Cg 4251 Form PDF Details

The CG-4251 form is an essential document used by the United States Coast Guard, which falls under the Department of Homeland Security, to organize and facilitate Military/Civilian Temporary Duty (TDY) travel orders. It meticulously captures a wide array of information necessary for processing travel arrangements and entitlements for Coast Guard personnel embarking on temporary duty assignments. The form requires detailed inputs about the traveler, including their name, employee ID, grade/rank, and current duty station, ensuring accurate identification and accountability. It further addresses the logistical aspects of the TDY, such as departure and return dates, travel destinations, and authorized leave, streamlining travel preparations and ensuring compliance with applicable regulations. The CG-4251 also encompasses provisions for medical travel, specifying requirements for inpatient or outpatient care, and potential need for an attendant or escort, highlighting the Coast Guard's commitment to the well-being of its personnel. Authorization sections within the form detail permissible modes of transportation, lodging arrangements, per diem rates, and other reimbursable expenses, thus providing comprehensive financial guidelines for the journey. Moreover, it includes fields for official approvals and signatures, reinforcing the accountability and oversight mechanisms inherent in the travel authorization process. This document not only serves as a formal mechanism for organizing and authorizing travel but also stands as a testament to the structured and disciplined approach of the U.S. Coast Guard towards fulfilling its operational commitments efficiently and effectively.

QuestionAnswer
Form NameCg 4251 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesmilitary tdy order, order tdy, cg 4251 form, dhs cg4251 form

Form Preview Example

DEPARTMENT OF HOMELAND SECURITY

U.S. Coast Guard

MILITARY/CIVILIAN TEMPORARY DUTY (TDY) TRAVEL ORDER

1.

Name of Traveler ＋Ｏｄｖｗ＃Ｑｄｐｈ／＃Ｉｌｕｖｗ＃Ｑｄｐｈ／＃ＰＬ，＃

2.

Employee ID

 

3. Grade/Rank

4. Current Duty Station

5. Work Phone Number

 

 

 

 

 

 

 

 

 

 

6.

Departure Date

7. Expected Date of Return

8.

Estimated

9. Order Issuing Authority

10. Authorized

days of Leave

＋ＰＰ２ＧＧ２＼＼＼＼，＃

to PDS ＋ＰＰ２ＧＧ２＼＼＼＼，＃

Days

 

 

 

Dates of LV:

to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11.BLANKET ORDERS ＋Ｇｒｆ＃ｗ｜ｓｈ＃４６＃ＷＲＱＲ，＃

Unlimited Open

Limited Open

Repeat Travel

 

Period of travel from

 

 

 

 

 

 

 

to

 

 

 

 

 

 

 

＋Ｖｈｈ＃Ｅｏｒｆｎ＃４６Ｄ＃ｉｒｕ＃Ｊｈｒｊｕｄｓｋｌｆｄｏ＃ｏｒｆｄｗｌｒｑ，＃

 

 

 

 

 

 

12.

 

FOR MEDICAL TRAVEL:

 

 

 

Inpatient

 

 

 

 

 

Outpatient

 

 

 

Attendant

 

 

 

 

Escort

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13A.

REPORT TO: UNIT/CITY/COUNTY/ STATE/ZIP-

 

 

 

 

 

B. Purpose of TDY (Conference: must have an approved

 

 

C. Dates of TDY

 

 

CODE/COUNTRY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

conference attendance worksheet.)

 

 

 

 

 

 

 

＋ｐｐ２ｇｇ０ｐｐ２ｇｇ，＃

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14. Remain Over Night (RON) awaiting transportation may be authorized for

 

night(s) at (locality)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15. PER DIEM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16.

MODE OF ＷＵＤＹＨＯ＃＋Ｐｒｇｈ＃ｒｉ＃ｗｕｄｙｈｏ＃ｗｒ＃ＷＧ＼＃ｖｌｗｈ＃ｄｑｇ＃Ｕｈｗｘｕｑ，＃＋Ｌｗ＃ｌｖ＃ｐｄｑｇｄｗｒｕ｜＃

 

Military: JFTR, par. U4100/Civilian: FTR, par. 301-11

 

 

 

 

 

 

 

 

ｗｒ＃ｄｕｕｄｑｊｈ＃Ｒｉｉｌｆｌｄｏ＃Ｗｕｄｙｈｏ＃ｗｋｕｒｘｊｋ＃ｗｋｈ＃ＷＰＦ２ＦＷＲ，１＃

 

 

 

 

Max Locality Per Diem Rate: Lodging $ __________M&IE $__________

 

 

Commercial Carrier ＋ＪＷＦＦ＃ＬＥＤ＃Ｘｖｈ，＃

 

 

 

 

 

 

