In today's fast-evolving professional landscape, continuous learning and development play a crucial role in enhancing organizational effectiveness and employee performance. The DD Form 1556 serves as a comprehensive documentation tool for federal employees or military personnel seeking career development through training initiatives. Its multifaceted purpose ranges from requesting training opportunities to authorizing the expenses involved. Specifically designed to cater to the diverse needs of Department of Defense personnel, the form meticulously records various aspects such as the authorization of training expenses, agreements for service continuation post-training, certification of completed training, and any reimbursement clauses tied to the training program. The form mandates disclosures under the Privacy Act, guided by specific U.S. Code sections and executive orders, ensuring transparency and informed consent from the participants. Additionally, it plays a pivotal role in managing and recording the intricate financial transactions associated with training programs, which can vary from tuition fees to travel expenses, thereby serving both administrative efficiency and regulatory compliance within the Department of Defense's robust training ecosystem.
Question | Answer |
---|---|
Form Name | Dd Form 1556 |
Form Length | 13 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 3 min 15 sec |
Other names | dd form 1556, form 1556 1, DSN, 1st |
DD FORM 1556 -
REQUEST, AUTHORIZATION, AGREEMENT, CERTIFICATION OF TRAINING AND REIMBURSEMENT
PRIVACY ACT STATEMENT
AUTHORITY: 5 U.S.C. Sections 4101 - 4118; and E.O. 9397.
PRINCIPAL PURPOSE(S): To request training by employees or military personnel and to document the authorization for expenses of such training, agreements for continuation in service following training, certificates of training, and any reimbursement obligations contracted by personnel or employees as a result of receiving training.
ROUTINE USE(S): Civilian training information is provided to Office of Personnel Management (OPM) for data reporting purposes stipulated in 5 U.S.C. 4115.
DISCLOSURE: Voluntary; however, failure to furnish the requested information may result in your ineligibility for participating in this training.
GENERAL INSTRUCTIONS
This is a
COPY DISTRIBUTION
Copy 1: File in the training/personnel folder. |
Copy 7: |
Give finance office to authorize any separate |
Copy 2: For Agency ADP System. |
|
payments for books, material or other costs. |
Copy 3: Give vendor to nominate employee. |
Copy 8: |
Give employee. |
Copy 4: Give vendor as the obligation for approved costs. |
Copy 9: |
Use to evaluate training. |
Copy 5: Give vendor to return to confirm nomination status. |
Copy 10: Keep at originating office. |
|
Copy 6: Give finance office to authorize payments. |
|
|
COMPLETION INSTRUCTIONS
Item A - May be found in items 33 and 35 of Standard Form 50, "Notification of Personnel Action," when/if required. Item B - Follow DoD component instructions.
Item C - Follow local procedures. Normally X beside "initial." Item D - If this is an amendment, enter number.
SECTION A - TRAINEE / APPLICANT INFORMATION
Item 1 - Fill in trainee's name. If more than one nominee, list |
Item 12 - Enter trainee's organization mailing address. |
|||||||
on separate sheet. |
|
|
Item 13 - Enter submitting organization's six digit unit |
|||||
|
|
|
|
|||||
Item 2 - Enter first five letters of trainee's last name. |
identification code (UIC). (See DoD component instructions.) |
|||||||
Item 3 - Enter trainee's Social Security number. |
Item 14 - Enter appropriate code or abbreviation. |
|||||||
Item 4 - Enter appropriate code for trainee's educational level. |
CC - Career Conditional |
1 - Regular |
||||||
C |
- Career |
2 - Reserve |
||||||
00 |
- Not applicable |
11 |
- 3 years of college |
T |
- Temporary |
3 - National Guard |
||
E |
- Excepted |
I - Intermittent |
||||||
01 |
- No formal or some elementary |
12 |
- 4 years of college |
|||||
|
|
|
|
|||||
02 |
- Elementary graduate |
13 |
- Bachelor Degree |
Item 15 - To be computed and filled in by the nominating |
||||
03 |
- Some high school |
14 |
- Post Bachelor |
|||||
training office. |
|
|
||||||
04 |
- High school graduate or |
15 |
- 1st Professional |
|
|
|||
|
|
|
|
|||||
|
certificate of equivalency |
16 |
- Post 1st Professional |
Item 16 - |
|
|
||
05 |
- Terminal Occupational |
17 |
- Master Degree |
|
|
|||
|
|
|
|
|||||
|
Program (TOP) |
18 |
- Post Master |
|
|
|
|
|
|
|
SECTION B - TRAINING COURSE DATA |
|
|||||
06 |
- TOP Certificate |
19 |
- 6th year Degree |
|
|
|||
07 |
- Started college |
20 |
- Post 6th year |
Items 17, 18, and 19 - Self explanatory. |
|
|||
08 |
- 1 year of college |
21 |
- Doctorate Degree |
|
|
|
|
|
09 |
- 2 years of college |
22 |
- Post Doctorate |
Item 20 - Course Codes. See back. |
|
|
||
10 |
- Associate Degree |
|
|
|
|
|
|
|
Item 5 - Enter years and months of continuous Federal |
Item 21 - Total hours are determined by multiplying hours |
|||||||
attended per week by the number of weeks of the course. |
||||||||
Government service. |
|
|
||||||
|
|
Duty and |
||||||
|
|
|
|
|||||
Item 6 - Follow local procedures. |
|
|
or more; round fractions up. |
|
|
|||
|
|
|
|
|
|
|||
Item 7 - Follow local procedures. |
|
|
Item 22a - Follow DoD component instruction. |
|||||
|
|
|
|
|
|
|||
Item 8 - |
|
|
Item 22b - Enter training source catalog/course ID number. |
|||||
|
|
|
|
|
|
|||
Item 9 - |
|
|
Item 22c - Follow local procedures. |
|
|
|||
|
|
|
|
|
|
|||
Item 10 - |
|
|
Items 23a & b - Enter in year, month, day sequence the course |
|||||
|
|
dates (In YYYYMMDD format, e.g., June 15, 2000 would be entered |
||||||
|
|
|
|
|||||
Item 11 - Enter trainee's organization name. |
as 20000615). |
|
|
|||||
|
|
|
|
DD FORM 1556 (PAS AND INSTRUCTIONS), AUG 2002
DD FORM 1556 INSTRUCTIONS (Continued)
|
|
|
