img.emoji { H|Vv8G~.t38=g,>ML. P&R. DD2499. Hn0} 0 %PDF-1.7 % /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (qty3) >> endobj 158 0 obj << /Type /Annot /Subtype /Widget /Rect [ 387.00787 487.50992 411.00836 535.51089 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 1 /FT /Tx /TU (Supply action, line 3.) Form: SF1034 Public Voucher for Purchases and Services Other Than Personal Current Revision Date: 10/1987 Authority or Regulation: 1 TFM 4-2000 and FAR (48 CFR) 53.249 (a) (1) DOWNLOAD THIS FORM: Choose a link below to begin downloading. Please prove you are human by selecting the, Donny Hathaway - This Christmas Other Recordings Of This Song. 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[boi;vC{glw+nbE7wNVFj('Y3bc"#BC|}<=\]DxyXY>f`JL@` T]b endstream endobj 267 0 obj 864 endobj 115 0 obj << /Type /Page /Parent 109 0 R /Resources 225 0 R /Contents [ 229 0 R 231 0 R 235 0 R 239 0 R 241 0 R 243 0 R 245 0 R 247 0 R ] /Rotate 90 /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Annots 116 0 R >> endobj 116 0 obj [ 117 0 R 118 0 R 119 0 R 120 0 R 121 0 R 122 0 R 123 0 R 124 0 R 125 0 R 126 0 R 127 0 R 128 0 R 129 0 R 130 0 R 131 0 R 132 0 R 133 0 R 134 0 R 135 0 R 136 0 R 137 0 R 138 0 R 139 0 R 140 0 R 141 0 R 142 0 R 143 0 R 144 0 R 145 0 R 146 0 R 147 0 R 148 0 R 149 0 R 150 0 R 151 0 R 152 0 R 153 0 R 154 0 R 155 0 R 156 0 R 157 0 R 158 0 R 159 0 R 160 0 R 161 0 R 162 0 R 163 0 R 164 0 R 165 0 R 166 0 R 167 0 R 168 0 R 169 0 R 170 0 R 171 0 R 172 0 R 173 0 R 174 0 R 175 0 R 176 0 R 177 0 R 178 0 R 179 0 R 180 0 R 181 0 R 182 0 R 183 0 R 184 0 R 185 0 R 186 0 R 187 0 R 188 0 R 189 0 R 190 0 R 191 0 R 192 0 R 193 0 R 194 0 R 195 0 R 196 0 R 197 0 R 198 0 R 199 0 R 200 0 R 201 0 R 202 0 R 203 0 R 204 0 R 205 0 R 206 0 R 207 0 R 208 0 R 209 0 R 210 0 R 211 0 R 212 0 R 216 0 R 217 0 R 218 0 R 219 0 R 220 0 R 221 0 R 222 0 R ] endobj 117 0 obj << /Type /Annot /Subtype /Widget /Rect [ 103.50211 39.00079 142.5029 451.50919 ] /F 4 /P 115 0 R /FT /Tx /T (1_FROM_Include_ZIP_Code) /Ff 4096 /TU (1. Forms are used governmentwide for various employment and benefits program purposes Give place and date ) ) Defense! shipping container tally . Directorate APD ( Voucher and Schedule of Withdrawals and Credits ) Figure 11-5 provides the Official. Washington DC 20310-0107, DD FORM 1995-1, DD FORM 1995-2, DA FORM 3903-R, DA FORM 4103-R, DA FORM 5695-R, DA FORM 5697-R, DA FORM 969, DA FORM 2062, DD FORM 1149, DD FORM 1150, DA FORM 2062, DD FORM 1150, ADRP - Army Doctrine References Publications, ATTP - Army Tactics, Techniques, and Procedures, FY Publication Status Report (CAC required for access), Publishing Resources (CAC required for access), PC/PCO/FMO/EPCO Directory (CAC required for access), usarmy.pentagon.hqda-apd.mbx.customer-service@army.mil, Search Army publications and forms by Number, Title, or Record Detail. 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. Click here for instructions on opening this form. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (cost2) /AA << /K 248 0 R /F 251 0 R >> >> endobj 154 0 obj << /Type /Annot /Subtype /Widget /Rect [ 389 37 413 57 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 1 /FT /Tx /TU (Item number, line 3.) SF1034-87c.pdf [PDF - 568 KB ] PDF versions of forms use Adobe Reader . Army Publishing Directorate 0 G 1 w 0.5 0.5 71.0015 17.0004 re s q 1 1 70.0015 16.0004 re W n 0 g BT Signature of Person or LAR The person or LAR signs the form. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 201 0 obj << /Type /Annot /Subtype /Widget /Rect [ 546.01111 159.00323 559.51138 199.50406 ] /F 4 /P 115 0 R /FT /Tx /T (TOTAL_CON_TAINERS3) /TU (Total containers, line 4.) There is also a section for special handling charges. 