Dd Form 1556 PDF Details

If you're in the military, then you know that there are a lot of forms to keep track of. One important form is DD Form 1556, which is used to recommend awards for military members. This form is important because it helps ensure that deserving members receive the recognition they deserve. If you have any questions about filling out DD Form 1556, be sure to consult your commanding officer or another member of the military who is familiar with the process. Filling out this form correctly can make a big difference for a member of the military who has gone above and beyond his or her duties.

QuestionAnswer
Form NameDd Form 1556
Form Length13 pages
Fillable?No
Fillable fields0
Avg. time to fill out3 min 15 sec
Other namesdd form 1556, form 1556 1, DSN, 1st

Form Preview Example

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 multi-purpose form. It will be used for all training incidents. Specific guidelines for data input will be set by each DoD component. Data required by the Office of Personnel Management.

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 - Self-explanatory

 

 

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 non-duty hours are self-explanatory. Enter one hour

 

 

 

 

Item 6 - Follow local procedures.

 

 

or more; round fractions up.

 

 

 

 

 

 

 

 

Item 7 - Follow local procedures.

 

 

Item 22a - Follow DoD component instruction.

 

 

 

 

 

 

Item 8 - Self-explanatory.

 

 

Item 22b - Enter training source catalog/course ID number.

 

 

 

 

 

 

Item 9 - Self-explanatory.

 

 

Item 22c - Follow local procedures.

 

 

 

 

 

 

 

 

Item 10 - Self-explanatory.

 

 

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 - Government-Interagency

 

CERTIFICATION

 

 

 

 

F - US Air Force

 

3 - Non-Government, designed for agency

 

 

 

 

 

 

Item 32 - To be certified/signed by supervisor of trainee.

 

 

M - US Marine Corps

4 - Non-Government - off-shelf

 

 

 

 

 

 

 

 

 

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

 

 

 

 

1400.25-M, chapter 410.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 

 

 

non-government training.

 

 

 

 

 

 

 

 

1

- On-the-job training (formal)

 

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 (xx-xx-xxxx)

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 NON-GOVERN-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPOINTMENT

 

MENT TRAINING DAYS

 

 

 

 

16. ARE YOU HANDICAPPED

 

 

Yes

 

d. Non-Supervisory

 

 

 

 

 

 

 

 

 

 

 

 

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. Non-duty

 

 

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 11-86.

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 (xx-xx-xxxx)

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 NON-GOVERN-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPOINTMENT

 

MENT TRAINING DAYS

 

 

 

 

16. ARE YOU HANDICAPPED

 

 

Yes

 

d. Non-Supervisory

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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. Non-duty

 

 

 

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 11-86.

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 non-government training that exceeds 80 hours (or such other designated period, 80 hours or less, as prescribed by the agency) and for which the Government approves payment of training costs prior to the commencement of such training. Nothing contained in this section shall be construed as limiting the authority of an agency to waive, in whole or in part, an obligation of an employee to pay expenses incurred by the Government in connection with the training.

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 part-time training is the number of hours spent in class or with the instructor. The length of full-time training is eight hours for each day of training, up to a maximum of 40 hours a week.)

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 two-thirds of the obligated service, I will reimburse the DoD $300 instead of the original $900.)

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 non-government organization and shall not accept such without first obtaining approval from the authorizing training official. I agree that should I fail to complete the requested training successfully, due to circumstances within my control, I will reimburse the agency for all training costs (excluding salary) associated with my attendance.

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

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F

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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

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F

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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

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F

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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 non-government training that exceeds 80 hours (or such other designated period, 80 hours or less, as prescribed by the agency) and for which the Government approves payment of training costs prior to the commencement of such training. Nothing contained in this section shall be construed as limiting the authority of an agency to waive, in whole or in part, an obligation of an employee to pay expenses incurred by the Government in connection with the training.

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 part-time training is the number of hours spent in class or with the instructor. The length of full-time training is eight hours for each day of training, up to a maximum of 40 hours a week.)

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 two-thirds of the obligated service, I will reimburse the DoD $300 instead of the original $900.)

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 non-government organization and shall not accept such without first obtaining approval from the authorizing training official. I agree that should I fail to complete the requested training successfully, due to circumstances within my control, I will reimburse the agency for all training costs (excluding salary) associated with my attendance.

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 (xx-xx-xxxx)

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 NON-GOVERN-

 

 

 

 

 

 

 

 

 

APPOINTMENT

 

MENT TRAINING DAYS

 

 

16. ARE YOU HANDICAPPED

 

 

Yes

 

d. Non-Supervisory

 

 

 

 

 

 

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. Non-duty

 

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. Non-duty

(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

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