SECTION B - TRAINING COURSE DATA (Continued) |
|
SECTION C - COSTS AND BILLING INFORMATION |
|
|
||||
|
|
Item 20 - COURSE CODES - Enter appropriate codes from |
|
Item 24 - X if applicable. |
|
|
|||||
|
|
|
|||||||||
|
|
those listed below. |
|
|
|
|
Items 25a & b - Enter dollars and cents. |
||||
|
|
|
|
|
|
|
|
|
|||
|
|
A - PURPOSE |
|
|
|
|
|
Item 25c - Sum of items 25a & b. (See Note below) |
|||
1 |
- Mission or program change |
5 - Meet future staffing needs |
|
Item 25d - Follow DoD component instructions. |
|||||||
2 |
- New technology |
|
6 - Develop unavailable skills |
|
|||||||
|
|
|
|
|
|||||||
3 |
- New work assignment |
7 - Trade or craft apprenticeship |
|
Items 26a & b - Enter dollars and cents. |
|||||||
4 |
- Improve present |
|
8 - Orientation |
|
|
|
|
||||
|
|
|
performance |
|
9 - Adult basic education |
|
Item 26c - Sum of items 26a & b. (See Note below) |
||||
|
|
B - TYPE |
|
|
|
|
|
Items 27 & 29 - For finance office use. Enter only one |
|||
1 |
- Executive and management |
5 - Specialty and technical |
|
accounting classification on each DD 1556. |
|||||||
|
|
|
|
||||||||
2 |
- Supervisory |
|
|
6 - Clerical |
|
Items 28 & 31 - Follow local procedures. |
|||||
3 |
- Legal, medical, scientific or |
7 - Trade or craft |
|
||||||||
|
|
|
|
||||||||
|
|
|
engineering |
|
|
8 - Orientation |
|
Item 30 - Sum of items 25c & 26c. |
|||
4 |
- Administration and analysis |
9 - Adult basic education |
|
Note: For a group, totals are for all trainees. |
|||||||
|
|
C - SOURCE |
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
||
|
|
A - US Army |
|
S - Defense Logistics Agency |
|
SECTION D - APPROVALS/CONCURRENCE/ |
|
|
|||
|
|
D - Other DoD |
|
2 - |
|
CERTIFICATION |
|
|
|||
|
|
F - US Air Force |
|
3 - |
|
|
|
|
|||
|
|
Item 32 - To be certified/signed by supervisor of trainee. |
|||||||||
|
|
M - US Marine Corps |
4 - |
|
|||||||
|
|
|
|
|
|
||||||
|
|
N - US Navy |
|
5 - State or local Government |
|
Item 33 - To be certified/signed by the official designated CPO |
|||||
|
|
|
|
|
|
|
|
|
|||
|
|
D - SPECIAL INTEREST |
|
|
|
Head of Training. |
|||||
|
|
|
|
|
|
|
|
||||
|
|
0 - No special program |
1 - Executive Development 2 - Supervision |
|
Item 34 - Follow local procedures. |
||||||
|
|
E - TRAINING VENDOR |
|
|
|
Item 35 - School official complete, sign, date and return |
|||||
|
|
|
Follow DoD component instructions. |
|
copy 5. |
||||||
|
|
F - SECURITY CLEARANCE OF COURSE |
|
Item 36 - If course completed, enter date and grade; if not, |
|||||||
|
|
U - Unclassified |
C - Confidential |
S - Secret T - Top Secret |
|
return form with explanatory memo to Training Officer |
|||||
|
|
|
identified in item 33. |
||||||||
|
|
|
|
|
|
|
|
|
|||
|
|
G - ALLOCATION STATUS |
|
|
|
Items 37 & 38 - Follow local procedures. |
|||||
|
|
1- Primary 2 - Alternate |
3 - Space Available |
|
|||||||
|
|
|
|
|
|
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
H - PRIORITY |
|
|
|
|
|
SECTION E - TRAINEE AGREEMENT/CERTIFICATION |
|
|
|
|
|
|
|
|
|
|
(Back of Copy 1) |
|
|
||
|
|
|
Enter priority 1, 2, or 3 in accordance with DoD Instruction |
|
|
|
|||||
|
|
|
|
The trainee (applicant) must read and understand the |
|
|
|||||
|
|
|
|
|
|
|
|||||
|
|
|
|
|
|
|
|
|
statements contained in this section. If there are any |
||
|
|
I - TRAINING LEVEL |
|
|
|
|
questions, please contact the nominating activity Training |
||||
1 |
- Elementary |
3 - Vocational/ |
|
4 - College, undergraduate |
|
Office. |
|||||
|
|
|
|
|
|||||||
2 |
- High School |
Technical/Secretarial/ |
5 - College, graduate |
|
Item 38f - To be completed by nominating Training Office. |
||||||
|
|
|
|
Business/Commercial/ 6 - College, post graduate |
|
||||||
|
|
|
|
|
|
|
|
||||
|
|
|
|
Administrative |
|
|
|
Item 39 - To be signed and dated by employee nominated for |
|||
|
|
|
|
|
|
|
|
|
|||
|
|
J - METHOD OF TRAINING |
|
|
|
||||||
|
|
|
|
|
|
|
|
||||
1 |
- |
|
6 - Directed study |
|
SECTION F - TRAINING VENDOR |
|
|
||||
2 |
- Rotation of work assignment |
|
7 - Classroom (resident) |
|
(Back of Copies 3, 4 & 5) |
|
|
||||
3 |
- Seminar (training) |
|
|
8 - Classroom (on site) |
|
|
|
|
|||
|
|
|
Items 40 & 43 - Instructions on back of copy 3. |
||||||||
4 |
- Conference/meeting/symposium |
9 - Test/Equivalency |
|
||||||||
|
|
|
|
||||||||
5 |
- Correspondence |
|
|
|
|
Item 44 - Back of Copy 5 - Mailing Address Nominating |
|||||
|
|
|
|
|
|
|
|
|
|||
|
|
K - TRAINING PROGRAM |
|
|
|
Agency - To be filled in by nominating Training Office. |
|||||
|
|
|
|
|
|
|
|
||||
|
|
|
Follow DoD component instructions. |
|
|
|
|
||||
|
|
|
|
SECTION G - FINANCE |
|
|
|||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
L - REASON FOR SELECTION OF COURSE |
|
(Back of Copies 6 & 7) |
|
|
|||||
1 |
- Quality of training |
|
|
|
|
Items 45, 46, or 47 as appropriate, filled in by the nominating |
|
|
|||
|
|
|
|
|
|||||||
2 |
- Most cost effective |
|
|
|
|
activity Training Office. |
|||||
3 |
- Unique capability of training source |
|
|
|
|
|
|||||
|
|
SECTION H - EVALUATION |
|
|
|||||||
4 |
- Location |
|
|
|
|
|
|
|
|||
5 |
- Not available in Government |
|
|
|
(Copy 9) |
|
|
||||
6 |
- Incidental to procurement of equipment |
|
|
To be completed by trainee and immediate supervisor after |
|
|
|||||
|
|
|
|||||||||
7 |
- Timeliness |
|
|
|
|
|
training is completed (following agency instructions). |
DD FORM 1556 (PAS AND INSTRUCTIONS) (BACK), AUG 2002
X the appropriate |
|
Copy 1- AGENCY (TRAINING/PERSONNEL FOLDER) |
|
Copy 7- AGENCY (FINANCE/DISBURSING, BOOKS, Etc.) |
|
Copy 10- ACTIVITY (OPTIONAL USE) |
copy designator. |
|
Copy 6- AGENCY (FINANCE/DISBURSING, TUITION) |
|
Copy 8- AGENCY (EMPLOYEE) |
|
|
|
|
|
|
REQUEST, AUTHORIZATION, AGREEMENT, CERTIFICATION OF TRAINING AND REIMBURSEMENT
A.AGENCY CODE AND SUBELEMENT, AND SUBMITTING OFFICE NUMBER
B.STANDARD DOCUMENT NUMBER
(Org. identifier/FY/Doc./type code/Serial Number)