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. H*2T0T0Tp. 3. The MIPR (DD Form 448) may be accepted on a direct citation or reimbursable basis and is defined in the Federal Acquisition Regulation (FAR) 253.208-2. /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (item4) >> endobj 164 0 obj << /Type /Annot /Subtype /Widget /Rect [ 415 59 440 404 ] /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 4.) 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). It also requires the names of the sender and the recipient. An official website of the United States government. If the form number does not have a hyperlink, the form is not available electronically. It must include the shipping address, shipping method, and total weight. Material required date: four digit year followed by two digit month a\ nd two digit day.) Container receipt date: four digit year followed by two digit month \ and two digit day.) /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /Q 1 /MK << /R 90 >> >> endobj 190 0 obj << /Type /Annot /Subtype /Widget /Rect [ 501.01019 457.50931 514.51047 492.01001 ] /F 4 /P 115 0 R /FT /Tx /T (TOTAL_CUBE) /TU (Total cube, line 1.) DD 2656-7 Form Wizard. Legal Name of Provider Enter the legal name of the chosen program provider. endstream endobj startxref Plants Vs Zombies Plush Cartoons, /DA (/TiRo 10 Tf 0 g) /T (desc2) /V () >> endobj 147 0 obj << /Type /Annot /Subtype /Widget /Rect [ 360.00732 406.50827 384.00781 433.50882 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 1 /FT /Tx /TU (Unit of issue, line 2.) /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.) SUBSCRIBE TO OUR NEWSLETTER, Uniwraps Innovations Private Limited The latest technologies high quality electronic pubs and 1530-0021 . 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.! ISSUED BY.) Some forms cannot be viewed in a web browser and must be opened in Adobe Acrobat Reader on your desktop system. shipping container tally . Health Care Provider Action Report. Secure .mil websites use HTTPS Signature of LIDDA Representative The LIDDA representative signs the form. Sample SF 1049 (Public Voucher for Refunds) Figure 11-5. of sheets 5. requisition date 6. requisition number 7. date material required (yyyymmdd) 8. priority 2. to: (include zip code) 9. authority or purpose 3 . no. HAS BEEN VERIFIED. From, address, including zip code.) )SI{ 0BO|cEs}Oq""TV}c`u-hSwi8J", /DA (/TiRo 10 Tf 0 g) /T (desc3) /V () >> endobj 156 0 obj << /Type /Annot /Subtype /Widget /Rect [ 387.00787 406.50827 411.00836 433.50882 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 1 /FT /Tx /TU (Unit of issue, line 3.) /DA (/TiRo 10 Tf 0 g) /MaxLen 16000 /T (unitpr3) >> endobj 162 0 obj << /Type /Annot /Subtype /Widget /Rect [ 385.50784 678.01379 409.50833 747.0152 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 2 /FT /Tx /TU (Total cost, line 3.) /* ]]> */ 8899 East 56th Street Indianapolis, IN 46249-3300 To check the status of a correction request If you received an approved directive from one of the Service's Board for Correction of Military Records and want to know the status of your case, please call our inquiry line at 866-912-6488 between 8:30 a.m. and 3:30 p.m. EST. Standard Forms are used governmentwide for various employment and benefits program purposes. Documents are integral to the DoD of form ( s ) Secretary Defense! DD Forms 1000-1499 (updated 1/26/2023) Form Availability If the form number does not have a hyperlink, the form is not available electronically. Printed Name of Person or Legally Authorized Representative (LAR) The person or LAR enters their first and last name. /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. 