Dd Form 117 PDF Details

Military members use the Dd Form 117 to request and receive authorization for leave from their commanding officer. The form is also used to document other types of absences, such as family emergencies or medical appointments. In order to accurately complete the Dd Form 117, you will need to provide detailed information about your leave or absence. Make sure you understand all the instructions on the form before you begin completing it. By following the instructions carefully, you can ensure that your request for leave is processed quickly and efficiently.

QuestionAnswer
Form NameDd Form 117
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesPAYEE, dd form 117, COMPTROLLER, CERTIFY

Form Preview Example

1. DEPARTMENT

MILITARY PAY VOUCHER

IDENTIFICATION AND CERTIFICATION

2. VOUCHER NUMBER

3. ATTACHMENT

Pages

6. PURPOSE OF PAYMENT

4. ORGANIZATION AND LOCATION

5. PAYROLL NUMBER

7. PAID BY

TO:

(Brief Stamp)

I CERTIFY this voucher is correct and proper for payment from the appropriation and/or fund indicated below.

8. TYPED NAME OF DISBURSING OFFICER

9. DSSN

10. SIGNATURE OF DISBURSING OFFICER OR DEPUTY

As Agent Officer to the above Disbursing Officer, I CERTIFY the amounts shown on the attached money lists have been paid by me to members listed thereon after proper identification.

11. SIGNATURE OF AGENT OFFICER

APPROPRIATION CHARGES

12. DATE PAID

13.

APPROPRIATION

14.

AMOUNT

$

15. PREPARED BY

16. REVIEWED BY

PAYMENT DATA

17.

TOTAL

$

0.00

 

18. AMOUNT

19. PAID BY CHECK NUMBERS

 

 

 

CHECK PAYMENT

 

 

 

 

TO

 

INCL

 

 

 

 

 

 

 

 

 

 

 

 

20. AMOUNT

21. I acknowledge receipt of cash payment in amount stated.

CASH PAYMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SIGNATURE OF PAYEE (For an individual cash payment)

 

 

 

 

 

 

 

 

 

DD FORM 117, SEP 77

EDITION OF 1 MAY 74 WILL BE USED UNTIL EXHAUSTED.

FORM APPROVED BY COMPTROLLER GENERAL, U.S.

 

 

 

 

 

 

11 FEB 72

Adobe Professional 7.0

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This PDF form requires particular information to be entered, thus make sure to take whatever time to fill in what is requested:

1. Fill out your FEB with a selection of major blank fields. Collect all the necessary information and ensure nothing is forgotten!

Completing segment 1 in thereon

2. The next part is usually to fill out the next few blanks: APPROPRIATION, AMOUNT, PREPARED BY, REVIEWED BY, AMOUNT, PAYMENT DATA PAID BY CHECK NUMBERS, TOTAL, INCL, and CHECK PAYMENT.

thereon conclusion process described (portion 2)

3. This next segment is mostly about CASH PAYMENT, AMOUNT, I acknowledge receipt of cash, DD FORM SEP, EDITION OF MAY WILL BE USED, FORM APPROVED BY COMPTROLLER, and SIGNATURE OF PAYEE For an - fill in each of these blank fields.

The right way to fill out thereon part 3

Be really mindful when filling out CASH PAYMENT and SIGNATURE OF PAYEE For an, because this is where a lot of people make some mistakes.

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