C. REQUEST STATUS OR PROCESS CODE (X one)
|
(1) |
Initial |
|
(2) |
Resubmission |
|
|
|
|
|
|
|
(3) |
Correction |
|
(4) |
Cancellation |
|
|
|
|
|
|
D. AMENDMENT NO.
SECTION A - TRAINEE / APPLICANT INFORMATION
1. NAME (Last, First, Middle Initial) |
2. 1st 5 LETTERS OF LAST NAME |
3. SOCIAL SECURITY NUMBER |
4. ED. LEVEL |
|
5. CONTINUOUS FEDERAL SVC. |
|||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
a. Years |
b. Months |
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
6. HOME ADDRESS (Street, City, State and ZIP Code) (optional) |
7. TELEPHONE NUMBERS (Include area code) |
8. POSITION TITLE |
|
|
|
|
|
|
|
|||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
a. Home |
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
b. Office |
|
|
|
|
|
9. POSITION LEVEL (X one) |
10. PAY PLAN/SERIES/GRADE/STEP |
|||||||||
11. ORGANIZATION NAME |
|
|
(1) Commercial |
|
|
|
|
a. Executive |
|
(Rank/MOS/AFSC/or Navy Designator) |
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(2) DSN |
|
|
|
|
b. Manager |
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
12. ORGANIZATION MAILING ADDRESS (Include ZIP Code) |
13. ORGANIZATION UIC |
|
|
|
|
c. Supervisory |
14. TYPE OF |
|
15. NO. PRIOR |
|||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
APPOINTMENT |
|
MENT TRAINING DAYS |
||||
|
|
|
|
16. ARE YOU HANDICAPPED |
|
|
Yes |
|
d. |
|
|
|
|
|
|
|
||||
|
|
|
|
|
OR DISABLED? (X one) |
|
|
|
|
|
|
|
|
|
|
|||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
|
|
|
|
|
|
|
No |
|
e. Other (Specify) |
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SECTION B - TRAINING COURSE DATA |
|
|
|
|
|
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
17. COURSE TITLE |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
18. TRAINING OBJECTIVES (Benefits to be derived by the Government) |
|
|
|
19. RECOMMENDED TRAINING SOURCE, SCHOOL OR FACILITY |
||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
a. Name |
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
b. Mailing Address (Include ZIP Code) |
|
|
|
|
|||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
20. COURSE CODES |
|
|
|
|
|
|
|
|
|
c. Location of Training Site (If other than 19b) |
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
a. Purpose |
|
f. Security Clearance |
|
|
k. Training Program |
|
|
|
|
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
b. Type |
|
g. Allocation Status |
|
|
l. Reason for Selection |
|
|
|
21. COURSE HOURS (4 digits) |
22. COURSE IDENTIFIERS |
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
c. Source |
|
h. Priority |
|
|
23. TRAINING PERIOD (YYYYMMDD) |
a. Duty |
|
|
a. SAID |
|
|
|
|
|||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
d. Special Interest |
|
i. Training Level |
|
|
a. Start |
|
|
|
|
b. |
|
|
b. Catalog/Course No. |
|
|
|||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
e. Training Vendor |
|
j. Method of Training |
|
|
b. Complete |
|
|
|
|
c. TOTAL |
|
|
c. Offering/TLN |
|
|
|||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SECTION C - COST INFORMATION (Costs incurred and billed are not to exceed amount in item 30.)
24. IF TRAINING DOES NOT INVOLVE EXPENDITURE OF FUNDS OTHER THAN SALARY, PAY OR COMPENSATION, skip the remainder of questions in Section C and X this box
25. DIRECT COSTS |
|
|
26. INDIRECT COSTS (For information only) |
27. ACCOUNTING CLASSIFICATION |
|
|
|
|
|
|||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
a. Tuition cost |
|
|
a. Travel cost |
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
b. Books, material, other costs |
|
|
b. Per diem/other costs |
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
c. Total direct costs |
|
|
c. Total indirect costs |
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
d. Funding source |
|
|
28. LABOR COSTS |
|
|
29. SIGNATURE OF FISCAL OFFICER (Follow local procedure) |
|
30. TOTAL OF DIRECT & |
||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
INDIRECT COSTS |
||
31. JOB ORDER NO. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
|
|
|
|
|
|
|
SECTION D - APPROVAL/CONCURRENCE/CERTIFICATION |
|
|
|
|
|
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
32. SUPERVISOR: I certify training is job related and nominee meets prerequisites. |
33. TRAINING OFFICER: I certify this training meets regulatory requirements. |
|||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
a. Typed Name (Last, First, Middle Initial) |
|
|
b. Phone Number (Include area code) |
a. Typed Name (Last, First, Middle Initial) |
b. Phone Number (Include area code) |
|||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
c. Signature & Title |
|
|
|
|
|
|
|
|
d. Date |
c. Signature & Title |
|
|
|
|
|
|
|
d. Date |
||||
|
|
|
|
|
|
|
|
|
|
|
(YYYYMMDD) |
|
|
|
|
|
|
|
|
|
|
(YYYYMMDD) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
34. AUTHORIZING OFFICIAL |
|
|
|
|
|
|
|
|
|
35. COURSE ACCEPTANCE (To be completed by school official) |
|
|
|
|
||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
a. Action (X one) |
|
|
|
(1) Approved |
|
|
(2) Disapproved |
|
a. Accepted |
c. School Official Signature |
|
|
|
d. Date |
||||||||
|
|
|||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(YYYYMMDD) |
b. Typed Name (Last, First, Middle Initial) |
|
c. Phone Number (Include area code) |
|
b. Not Accepted |
|
|
|
|
|
|
|
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
36. COURSE COMPLETION (To be completed by school official) |
|
|
|
|
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
d. Signature & Title |
|
|
|
|
|
|
|
|
e. Date |
a. If course was not completed, X this box, |
|
b. Actual Completion |
c. Grade |
|||||||||
|
|
|
|
|
|
|
|
|
|
|
(YYYYMMDD) |
leave this section blank, and return this |
|
Date (YYYYMMDD) |
|
|||||||
|
|
|
|
|
|
|
|
|
|
|
|
form with an explanation memo. |
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
d. Signature & Title |
|
|
|
|
|
|
|
e. Date |
||
37. BILLING INSTRUCTIONS (Identify discount terms |
% |
|
|
days.) |
|
|
|
|
|
|
|
|
|
|
(YYYYMMDD) |
|||||||
Furnish original invoice and 3 copies to: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
38. CERTIFYING GOVERNMENT OFFICIAL |
|
|
|
|
|
|||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
a. I certify that this account is correct and |
$ |
|
|
|
|
|||||
|
|
|
|
|
|
|
|
|
|
|
|
proper for payment in the amount of: |
|
|
|
|
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
b. Signature & Title |
|
|
|
|
|
|
c. Date Signed |
|||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(YYYYMMDD) |
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
d. DSSN Number
e. Check Number
f. Voucher Number
TRAINING FACILITY: Invoice should be sent to office indicated in item 37. Please refer to standard document number given in item B at top of page to assure prompt payment.
