Dd form 428 is a document used by the military to request reimbursement for expenses incurred while on official duty. The form can be used for a variety of purposes, including travel, meals, and lodging. In order to be eligible for reimbursement, you must have receipts or other documentation to support your claim. The process of filing a reimbursement claim can be complex, so it is important to familiarize yourself with the requirements before submitting your paperwork.
| Question | Answer |
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| Form Name | Dd Form 428 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | YYYYMMDD, CONTRACTING, dd form 428, OBSOLETE |
COMMUNICATION SERVICE AUTHORIZATION
1. AUTHORIZATION |
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2. AUTHORIZATION |
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3. CIRCUIT OR BILL NUMBER |
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a. NUMBER |
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b. DATE (YYYYMMDD) |
a. NUMBER |
b. DATE (YYYYMMDD) |
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4. FROM (Include ZIP Code) |
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5. SUBMIT BILLS FOR CERTIFICATION TO (Include ZIP Code) |
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6. TO (Communications Company) |
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7. TELEPHONE NUMBER TO CONTACT FOR DETAILS |
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(Include Area Code) |
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a. COMPANY NAME |
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8. AUTHORIZATION. In accordance with provisions of the contract |
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indicated above of which this authorization forms a part, authority |
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b. ADDRESS |
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is hereby given to Communications Company indicated in Item 6 to |
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(1) STREET |
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establish or perform services for official use as prescribed below at: |
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(2) CITY |
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(3) STATE |
(4) ZIP CODE |
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9. SERVICE(S) |
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d. RATE PER MONTH |
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DESCRIPTION |
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NUMBER |
CHARGE |
PER UNIT |
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TOTAL |
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b. |
c. |
(1) |
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(2) |
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10. DISBURSING OFFICER MAKING PAYMENT |
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11. DISTRIBUTION |
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a. NAME (Last, First, Middle Initial) |
b. GRADE |
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12. AUTHORIZING OFFICIAL |
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a. SIGNATURE |
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b. TITLE |
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c. GRADE |
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13. ACCEPTANCE |
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a. NAME OF CONTRACTING FIRM |
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b. SIGNATURE OF CONTRACTOR'S REPRESENTATIVE |
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c. DATE SIGNED |
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(YYYYMMDD) |
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DD FORM 428, MAY 1999 |
PREVIOUS EDITION IS OBSOLETE. |
Adobe Professional 7.0 |