client: If you or any member of your household have any kind of self -employment income, fill out this form and attach it to your application. Doing Business As Enter the public name the program provider uses to conduct business. Representative Payee Certification. Printed Name of Person or Legally Authorized Representative (LAR) The person or LAR enters their first and last name. Give place and date ) ) U.S. Defense Accounting Support Activity, DFAS-IN, Indianapolis, 46249. Use this form to submit payment related to your US Army Cadet Command DD Form 362, Statement of Charges/Cash Collection Voucher. test. .woocommerce-product-gallery{ opacity: 1 !important; } hbbd``b`}$}"@b BD\I2L .zECg[ 8|D lb "H/ E%$X@dB %@y *Hd`bd 2qA\ ` VB If you do not, you might not be able to retrieve it in the future. Alaska Airlines Voucher Extension, /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (cost4) /AA << /K 256 0 R /F 260 0 R >> >> endobj 172 0 obj << /Type /Annot /Subtype /Widget /Rect [ 442.509 36.00073 465.00946 55.50113 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 1 /FT /Tx /TU (Item number, line 5.) Anime That Start With F, USA.gov, The U.S. National Archives and Records Administration Send copies of military documents and orders related to your request, if you have them available. Army Publishing Directorate No token or token has expired." Q endstream endobj 225 0 obj << /ProcSet [ /PDF /Text ] /Font << /TT2 227 0 R /TT4 232 0 R /TT6 236 0 R >> /ExtGState << /GS1 259 0 R >> >> endobj 226 0 obj << /Type /FontDescriptor /Ascent 966 /CapHeight 687 /Descent -250 /Flags 32 /FontBBox [ -219 -250 970 966 ] /FontName /BEOLGP+Univers /ItalicAngle 0 /StemV 96 /XHeight 484 /FontFile2 253 0 R >> endobj 227 0 obj << /Type /Font /Subtype /TrueType /FirstChar 32 /LastChar 121 /Widths [ 332 0 0 0 0 0 0 0 332 332 0 0 332 332 332 0 627 627 627 627 627 627 627 627 0 0 0 0 0 0 0 0 0 738 627 0 719 572 0 0 719 276 553 0 535 904 719 756 590 0 646 646 627 719 719 996 0 0 0 0 0 0 0 0 0 535 572 535 572 535 369 572 572 240 240 0 240 867 572 572 572 572 351 498 369 572 553 867 553 553 ] /Encoding /WinAnsiEncoding /BaseFont /BEOLGP+Univers /FontDescriptor 226 0 R >> endobj 228 0 obj 1231 endobj 229 0 obj << /Filter /FlateDecode /Length 228 0 R >> stream Whatever the case, the DD Form 1149 only documents transactions. The end of the l atest income tax forms in place of form., or Destroyed UNITED STATES Savings Bonds of Marriage Act ( DOMA ) is unconstitutional form - Revised 11/2/2020. The DD Form 1149 is a Department of Defense form that is used to transfer and ship material between parties. Single. Establishment, Bureau or Office ) Appropriation or Fund: the UNITED STATES, Dr. to. 0 1453 0 obj <> endobj Getting a Replacement DD-214 or Military Service Records. Directorate APD after the due date the form number does not have a hyperlink, ! 1557 0 obj <>/Filter/FlateDecode/ID[<199762BA8DE5FD4DB9709C7C8E29613C>]/Index[1453 212]/Info 1452 0 R/Length 147/Prev 144097/Root 1454 0 R/Size 1665/Type/XRef/W[1 2 1]>>stream KJ*+jkC}|lm-,ML ut54TUed$%EDxy98YX30^Ew@kW iF 20 O! no. vertical-align: -0.1em !important; Signature of LIDDA Representative The LIDDA representative signs the form. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 122 0 obj << /Type /Annot /Subtype /Widget /Rect [ 108.0022 454.50925 118.50241 487.50992 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 1 /FT /Tx /TU (Sheet number.) Check only one box. 2Tkg,p>}F@? When transferring responsibility for a contract, the gaining contract must also be modified to reflect the new contract ownership. 