DD FORM 1556, AUG 2002 |
PREVIOUS EDITION IS OBSOLETE. |
DoD exception to SF 182 |
|
|
approved by GSA/IRMS |
X the appropriate copy designator. |
Copy 3- VENDOR (REQUEST DOCUMENT) |
Copy 4- VENDOR (FINANCE) |
Copy 5- VENDOR (AGENCY) |
REQUEST, AUTHORIZATION, AGREEMENT, CERTIFICATION OF TRAINING AND REIMBURSEMENT
A.AGENCY CODE AND SUBELEMENT, AND SUBMITTING OFFICE NUMBER
B.STANDARD DOCUMENT NUMBER
(Org. identifier/FY/Doc./type code/Serial Number)
C. REQUEST STATUS OR PROCESS CODE (X one)
|
(1) |
Initial |
|
(2) |
Resubmission |
|
|
|
|
|
|
|
(3) |
Correction |
|
(4) |
Cancellation |
|
|
|
|
|
|
D. AMENDMENT NO.
SECTION A - TRAINEE / APPLICANT INFORMATION
1. NAME (Last, First, Middle Initial) |
2. 1st 5 LETTERS OF LAST NAME |
|
|
|
|
|
4. ED. LEVEL |
5. CONTINUOUS FEDERAL SVC. |
||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
a. Years |
b. Months |
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
6. HOME ADDRESS (Street, City, State and ZIP Code) (optional) |
7. TELEPHONE NUMBERS (Include area code) |
8. POSITION TITLE |
|
|
|
|
|
|
|
|||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
a. Home |
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
b. Office |
|
|
|
|
|
9. POSITION LEVEL (X one) |
10. PAY PLAN/SERIES/GRADE/STEP |
|||||||||
11. ORGANIZATION NAME |
|
|
(1) Commercial |
|
|
|
a. Executive |
|
|
(Rank/MOS/AFSC/or Navy Designator) |
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(2) DSN |
|
|
|
b. Manager |
|
|
|
|
|
|
|
|||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
12. ORGANIZATION MAILING ADDRESS (Include ZIP Code) |
13. ORGANIZATION UIC |
|
|
|
c. Supervisory |
14. TYPE OF |
|
15. NO. PRIOR |
||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
APPOINTMENT |
|
MENT TRAINING DAYS |
||||
|
|
|
|
16. ARE YOU HANDICAPPED |
|
|
Yes |
|
d. |
|
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
|
|
|
|
|
OR DISABLED? (X one) |
|
|
|
|
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
No |
|
e. Other (Specify) |
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SECTION B - TRAINING COURSE DATA |
|
|
|
|
|
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
17. COURSE TITLE |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
18. TRAINING OBJECTIVES (Benefits to be derived by the Government) |
|
|
19. RECOMMENDED TRAINING SOURCE, SCHOOL OR FACILITY |
|||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
a. Name |
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
b. Mailing Address (Include ZIP Code) |
|
|
|
|
|||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
20. COURSE CODES |
|
|
|
|
|
|
|
|
|
c. Location of Training Site (If |
other than 19b) |
|
||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
a. Purpose |
|
f. Security Clearance |
|
|
k. Training Program |
|
|
|
|
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
b. Type |
|
g. Allocation Status |
|
|
l. Reason for Selection |
|
|
|
21. COURSE HOURS (4 digits) |
|
22. COURSE IDENTIFIERS |
|
||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
c. Source |
|
h. Priority |
|
|
23. TRAINING PERIOD (YYYYMMDD) |
a. Duty |
|
|
|
a. SAID |
|
|
|
|
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
d. Special Interest |
|
i. Training Level |
|
|
a. Start |
|
|
|
b. |
|
|
|
b. Catalog/Course No. |
|
|
|||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
e. Training Vendor |
|
j. Method of Training |
|
|
b. Complete |
|
|
|
c. TOTAL |
|
|
|
c. Offering/TLN |
|
|
|||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SECTION C - COST INFORMATION (Costs incurred and billed are not to exceed amount in item 30.)