＋Ｏｒｇｊｌｑｊ＃Ｕｈｆｈｌｓｗｖ＃ｕｈｔｘｌｕｈｇ＃ｉｒｕ＃ｕｈｌｐｅｘｕｖｈｐｈｑｗ，＃

 

 

 

 

 

 

 

 

 

 

 

ＪＲＹﾶＷ＃Ｓｕｒｆｘｕｈｇ＃Ｗｕｄｑｖｓｒｕｗｄｗｌｒｑ＃Ｗｌｆｎｈｗ＃＋ＪＷＦＦ＃ＦＥＤ＃Ｘｖｈ，＃

 

 

 

 

 

 

 

 

 

 

 

 

ＪＲＹﾶＷ＃Ｒｚｑｈｇ＃Ｆｒｑｙｈ｜ｄｑｆｈ＃

 

 

Auto

Vessel

Plane

QUARTERS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Privately Owned Conveyance (POC):

Car

Airplane

Motorcycle

 

 

 

 

GOVﾶT２ＪＲＹﾶＷ＃ＦＲＱＷＵＤＦＷＨＧ＃

No Cost

 

 

Cost＃

 

 

 

 

 

 

 

 

 

 

 

 

 

ＳＲＦ＃ｌｖ＃ｐｒｕｈ＃ｄｇｙｄｑｗｄｊｈｒｘｖ＃ｗｒ＃ｗｋｈ＃Ｊｒｙﾶｗ＃

 

 

 

 

 

 

 

 

COMMERCIAL Lodging ＋Ｊｒｙﾶｗ＃Ｔｘｄｕｗｈｕｖ＃ＱＲＷ＃Ｄｙｄｌｏｄｅｏｈ，＃

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

POC is authorized not to exceed the cost of a GTR $ __________

MESSING

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GOVﾶT Rate＃＃

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17.

TRAVEL AT TDY SITE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MESS for ALL three meals

 

 

No Cost

 

 

Cost

 

 

 

Rental Car ＋ｆｒｐｓｄｆｗ，＃

 

Upgrade Authorized-size __________:

 

 

 

 

 

Proportional Meal Rate

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

＋ＷＰＦ２ＦＷＲ＃ｘｖｈ＃ｌｖ＃ｐｄｑｇｄｗｒｕ｜，＃

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Local travel: taxi/bus/metro/other public conveyance ＋Ｐｄ｛＃４８（＃Ｗｌｓ，＃

 

 

 

 

Reduced/No M&IE of $ _________ (For Military: IAW

 

 

 

 

 

 

 

 

18.

AUTHORIZED REIMBURSABLE EXPENSES ＃

 

 

 

 

 

 

 

 

COMDT (CG-1222) memo 4650 of _________________)

 

 

 

 

 

 

 

 

 

COMMERCIAL RATE ＋Ｉｘｏｏ＃Ｏｒｆｄｏｌｗ｜＃Ｓｈｕ＃Ｇｌｈｐ，＃

 

 

 

 

 

 

Registration Fees ＋ｌｉ＃ｐｈｄｏｖ＃ｄｕｈ＃ｌｑｆｏｘｇｈｇ＃ｌｑ＃ｗｋｈ＃ｆｒｖｗ０ｕｈｓｒｕｗ＃ｌｑ＃Ｅｏｒｆｎ＃４＜／＃ＧＧ０４６８４０５，＃

EXEMPTION

Actual Expenses Authorized (JFTR, par. U4200 & FTR,

 

 

Baggage Fees

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

par. 301-11.300)

 

 

 

 

 

 

 

 

 

 

 

 

 

Communication Services ＋Ｒｉｉｌｆｌｄｏ＃Ｘｖｈ，＃

 

 

 

 

 

 

_____ % per day allowed at ___________ for period _______________

 

 

Phone Calls ＋Ｒｉｉｌｆｌｄｏ＃Ｘｖｈ，＃NTE $ ____________ daily

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Computer Connections ＋Ｒｉｉｌｆｌｄｏ＃Ｘｖｈ，＃

 

 

 

 

 

 

19. REMARKS/AUTHORIZATIONS/ADDITIONAL INSTRUCTIONS

 

 

 

＋Ｄ＃ｕｈｆｈｌｓｗ＃ｌｖ＃ｕｈｔｘｌｕｈｇ＃ｉｒｕ＃ｄｑ｜＃ｈ｛ｓｈｑｖｈｖ＃＇：８１３３＃ｒｕ＃ｊｕｈｄｗｈｕ，＃

 

＃

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

＃

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

＃

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

＃

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If Training, Insert Direct Access Course ID: ______________________

If an entitlement authorized on this order conflicts with the JFTR, the JFTR prevails.