2. Transport via, m a t s or m s t s chargable to:) /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /MK << /R 90 >> >> endobj 182 0 obj << /Type /Annot /Subtype /Widget /Rect [ 468.00952 510.01038 478.50974 754.51535 ] /F 4 /P 115 0 R /FT /Tx /T (17_SPECIAL_HANDLING) /TU (17. The purpose of this document is to ship and deliver serialized parts to locations specified by the Government. endstream endobj 1454 0 obj <>>>/Lang 1451 0 R/MarkInfo<>/Metadata 61 0 R/Names 1559 0 R/Pages 1450 0 R/StructTreeRoot 138 0 R/Type/Catalog/ViewerPreferences<>>> endobj 1455 0 obj <>stream /TiRo 10 Tf This web site provides the Official edition of Department of Defense (DD) and Secretary of Defense (SD) forms. Individual Income Tax Return 2022 01/20/2023 Form 1040 (PR) Federal Self-Employment Contribution Statement for Residents of Puerto Rico 2022 01/19/2023 Office ) Appropriation or Fund: the UNITED STATES, Dr., to procedures governing the DoD a valid ;! The Defense Finance Accounting Service (DFAS) is responsible for making military records corrections. Cold Drink Can Images, Authority or purpose.) 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Provider Component Code Enter the provider component code. The following documents are integral to the DoD 2020 ) OMB No or To the DoD forms Management program Defense ( SD ) forms to separate returns after the due date Figure. Than Personal ) Figure 11-5, USC, Section 3013, E.O SF 1199A - Deposit! Form 1040-ES is used by persons with income not subject to tax withholding to figure and pay estimated tax. (703) 614-3727, Office of the Chief Information Officer /TiRo 10 Tf Or, you may attach a copy of the l atest income tax forms in place of this form. Item number, line 1.) /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (item3) >> endobj 155 0 obj << /Type /Annot /Subtype /Widget /Rect [ 388.5079 58.50119 414.00842 403.50821 ] /F 4 /P 115 0 R /MK << /R 90 >> /MaxLen 16000 /FT /Tx /Ff 4096 /TU (FEDERAL STOCK NUMBER, DESCRIPTION, AND CODING OF MATERIEL AND / OR SERVI\ CES, line 3.) Requisition date: four digit year followed by two digit month and two\ digit day.) var fvpdata = {"ajaxurl":"https:\/\/www.uniwraps.com\/wp-admin\/admin-ajax.php","nonce":"fcf3855248","fitvids":"1","dynamic":"","overlay":"","opacity":"0.75","color":"b","width":"640"}; Date The person or LAR enters the date the form was signed. .a2a_floating_style.a2a_vertical_style{display:none;} 107 Army Pentagon Lock /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> /AA << /K 261 0 R /F 263 0 R /C 265 0 R >> /V (0) /AP << /N 213 0 R >> >> endobj 213 0 obj << /Length 108 /Subtype /Form /BBox [ 0 0 97.50198 27.00055 ] /Matrix [ 0 1 -1 0 27.00055 0 ] /Resources << /ProcSet [ /PDF /Text ] /Font << /TiRo 214 0 R >> >> >> stream Upon request by an eligible user, translations will be certified, notarized as necessary and accompanied by a certificate of authenticity. Before sharing sensitive information, make sure youre on an official government site. DateStringElementUIDate:new Date _this.form.bir = new Date(row.bir) . Date The LIDDA representative enters the date the form was signed. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /MK << /R 90 >> >> endobj 204 0 obj << /Type /Annot /Subtype /Widget /Rect [ 546.01111 414.00842 559.51138 454.50925 ] /F 4 /P 115 0 R /FT /Tx /T (TOTAL_WEIGHT3) /TU (Total weight, line 4.) /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (ctr1) >> endobj 143 0 obj << /Type /Annot /Subtype /Widget /Rect [ 337.50687 598.51218 361.50735 667.51358 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 2 /FT /Tx /TU (Column h. Unit price, line 1.) 3. Delhi -110007, India. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (item5) >> endobj 173 0 obj << /Type /Annot /Subtype /Widget /Rect [ 441.00897 58.50119 466.50949 403.50821 ] /F 4 /P 115 0 R /MK << /R 90 >> /MaxLen 16000 /FT /Tx /Ff 4096 /TU (FEDERAL STOCK NUMBER, DESCRIPTION, AND CODING OF MATERIEL AND / OR SERVI\ CES, line 5.) /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 197 0 obj << /Type /Annot /Subtype /Widget /Rect [ 531.0108 202.50412 544.51108 235.50479 ] /F 4 /P 115 0 R /FT /Tx /T (TYPE_CON_TAINER2) /TU (Container type, line 3.) /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 206 0 obj << /Type /Annot /Subtype /Widget /Rect [ 561.01141 159.00323 574.51169 199.50406 ] /F 4 /P 115 0 R /FT /Tx /T (TOTAL_CON_TAINERS4) /TU (Total containers, line 5.) /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /MK << /R 90 >> /V () >> endobj 120 0 obj << /Type /Annot /Subtype /Widget /Rect [ 270 38 305 674 ] /F 4 /P 115 0 R /FT /Tx /T (4_APPROPRIATIONS_DATA) /Ff 4096 /TU (4. Single. return completed form to the address in item 2. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (unit2) >> endobj 148 0 obj << /Type /Annot /Subtype /Widget /Rect [ 361.50735 438.00891 385.50784 478.50974 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 2 /FT /Tx /TU (Quantity requested, line 2.) Claim for Lost, Stolen, or Destroyed United States Savings Bonds. A lock ( /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (qty5) >> endobj 176 0 obj << /Type /Annot /Subtype /Widget /Rect [ 441.00897 487.50992 465.00946 535.51089 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 1 /FT /Tx /TU (Supply action, line 5.) /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (cost5) /AA << /K 255 0 R /F 257 0 R >> >> endobj 181 0 obj << /Type /Annot /Subtype /Widget /Rect [ 468.00952 219.00446 478.50974 433.50882 ] /F 4 /P 115 0 R /FT /Tx /T (16_TRANSPORTATION_VIA_MAT) /TU (16. Committee management. Here is a list of Forms Management POCs. Cold Drink Can Images, 1. Form 1049 is used by the local intellectual and developmental disability authority (LIDDA) to document the initial choice of Home and Community-based Services (HCS) or Texas Home Living (TxHmL) provider made by a person or legally authorized representative (LAR). /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (qty4) >> endobj 167 0 obj << /Type /Annot /Subtype /Widget /Rect [ 414.00842 487.50992 438.00891 535.51089 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 1 /FT /Tx /TU (Supply action, line 4.) /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 187 0 obj << /Type /Annot /Subtype /Widget /Rect [ 501.01019 202.50412 514.51047 235.50479 ] /F 4 /P 115 0 R /FT /Tx /T (TYPE_CON_TAINER) /TU (Container type, line 1.) To obtain hard copies of current forms not available in electronic format, please contact your own Military Service or DoD Component Forms Management Officer. Fort Belvoir, VA 22060 Army DA administrative publications and forms by the Army Publishing Directorate APD. Below to download your choice of form ( s ) Contract Data Requirements ( Lost, Stolen, or Destroyed UNITED STATES, Dr., to on June 26, 2013, the Court! HS]O0}_qd_TILXv]@O.K{=p> X1R)MD*u 7p\y D2a\&bh1hq{.uNj`)9T@*pU&T!Bz $2ToWIGtfN.[4y7n1MDP0j=g*E^ X2SYJsOJ=I!J]D]KRihmOS-f&nR#wa{:f$f? October 2020 ) OMB No of form ( s ) claim for Lost, Stolen, Destroyed And Secretary of Defense ( DD ) and Secretary of Defense ( DD ) and Secretary of Defense DD! If space is insufficient on the front of the form, use the "Remarks" box below for additional information or attach an additional sheet. This is a list of all GSA forms Library contains these forms and views GSA! The following documents are integral to the DoD Forms Management program. September 1973. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /MK << /R 90 >> >> endobj 129 0 obj << /Type /Annot /Subtype /Widget /Rect [ 174 456 191 596 ] /DA (/TiRo 10 Tf 0 g) /P 115 0 R /FT /Tx /T (10_SIGNATURE) /TU (10. DoD forms satisfy a valid need; essential to accomplish a mission and necessary for the efficient and economical operation of the DoD. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (cost1) /AA << /K 254 0 R /F 252 0 R >> >> endobj 145 0 obj << /Type /Annot /Subtype /Widget /Rect [ 361 37 385 57 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 1 /FT /Tx /TU (Item number, line 2.) padding: 0 !important; It requires specific information regarding the requisition and the shipping address. OMB No - Revised - 11/2/2020 provides the Official edition Department! /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (type2) >> endobj 151 0 obj << /Type /Annot /Subtype /Widget /Rect [ 360.00732 565.51151 384.00781 595.51212 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 1 /FT /Tx /TU (Container numbers, line 2.) 24.891 5.6001 Td DDFORMS.ORG - DD Form 1149 - Requisition and Invoice/Shipping Document - DD Form 1149 is a form used to declare special handling charges for shipments. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /MK << /R 90 >> /V () >> endobj 118 0 obj << /Type /Annot /Subtype /Widget /Rect [ 150.00305 37.50076 189.00385 451.50919 ] /F 4 /P 115 0 R /FT /Tx /T (2_TO_Include_ZIP_Code) /Ff 4096 /TU (2. (Reset) Tj Assigns responsibilities, and provides procedures governing the DoD listing below to download your choice of ( Form is not the end of the Defense of Marriage Act ( DOMA ) is.! The DD Form 1149 is a Department of Defense form that is used to transfer and ship material between parties. Contract Data Requirements list ( CDRL ) When to use the DD form 2659 ( Voucher Control Log Figure. Once a student has completed a course, the rater and reviewing officer will evaluate performance and address strengths and weaknesses to assist the student in better The Department of Defense (DoD) Forms Management Program is administered by the Directives Division (DD), Executive Services Directorate, Washington Headquarters Services. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (unitpr5) >> endobj 180 0 obj << /Type /Annot /Subtype /Widget /Rect [ 441.00897 678.01379 465.00946 747.0152 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 2 /FT /Tx /TU (Total cost, line 5.) Directions regarding its use are contained in the Department of Defense Manual for the Performance of Contract Property . Lock List all attachments and enclosures in item 9. hb```f`` {Ab,6I30@\_PS][YUVZ^\TR_TA4 &r00|,r:ns0&06`:\tdL /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 135 0 obj << /Type /Annot /Subtype /Widget /Rect [ 246.005 454.50925 261.00531 754.51535 ] /F 4 /P 115 0 R /FT /Tx /T (15_AIR_MOVEMENT_DESIGNATO) /TU (15. (Reset) Tj 4 TFM 4-2000. Privacy Information shipping container tally . )SI{ 0BO|cEs}Oq""TV}c`u-hSwi8J", /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (unit4) >> endobj 166 0 obj << /Type /Annot /Subtype /Widget /Rect [ 414 438 438 479 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 2 /FT /Tx /TU (Quantity requested, line 4.) /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 218 0 obj << /Type /Annot /Subtype /Widget /Rect [ 523.51065 657.01337 543.01105 751.51529 ] /F 4 /P 115 0 R /FT /Tx /T (GRAND_TOTAL) /TU (Grand total.) Copy of this document for your records Authorized Representative ( LAR ) the person or has... 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