24. IF TRAINING DOES NOT INVOLVE EXPENDITURE OF FUNDS OTHER THAN SALARY, PAY OR COMPENSATION, skip the remainder of questions in Section C and X this box
25. DIRECT COSTS |
|
26. INDIRECT COSTS (For information only) |
27. ACCOUNTING CLASSIFICATION |
|
|
|
|
|
|||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
a. Tuition cost |
|
|
|
a. Travel cost |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
b. Books, material, other costs |
|
|
|
b. Per diem/other costs |
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
c. Total direct costs |
|
|
|
c. Total indirect costs |
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
d. Funding source |
|
28. LABOR COSTS |
|
|
|
29. SIGNATURE OF FISCAL OFFICER (Follow local procedure) |
|
30. TOTAL OF DIRECT & |
|||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
INDIRECT COSTS |
||
31. JOB ORDER NO. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
|
|
|
|
|
|
|
SECTION D - APPROVAL/CONCURRENCE/CERTIFICATION |
|
|
|
|
|
|||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
32. SUPERVISOR: I certify training is job related and nominee meets prerequisites. |
33. TRAINING OFFICER: |
I certify this training meets regulatory requirements. |
|||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
a. Typed Name (Last, First, Middle Initial) |
|
|
b. Phone Number (Include area code) |
a. Typed Name (Last, First, Middle Initial) |
b. Phone Number (Include area code) |
||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
c. Signature & Title |
|
|
|
|
|
|
|
d. Date |
c. Signature & Title |
|
|
|
|
|
|
|
d. Date |
||||||
|
|
|
|
|
|
|
|
|
|
|
|
(YYYYMMDD) |
|
|
|
|
|
|
|
|
|
|
(YYYYMMDD) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
34. AUTHORIZING OFFICIAL |
|
|
|
|
|
|
|
|
35. COURSE ACCEPTANCE (To be completed by school official) |
|
|
|
|
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
a. Action (X one) |
|
|
|
|
(1) Approved |
|
|
(2) Disapproved |
|
a. Accepted |
c. School Official Signature |
|
|
|
d. Date |
||||||||
|
|
||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(YYYYMMDD) |
b. Typed Name (Last, First, Middle Initial) |
|
c. Phone Number (Include area code) |
|
b. Not Accepted |
|
|
|
|
|
|
|
|
|
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
36. COURSE COMPLETION (To be completed by school official) |
|
|
|
|
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
d. Signature & Title |
|
|
|
|
|
|
|
e. Date |
a. If course was not completed, X this box, |
|
b. Actual Completion |
c. Grade |
|||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
(YYYYMMDD) |
leave this section blank, and return this |
|
Date (YYYYMMDD) |
|
|||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
form with an explanation memo. |
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
d. Signature & Title |
|
|
|
|
|
|
|
e. Date |
||
37. BILLING INSTRUCTIONS (Identify discount terms |
% |
|
|
|
days.) |
|
|
|
|
|
|
|
|
|
|
(YYYYMMDD) |
|||||||
Furnish original invoice and 3 copies to: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
38. CERTIFYING GOVERNMENT OFFICIAL |
|
|
|
|
|
|||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
a. I certify that this account is correct and |
$ |
|
|
|
|
|||||
|
|
|
|
|
|
|
|
|
|
|
|
|
proper for payment in the amount of: |
|
|
|
|
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
b. Signature |
|
|
|
|
|
|
c. Date Signed |
|||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(YYYYMMDD) |
d. DSSN Number
e. Check Number
f. Voucher Number
TRAINING FACILITY: Invoice should be sent to office indicated in item 37. Please refer to standard document number given in item B at top of page to assure prompt payment.
DD FORM 1556, AUG 2002 |
PREVIOUS EDITION IS OBSOLETE. |
DoD exception to SF 182 |
|
|
approved by GSA/IRMS |
PRIVACY ACT STATEMENT
AUTHORITY: 5 U.S.C. Sections 4101 - 4118; and E.O. 9397.
PRINCIPAL PURPOSE(S): To request training by employees or military personnel and to document the authorization for expenses of such training, agreements for continuation in service following training, certificates of training, and any reimbursement obligations contracted by personnel or employees as a result of receiving training.
ROUTINE USE(S): Civilian training information is provided to Office of Personnel Management (OPM) for data reporting purposes stipulated in 5 U.S.C. 4115.
DISCLOSURE: Voluntary; however, failure to furnish the requested information may result in your ineligibility for participating in this training.
SECTION E - TRAINEE AGREEMENT/CERTIFICATION 38. AGREEMENT TO CONTINUE IN SERVICE
This agreement applies to all
a.I AGREE that upon completion of the Government sponsored training described in this request, I will serve in the Department of Defense (DoD) three times the length of the training period; except that if I receive no salary for the
time spent in training the period of obligated service will be either one month or a period equal to the amount of time spent in training, whichever is greater. (The length of
b.If I voluntarily leave the DoD and the Federal service before completing the period of service agreed to in item a above, I AGREE to reimburse the DoD for the tuition and related fees, travel, and other special expenses (EXCLUDING SALARY) paid in connection with my training. However, the amount of the reimbursement will be reduced on a pro rata basis for the percentage of completion of the obligated service. (For example, if the cost of training is $900 and I complete
c.If I voluntarily leave the DoD to enter the service of another Federal agency or other organization in any branch of the Government before completing the period of service agreed to in item a above, I will give my servicing Civilian Personnel Office or Training Office advance notice during which time, in accordance with Federal regulations, a determination concerning reimbursement or transfer of the remaining service obligation to the gaining agency will be made.
d.I understand that any amounts which may be due the employing agency as a result of any failure on my part to meet the terms of this agreement may be withheld from any monies owed me by the Government, or may be recovered by such other methods as are approved by law.
e.I acknowledge that this agreement does not in any way commit the Government to continue my employment.
f. Period of obligated service:
(1)From (Enter date (YYYYMMDD))
(2)To (Enter date (YYYYMMDD))
39.I am not receiving any contributions, awards, or payments in connection with this training, from any other government agency or
a. TRAINEE SIGNATURE
b. DATE SIGNED (YYYYMMDD)
DD FORM 1556, Copy 1 (BACK), AUG 2002
INSTRUCTIONS FOR TRAINING VENDOR
(Copies 3, 4, 5)
Copy No. 3 - Copy No. 4 -
Copy No. 5 -
VENDOR TRAINING REQUEST OR NOMINATION FORM
This document, when completed, represents the nominating agency's obligation to pay all approved training costs. Amounts are estimated in Section C. Please send all bills to the office indicated in item 37 and refer to number in item B (Standard Document Number) upper right hand corner of form.
Return this copy to the nominating agency indicated in item 44 after completion of items 40 - 42.
Please contact the Agency Training Officer indicated in item 33 for any additional information.
DD FORM 1556, Copy 3 (BACK), AUG 2002
F
O
L
D
F
O
L
D
BILLING INSTRUCTIONS
Place standard document number (Item B top of form) and appropriation/fund chargeable number (Item 27) on all four copies of invoice: identify discount terms, % and number of days on invoice: mail invoice to address listed in block 37.