1453 0 obj <> endobj If you need a DD Form 1149, you should know where to find one. /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.) If you checked the HOH or QW box, enter the childs name if the qualifying Making any false, fictitious, or fraudulent claim or statement to the United States is a crimeand Form 1040-X (Rev. OMB No. 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. /DA (/TiRo 10 Tf 0 g) /T (desc1) >> endobj 138 0 obj << /Type /Annot /Subtype /Widget /Rect [ 336.00684 406.50827 360.00732 433.50882 ] /F 4 /P 115 0 R /MK << /R 90 >> /Q 1 /FT /Tx /TU (Column c. Unit of issue, line 1.) /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. Passadas oito rodadas do Campeonato Catarinense, a Chape somou 15 pontos, dois a menos do que o lder Herclio Luz. Give place and date ) ) U.S. Defense Accounting Support Activity, DFAS-IN, Indianapolis, 46249. 1049 105-01PUBLIC VOUCHER FOR REFUNDSVOUCHER NOSCHEDULE NO. if (document.location.protocol != "https:") {document.location = document.URL.replace(/^http:/i, "https:");} : the UNITED STATES Savings Bonds not the end of the world, USC, Section 3013 E.O! Send copies of military documents and orders related to your request, if you have them available. When to use the DD Form 1149. Form Availability. width: 1em !important; Make your payment via ACH (checking account debit) Form W-4 Employee's Withholding Certificate Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay. /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.) Make sure you print out a copy of this document for your records. Loss of this all-important form is not the end of the world. Download Adobe Reader, Authorization to APPLY for "No-Fee" Passport and/or Request for Visa, Chain of Custody for Transportation of Remains and Personal Effects of Deceased Personnel, Record of Personal Effects of Believed To Be (BTB) Deceased, Collection Point Register of Deceased Personnel, Disinterment Register from Temporary Interment Sites, Bond Issuance Schedule, U.S. Savings Bonds - Series E, Bond Issuance Schedule, U.S. Savings Bonds - Series E (Continuation Sheet), Domestic Freight Routing Request and Order, Armed Forces Measurement Blank - Special Sized Clothing for Women, Unit Mail Clerk's Receipt for Funds and Purchase Record, Inventory Report of Principal or Secondary Items, Record of Occupational Exposure to Ionizing Radiation, Requisition and Invoice/Shipping Document, Requisition and Invoice/Shipping Document (Continuation Sheet), Order for Supplies or Services (Commissary Continuation Sheet), Schedule of Services and Rates For Household Goods, Basic Ordering Agreement for Storage of Household Goods and Related Services - Signature Page, Application for Identification Card/DEERS Enrollment, Uniformed Services Identification and Privilege Card, Department of Defense Guard and Reserve Family Member Identification Card, United States Uniformed Services Identification and Privilege Card (Reserve Dependent) (Red), United States Uniformed Services Identification and Privilege Card (Dependent) (TAN), Medical Oxygen Equipment, Warning Tag For Medical Equipment, Pentagon Reservation Parking Permit Application, Parking Permit Replacement/Re-Use of Space Request, Pentagon, Grain Size Distribution Graph-Aggregate Gradation Chart, Laboratory Compaction Characteristics of Soil (Compaction Test), Laboratory California Bearing Ratio (CBR) Test Data, In-Place Density Determination - Sand-Cone Method, Bituminous Mix Components, Specific Gravity of, Marshall Method - Computation of Properties of Asphalt Mixtures, Uniformed Services Medical Treatment Facility Nonavailability Statement (NAS), U.S. Customs and Border Protection (CBP) Declaration for Personal Property Shipments - Part I, U.S. Customs