20. TRAVEL ADVANCE AUTHORIZATION:

 

 

 

 

 

 

 

 

 

 

 

 

GTCC holder

 

 

 

 

 

 

 

 

 

 

 

 

Travel advance is authorized in the amount of $ ____________________

 

 

 

Not a GTCC holder/Charged to TONO ＋Ｄｗｗｄｆｋ＃ＶＩ０４３６；，＃

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Not a GTCC holder/Charged to Debit Card ＋Ｄｗｗｄｆｋ＃ＶＩ０４３６；，＃

21. Coast Guard Travel Order Number ＋４９＃ｇｌｊｌｗｖ，＃

 

 

 

 

 

Travel funds are chargeable against: ＋ｌｉ＃ｗｕｄｙｈｏ＃ｖｓｄｑｖ＃ｒｙｈｕ＃Ｉ＼ﾶｖ／＃ｓｕｒｙｌｇｈ＃ＷＲＱＲ２Ｄｆｆｗ１＃ｖｗｕｌｑｊ＃ｉｒｕ＃ｅｒｗｋ＃Ｉ＼ﾶｖ，＃

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

0

 

0

 

0

 

 

2

 

 

 

 

 

 

 

 

 

0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

0

 

0

 

0

 

 

2

 

 

 

 

 

 

 

 

 

0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Doc

 

Fiscal

Site

 

C

R

 

Prog

 

Document

Suffix

 

 

Agy

 

Reg

 

Appn

Lim

 

Allot

 

Allot

 

Program

 

Cost

 

 

Object

Estimated

 

 

 

 

 

 

Type

 

Year

Code

 

O

D

 

Element

 

Sequence

 

 

Code

 

Dist

 

Code

Code

 

Fund

 

Lev

 

Element

 

Center

 

 

Class

Cost

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

22. FUNDS APPROVING OFFICIALﾶS SIGNATURE ＋Ｓｕｌｑｗ＃Ｑｄｐｈ／＃Ｕｄｑｎ／＃Ｗｌｗｏｈ，＃＋Ｆｈｕｗｌｉｌｈｇ＃ｗｋｄｗ＃ｉｘｑｇｖ＃ｋｄｙｈ＃ｅｈｈｑ＃ｒｅｏｌｊｄｗｈｇ＃ｌｑ＃ＩＳＧ，＃

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23１＃Ｌｉ＃ｘｖｌｑｊ＃Ｒｗｋｈｕ＃Ｊｒｙﾶｗ＃Ｄｊｈｑｆ｜＃Funds Contact FINCEN ＋ＲＪＴ，＃and Insert Reimbursable Agreement Number ＋ＵＤＱ，:

Proceed and report to the places and in the order listed in block 13A above. Deviations should not be made to visit places or areas not listed in block 13A above, without prior written or verbal orders from proper authority. Upon completion of the TDY directed, return to this command and resume your regular duties.

Privacy Act Statement

In accordance with 5 USC Section 522a(e)(3), the following information is provided to you when supplying personal information to the U.S. Coast Guard ﾱ＃10 USC Section 2771. Principal Purpose(s) ﾱ＃Ｘｖｈｇ＃ｗｒ＃ｌｑｇｌｆｄｗｈ＃ｐｈｐｅｈｕﾶｖ＃ｌｑｗｈｑｗｌｒｑｖ＃ｇｘｕｌｑｊ＃ｗｕｄｙｈｏ１＃＃＃Routine Uses ﾱ＃Same. Disclosure ﾱ＃Disclosure of this information is voluntary, but without disclosｘｕｈ＃ｗｋｈ＃ｐｈｐｅｈｕﾶｖ＃ｕｈｔｘｈｖｗ＃ｐｄ｜＃ｑｒｗ＃ｅｈ＃ｄｓｓｕｒｙｈｇ１＃

24. AUTHORIZING/APPROVING OFFICIALﾶＶ＃(AO) SIGNATURE ＋Ｓｕｌｑｗ＃Ｑｄｐｈ／＃Ｕｄｑｎ／＃Ｗｌｗｏｈ／＃Ｓｋｒｑｈ＃＆，＃

 

Date

 

 

 

25. TRAVELERﾶS SIGNATURE

 

Date

 

 

26. Use this block to amend the order when not previously authorized after travel has been completed ＋ｐｄ｜＃ｅｈ＃ｋｄｑｇｚｕｌｗｗｈｑ，１＃

Must be signed by Approving Official Only: _________________________________________________________

Date ___________________

CG-4251 (05/12)

Abbreviations defined in APP A, JFTR

Previous Editions are Obsolete

Page 1 of 1

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Filling in part 1 in military tdy order

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AUTHORIZED REIMBURSABLE EXPENSES, EXEMPTION, and Actual Expenses Authorized JFTR inside military tdy order

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Reg Dist, Allot Fund, and Agy Code inside military tdy order

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