F
O
L
D
F
O
L
D
|
SECTION F - TRAINING VENDOR |
|
42. REMARKS |
|
40. NOMINATION STATUS (X one) |
41. FIRST TRAINING SESSION |
|||
|
|
|
|
|
|
a. Selected as nominated |
a. Date |
b. Time |
|
|
|
(YYYYMMDD) |
|
|
|
b. Not selected (See remarks) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
c. Selected for alternative dates (See remarks) |
|
|
|
|
|
|
|
|
43.MAILING ADDRESS OF TRAINEE (Fold where indicated and insert in window envelope.)
DD FORM 1556, Copy 4 (BACK), AUG 2002
F47. OPTIONAL ALTERNATE PAYMENT PROCEDURES (Fill in appropriate items)
O |
|
a. |
ADVANCE METHOD |
|
|
|
|
|
|
|
L |
|
|
|
|
|
|
|
|
|
|
D |
(1) |
Check in the amount of $ |
|
|
payable to the training facility/vendor and covering Section C, Item 25 (insert (a), (b), or (c), |
|||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
as appropriate) |
|
will be delivered to you for delivery to the training facility/vendor. OR |
|
|
|||
|
|
|
|
|
|
|
|
|
|
|
|
|
(2) |
Check in the amount of $ |
|
|
|
covering Section C, Item 25 (insert (a), (b), or (c), as appropriate) |
|
will be issued to |
|
|
|
|
|
|
|
|
|
|||
|
|
|
you. You will obtain a receipt for each expenditure of these funds. The receipt for the check to the training facility/vendor will show the |
|||||||
|
|
|
check number. Other receipts will show the item purchased, the amount paid and the vendor's name and address. As soon as feasible |
|||||||
|
|
|
after all purchases have been made, you will prepare and forward to (enter name and address) |
|
|
the signed original and two copies of enclosed Standard Form 1164, together with all receipts and a check or money order payable to (enter name and address)
for the unexpended balance of these DoD funds, if any.
b.REIMBURSEMENT METHOD
|
|
Payment to you for Section C, item 25 (insert (a), (b), or (c), as appropriate) |
|
|
will be made upon presentation of evidence of |
||||||||
|
|
satisfactory completion of the training assignment and receipt for items related to training paid by you. |
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
c. Action (X one) |
d. Authorizing Official |
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) Typed Name (Last, First, Middle Initial) |
|
|
(4) |
Telephone Numbers |
|
|
|||
|
|
|
(1) Approved |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(a) Commercial |
( |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|||
|
|
|
|
(2) Signature |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(b) DSN |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
F |
|
|
|
|
|
|
|
|
|
|
|
|
|
O |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(2) Disapproved |
(3) Title |
|
|
|
|
(5) |
Date Signed (YYYYMMDD) |
||||
L |
|
|
|
|
|
||||||||
D |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SECTION F - TRAINING VENDOR |
|
|
|
|
42. REMARKS |
|
|
||
|
40. NOMINATION STATUS (X one) |
41. FIRST TRAINING SESSION |
|
|
|
||||||||
|
|
|
|
|
|
|
|
|
|
|
|
||
|
|
a. Selected as nominated |
a. Date |
b. Time |
|
|
|
|
|
||||
|
|
b. Not selected (See remarks) |
(YYYYMMDD) |
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
||
|
|
c. Selected for alternative dates (See remarks) |
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
43.MAILING ADDRESS OF TRAINEE (Fold where indicated and insert in window envelope.)
DD FORM 1556, Copy 5 (BACK), AUG 2002
F
O
L
D
F
O
L
D
SECTION G - FINANCE
45. PAYMENT AUTHORIZED FOR TRAINING |
|
|
a. Signature |
b. Amount to be Paid |
c. Date (YYYYMMDD) |
|
|
|
|
|
|
|
|
|
|
|
$ |
|
|
|
|
|
|||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
46. RECORD OF PAYMENT |
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
a. Signature |
|
|
|
|
|
|
|
b. Amount Paid |
|
c. Date (YYYYMMDD) |
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
d. Remarks |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
47. OPTIONAL ALTERNATE PAYMENT PROCEDURES (Fill in appropriate items) |
|
|
|
|
|
|
|
|
|
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
a. |
ADVANCE METHOD |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
(1) |
Check in the amount of $ |
|
|
payable to the training facility/vendor and covering Section C, Item 25 (insert (a), (b), or (c), |
|||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
|
as appropriate) |
|
|
will be delivered to you for delivery to the training facility/vendor. OR |
|
|
|
|
|
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
(2) |
Check in the amount of $ |
|
|
|
covering Section C, Item 25 (insert (a), (b), or (c), as appropriate) |
|
will be issued to |
||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
|
you. You will obtain a receipt for each expenditure of these funds. The receipt for the check to the training facility/vendor will show the |
||||||||||||||||||
|
check number. Other receipts will show the item purchased, the amount paid and the vendor's name and address. As soon as feasible |
||||||||||||||||||
|
after all purchases have been made, you will prepare and forward to (enter name and address) |
|
|
|
|
|
|||||||||||||
|
|
|
|
|
|
|
|
|
|
||||||||||
|
the signed original and two copies of enclosed Standard Form 1164, together with all receipts and a check or money order payable to (enter |
||||||||||||||||||
|
name and address) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
|
for the unexpended balance of these DoD funds, if any. |
|
|
|
|
|
|
|
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
b. REIMBURSEMENT METHOD |
|
|
|
|
|
|
|
|
|
||||||||||
|
|
|
|
|
|
||||||||||||||
|
Payment to you for Section C, item 25 (insert (a), (b), or (c), as appropriate) |
|
will be made upon presentation of evidence of |
||||||||||||||||
|
satisfactory completion of the training assignment and receipt for items related to training paid by you. |
|
|
|
|||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
c. Action (X one) |
|
d. Authorizing Official |
|
|
|
|
|
|
|
|
|
||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
|
Typed Name (Last, First, Middle Initial) |
|
(4) |
Telephone Numbers |
|
|
|
|||||
|
|
(1) Approved |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
|
|
|
|
|
|
|
|
|
|
|
|
(a) Commercial ( |
) |
|
|
||||
|
|
|
|
|
|
(2) |
|
Signature |
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
(b) DSN |
|
|
|
|||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|||||||||
|
|
(2) Disapproved |
|
(3) |
|
Title |
|