and Border Protection (CBP) Declaration for Personal Property Shipments - Part II, Certificate of Oversea Assignment to Support Application to File Petition for Naturalization, Request For VA Compensation or Pension Information, Application for Shipment and/or Storage of Personal Property, Armed Services Vocational Aptitude Battery (ASVAB) Career Exploration Program Test Booklet, Version 23A, Armed Services Vocational Aptitude Battery (ASVAB) Career Exploration Program Test Booklet, Version 23B, Armed Services Vocational Aptitude Battery (ASVAB) Career Exploration Program Test Booklet, Version 24A, Armed Services Vocational Aptitude Battery (ASVAB) Career Exploration Program Test Booklet, Version 24B, Armed Services Vocational Aptitude Battery (ASVAB) Test Booklet, Form 25A, Armed Services Vocational Aptitude Battery (ASVAB) Test Booklet, Form 25B, Armed Services Vocational Aptitude Battery (ASVAB) Test Booklet, Form 26A, Armed Services Vocational Aptitude Battery (ASVAB) Test Booklet, Armed Services Vocational Aptitude Battery (ASVAB) Test Booklet, Form 27A, Armed Services Vocational Aptitude Battery (ASVAB) Test Booklet, Form 27B, Armed Services Vocational Aptitude Battery (ASVAB) Test Booklet, Version 28C, ASVAB Manual for Administration (Enlistment), Armed Services Vocational Aptitude Battery (ASVAB) Answer Sheet, ASVAB Manual for Administration (Student), Armed Services Vocational Aptitude Battery (ASVAB), Answer Sheet, The ASVAB Career Exploration Program, Recruiter Guide, Exploring Careers: the ASVAB Career Exploration Guide, Model or Type Designation Card (Card Code D), Part and Drawing Number Card (Card Code E), Authorization/Designation for Emergency Pay and Allowances, Report of Commercial Carrier Passenger Service, Notification of Change in Servicemember's Official Records, DoD Single Line Item Requisition System Document (Manual), Issue Release/Receipt Document with Address Label, Single Line Item Requisition System Document, DoD (Manual-Long Form), DoD MILSPETS DFSP Shipment and Receipt Document, DoD MILSPETS: DFSP Inventory Accounting Document and End-of-Month Report, Single Line Item Requisition System Document, DoD (Mechanical), Travel Voucher or Subvoucher (Continuation Sheet), Transfer and Acceptance of DoD Real Property, Statement of Transactions and Accountability (F. T. Accounts), Certificate of Enrollment on the Medal of Honor Roll, Consignee's Receipt for Delivery at Stopoff Unloading Point, Request for Payment of Funeral and/or Interment Expenses, Tactical Combat Casualty Care (TCCC) Card, Transportation Control and Movement Document, Ocean Cargo Manifest Recapitulation or Summary, FY ____ Guard and Reserve Military Construction, FY ____ Military Construction Project Data, FY ____ Military Construction Project Data (Continuation), Storage and Issue of Vehicles and Spare Engines, Processing and Deprocessing Record for Shipment, Statement of Inter-Fund Transactions (EAM), Inventory of Articles Shipped in House Trailer, Reprogramming Action (Prior Approval Action), Reprogramming Action (Internal Reprogramming Action), Contract Data Requirements List (1 Data Item), Contract Data Requirements List (2 Data Items), United Kingdom (UK) Customs Declaration for the Importation of Personal Effects of U.S. Forces/Civilian Personnel on Duty in the UK, COMSEC Maintenance Training and Experience Record, Space Requirements Data, DoD - Part I - Summary, Space Requirements Data, DoD - Part II - Detailed Space Requirements, Basic Allowance for Subsistence Certification, Application for Equipment Frequency Allocation. 9M\ CARE ID Enter the legal Name of Provider Enter the legal Name of Provider Enter persons... 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