(5) |
Date Signed (YYYYMMDD) |
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
DD FORM 1556, Copy 6 (BACK), AUG 2002
SECTION G - FINANCE
45. PAYMENT AUTHORIZED FOR TRAINING
a. Signature |
b. Amount to be Paid |
c. Date (YYYYMMDD) |
|
|
|
|
|
|
|
|
|
|
|
$ |
|
|
|
|
|
|||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
46. RECORD OF PAYMENT |
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
a. Signature |
|
|
|
|
|
|
|
b. Amount Paid |
c. Date (YYYYMMDD) |
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
d. Remarks |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
47. OPTIONAL ALTERNATE PAYMENT PROCEDURES (Fill in appropriate items) |
|
|
|
|
|
|
|
|
|
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
a. |
ADVANCE METHOD |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
(1) |
Check in the amount of $ |
|
|
payable to the training facility/vendor and covering Section C, Item 25 (insert (a), (b), or (c), |
|||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
as appropriate) |
|
|
will be delivered to you for delivery to the training facility/vendor. OR |
|
|
|
|
|
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
(2) |
Check in the amount of $ |
|
|
|
covering Section C, Item 25 (insert (a), (b), or (c), as appropriate) |
|
will be issued to |
||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
|
you. You will obtain a receipt for each expenditure of these funds. The receipt for the check to the training facility/vendor will show the |
||||||||||||||||||
|
check number. Other receipts will show the item purchased, the amount paid and the vendor's name and address. As soon as feasible |
||||||||||||||||||
|
after all purchases have been made, you will prepare and forward to (enter name and address) |
|
|
|
|
|
|||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|||||||||
|
the signed original and two copies of enclosed Standard Form 1164, together with all receipts and a check or money order payable to (enter |
||||||||||||||||||
|
name and address) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
|
for the unexpended balance of these DoD funds, if any. |
|
|
|
|
|
|
|
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
b. REIMBURSEMENT METHOD |
|
|
|
|
|
|
|
|
|
||||||||||
|
|
|
|
|
|
||||||||||||||
|
Payment to you for Section C, item 25 (insert (a), (b), or (c), as appropriate) |
|
will be made upon presentation of evidence of |
||||||||||||||||
|
satisfactory completion of the training assignment and receipt for items related to training paid by you. |
|
|
|
|||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
c. Action (X one) |
|
d. Authorizing official |
|
|
|
|
|
|
|
|
|
||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
|
Typed Name (Last, First, Middle Initial) |
|
(4) |
Telephone numbers |
|
|
|
|||||
|
|
(1) Approved |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
(a) Commercial ( |
) |
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
|
|
|
|
|
|
(2) |
|
Signature |
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
(b) DSN |
|
|
|
|||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
||||||||||
|
|
(2) Disapproved |
|
(3) |
|
Title |
|
(5) |
Date signed (YYYYMMDD) |
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
DD FORM 1556, Copy 7 (BACK), AUG 2002
PRIVACY ACT STATEMENT
AUTHORITY: 5 U.S.C. Sections 4101 - 4118; and E.O. 9397.
PRINCIPAL PURPOSE(S): To request training by employees or military personnel and to document the authorization for expenses of such training, agreements for continuation in service following training, certificates of training, and any reimbursement obligations contracted by personnel or employees as a result of receiving training.
ROUTINE USE(S): Civilian training information is provided to Office of Personnel Management (OPM) for data reporting purposes stipulated in 5 U.S.C. 4115.
DISCLOSURE: Voluntary; however, failure to furnish the requested information may result in your ineligibility for participating in this training.
SECTION E - TRAINEE AGREEMENT/CERTIFICATION 38. AGREEMENT TO CONTINUE IN SERVICE
This agreement applies to all
a.I AGREE that upon completion of the Government sponsored training described in this request, I will serve in the Department of Defense (DoD) three times the length of the training period; except that if I receive no salary for the
time spent in training the period of obligated service will be either one month or a period equal to the amount of time spent in training, whichever is greater. (The length of
b.If I voluntarily leave the DoD and the Federal service before completing the period of service agreed to in item a above, I AGREE to reimburse the DoD for the tuition and related fees, travel, and other special expenses (EXCLUDING SALARY) paid in connection with my training. However, the amount of the reimbursement will be reduced on a pro rata basis for the percentage of completion of the obligated service. (For example, if the cost of training is $900 and I complete
c.If I voluntarily leave the DoD to enter the service of another Federal agency or other organization in any branch of the Government before completing the period of service agreed to in item a above, I will give my servicing Civilian Personnel Office or Training Office advance notice during which time, in accordance with Federal regulations, a determination concerning reimbursement or transfer of the remaining service obligation to the gaining agency will be made.
d.I understand that any amounts which may be due the employing agency as a result of any failure on my part to meet the terms of this agreement may be withheld from any monies owed me by the Government, or may be recovered by such other methods as are approved by law.
e.I acknowledge that this agreement does not in any way commit the Government to continue my employment.
f. Period of obligated service:
(1)From (Enter date (YYYYMMDD))
(2)To (Enter date (YYYYMMDD))
39.I am not receiving any contributions, awards, or payments in connection with this training, from any other government agency or
a. TRAINEE SIGNATURE
b. DATE SIGNED (YYYYMMDD)
DD FORM 1556, Copy 8 (BACK), AUG 2002
REQUEST, AUTHORIZATION, AGREEMENT, CERTIFICATION OF TRAINING AND REIMBURSEMENT
A.AGENCY CODE AND SUBELEMENT, AND SUBMITTING OFFICE NUMBER
B.STANDARD DOCUMENT NUMBER
(Org identifier/FY/Doc./type code/Serial Number)
C. REQUEST STATUS OR PROCESS CODE (X one)
|
(1) |
Initial |
|
(2) |
Resubmission |
|
|
|
|
|
|
|
(3) |
Correction |
|
(4) |
Cancellation |
|
|
|
|
|
|
D. AMENDMENT NO.
SECTION A - TRAINEE / APPLICANT INFORMATION
1. NAME (Last, First, Middle Initial) |
2. 1st 5 LETTERS OF LAST NAME |
3. SOCIAL SECURITY NUMBER |
4. ED. LEVEL |
5. CONTINUOUS FEDERAL SVC. |
||||||||
|
|
|
|
|
|
|
|
|
|
a. Years |
b. Months |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
6. HOME ADDRESS (Street, City, State and ZIP Code) (optional) |
7. TELEPHONE NUMBERS (Include area code) |
8. POSITION TITLE |
|
|
|
|
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
a. Home |
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
b. Office |
|
|
|
|
9. POSITION LEVEL (X one) |
10. PAY PLAN/SERIES/GRADE/STEP |
||||
11. |
ORGANIZATION NAME |
(1) Commercial |
|
|
|
a. Executive |
(Rank/MOS/AFSC/or Navy Designator) |
|||||
|
|
|
|
|
|
|
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(2) DSN |
|
|
|
b. Manager |
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
12. |
ORGANIZATION MAILING ADDRESS (Include ZIP Code) |
13. ORGANIZATION UIC |
|
|
|
c. Supervisory |
14. TYPE OF |
|
15. NO. PRIOR |
|||
|
|
|
|
|
|
|
|
|
APPOINTMENT |
|
MENT TRAINING DAYS |
|
|
|
16. ARE YOU HANDICAPPED |
|
|
Yes |
|
d. |
|
|
|
|
|
|
|
OR DISABLED? (X one) |
|
|
No |
|
e. Other (Specify) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SECTION B - TRAINING COURSE DATA |
|
|
|
|
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
17. |
COURSE TITLE |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
18. |
TRAINING OBJECTIVES (Benefits to be derived by the Government) |
|
|
19. RECOMMENDED TRAINING SOURCE, SCHOOL OR FACILITY |
||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
a. Name |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
b. Mailing Address (Include ZIP Code) |
|
|
|
20. COURSE CODES |
|
|
|
|
|
c. Location of Training Site (If |
other than 19b) |
|||
|
|
|
|
|
|
|
|
|
|
|
a. Purpose |
|
f. Security Clearance |
|
k. Training Program |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
b. Type |
|
g. Allocation Status |
|
l. Reason for Selection |
|
21. COURSE HOURS (4 digits) |
22. COURSE IDENTIFIERS |
|||
|
|
|
|
|
|
|
|
|
|
|
c. Source |
|
h. Priority |
|
23. TRAINING PERIOD (YYYYMMDD) |
a. Duty |
|
a. SAID |
|
||
|
|
|
|
|
|
|
|
|
|
|
d. Special Interest |
|
i. Training Level |
|
a. Start |
|
|
b. |
|
b. Catalog / Course No. |
|
|
|
|
|
|
|
|
|
|
|
|
e. Training Vendor |
|
j. Method of Training |
|
b. Complete |
|
|
c. TOTAL |
|
c. Offering / TLN |
|
|
|
|
|
|
|
|
|
|
|
|
SECTION H - EVALUATION
PART I (To be completed by trainee)
48.WAS COURSE COMPLETED? (X one)
a.Yes
b.No (Return this form with a memo explaining circumstances)
49. ACTUAL COURSE DATES |
50. ACTUAL COURSE HOURS |
||
|
|
|
|
a. Commenced |
b. Completed |
a. Duty |
b. |
(YYYYMMDD) |
(YYYYMMDD) |
|
|
|
|
|
|
51. ACADEMIC GRADE/SCORE
52.WERE ALL SESSIONS ATTENDED? (X one)
a.Yes
b.No (Explain)
|
|
|
|
|
|
|
|
|
|
|
|
AREAS OF EVALUATION |
|
|
RATING |
|
|
|
|
X appropriate column to indicate your evaluation of items 53 through 64. Do not attempt to split a rating. |
A |
B |
C |
|||
|
|
|
|
|
|
|||
|
|
|
|
|
|
|
|
|
53. |
STATED OBJECTIVE ACCOMPLISHED |
A = Yes |
B = Partially |
C = No |
|
|
|
|
|
|
|
|
|
|
|
|
|
54. |
COVERAGE OF SUBJECT MATTER |
A = Excellent |
B = Sufficient |
C = Poor |
|
|
|
|
|
|
|
|
|
|
|
|
|
55. |
ORGANIZATION OF SUBJECT MATTER |
A = Well organized |
B = Adequate |
C = Poorly organized |
|
|
|
|
|
|
|
|
|
|
|
|
|
56. |
SUITABILITY OF INSTRUCTIONAL MATERIALS |
A = Excellent |
B = Adequate |
C = Poor |
|
|
|
|
|
|
|
|
|
|
|
|
|
57. |
LEVEL OF DIFFICULTY |
A = Too advanced |
B = Appropriate |
C = Too elementary |
|
|
|
|
|
|
|
|
|
|
|
|
|
58. |
LENGTH OF COURSE |
A = Too long |
B = Appropriate |
C = Too short |
|
|
|
|
|
|
|
|
|
|
|
|
|
59. |
AMOUNT OF OUTSIDE OR EVENING WORK |
A = Too much |
B = Appropriate |
C = Insufficient |
|
|
|
|
|
|
|
|
|
|
|
|
|
60. |
EFFECTIVENESS OF INSTRUCTORS |
A = Excellent |
B = Good |
C = Poor |
|
|
|
|
|
|
|
|
|
|
|
|
|
61. |
APPLICABILITY OF SUBJECT MATTER TO JOB |
A = Significant |
B = Adequate |
C = Insignificant |
|
|
|
|
|
|
|
|
|
|
|
|
|
62. |
FACILITIES |
A = Excellent |
B = Good |
C = Poor |
|
|
|
|
|
|
|
|
|
|
|
|
|
63. |
RECOMMENDATION TO COLLEAGUES |
A = Highly recommend |
B = Recommend |
C = Not recommended |
|
|
|
|
|
|
|
|
|
|
|
|
|
64. |
MEET CAREER DEVELOPMENT PLANS |
A = Yes |
B = No |
C = Not applicable |
|
|
|
|
|
|
|
|
|
||||
DD FORM 1556, AUG 2002 |
PREVIOUS EDITION IS OBSOLETE. Copy 9- AGENCY (EVALUATION) LOCAL FORMS MAY BE SUBSTITUTED |
SECTION H - EVALUATION (Continued)
PART II (To be completed by trainee)
65.COMMENTS ON STRONG POINTS OF COURSE
66.COMMENTS ON WEAK POINTS OF COURSE
67.WHAT WERE YOUR OBJECTIVES IN TAKING THIS COURSE? WERE THEY MET?
68.DO YOU RECOMMEND THIS PROGRAM FOR OTHERS? IF SO, WHOM?
69. ADDITIONAL COMMENTS
70.a. SIGNATURE OF TRAINEE
b.Date signed (YYYYMMDD)
PART III (To be completed by trainee's immediate supervisor)
71. HAVE YOU DISCUSSED THIS COURSE AND ITS APPLICATION TO THE JOB WITH THE EMPLOYEE? (X one) |
|
Yes |
|
No |
|
|
|
|
|
72.WERE THE OBJECTIVES OF THE TRAINING ACHIEVED?
73.ADDITIONAL COMMENTS
74.a. SIGNATURE OF SUPERVISOR
b.Date Signed (YYYYMMDD)
PERSONNEL USE ONLY
DD FORM 1556, Copy 9 (BACK), AUG 2002