Orders Reserve Form Details

Form Cg 3453 is a form you may encounter when filing your taxes. It is important to understand what this form is and how to correctly complete it. This form determines the amount of tax you owe on your income. By correctly completing this form, you can ensure that you pay the correct amount of tax. In this blog post, we will provide information on how to correctly complete Form Cg 3453. We will also provide an example so that you can see how it is done.

In the listing, there is some good information about the form cg 3453. You'll have the estimated time you'll need to fill out the form and some other details.

QuestionAnswer
Form NameForm Cg 3453
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesrequest orders guard form, cg 3453, request guard order form, 3453 orders

Form Preview Example

U.S. Dept. of Homeland Security

U.S. Coast Guard

CG-3453 (Rev. 6-04)

REQUEST FOR RESERVE ORDERS

Section I - Member. Complete Blocks 1 - 17. This form should be submitted at least 45 days prior to desired active duty date. See instructions on page 2.

1. Name (last, first, MI):

2. SSN (last four digits only):

3. Rank/Rate:

4. Permanent Duty Station:

5. Current Home Address (Street, Apt#, City, State, Zip, Home Phone):

6. Type of Duty (X block)

ADT-AT (12 duty days or less) ADSW-RC 1

ADT-AT (13 duty days >) 1

 

 

ADSW-AC 2

 

 

RMP (Appropriate Duty) 1

 

 

ADT-OTD 1

 

 

1Regional ISC (pf) approval required, see Section IV.

 

2 Commands must complete Section III for these orders

Address change requested?

 

 

 

 

Yes

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7.

Duty Site (include OPFAC):

8.

Reporting time/date:

 

9. Departing time/date:

10. Duration:

 

 

 

 

 

 

 

 

 

 

 

 

 

11.

Purpose of Orders (i.e., OJT, Special Ops, etc.)

12.

Non-Consecutive?

 

 

If yes, indicate periods below, continue in Block 23:

 

 

13. No. of ADT-AT duty days

14. Pay status (X block):

15. Quarters, Messing, and Per Diem (X blocks):

 

 

completed this FY:

 

 

Pay & Allowances

 

 

Quarters Available

 

Messing Available

 

Per Diem requested

 

 

 

 

 

 

 

 

 

 

 

 

(See Block 21.)

 

 

 

Non-Pay (Points only)

 

 

Quarters Not Available

 

Messing Not Available

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16.Travel Status (Select either Privately Owned Conveyance (POC), Commercial or Local Travel and specify if you hold a Gov't Charge Card):

A.

 

 

POC

From:

To:

Total Mileage:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B.

 

 

Commercial Trans

From:

To:

Est. Cost:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C.

Local Travel Reimbursement

D. Do you hold a Government Travel Charge Card?

Yes

No

17. Member Signature/Certification:

I request a copy of my orders to be mailed to the address in Block 5 or FAXed to:

Date:

"I HEREBY CERTIFY that there has been no material change in the conditions of dependency since the last submission of Form CG-4170A, BAH/DEPENDENCY/EMERGENCY DATA AND SGLI VALIDATION, and that allowances paid me for support of my dependents since that date have been valid and correct to the best of my knowledge." Contact your command and/or servicing PERSRU if dependency status has changed.

Section II - Command Approval. Complete blocks 18 - 22

18.

 

 

 

Approved

 

Supervisor Signature:

 

 

Date:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Disapproved

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

See Remarks

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19.

 

 

 

Approved

 

Dept./Div. Head Signature:

 

 

Date:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Disapproved

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

See Remarks

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

20.

 

 

 

Approved

 

CO/Approving Official Signature:

 

 

Date:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Disapproved

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

See Remarks

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21.

Per Diem Required:

 

 

Yes

 

No If yes, complete Block 24

22.

Program Code:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Continued on Page 2

 

 

Page 2 of CG-3453 (Rev. 6-04)

Instructions

Item Explanation

1.Enter your Full Name: Last, first, and middle Initial

2.Enter the last four digits of your Social Security Number

3.Enter your rank or rate, i.e., LCDR, YN2, PSC, etc.

4.Enter your Permanent Duty Station (include staff symbol). i.e., STA Rockland, MSO Houston, MLCPAC (lc), etc.

5.Enter Current Home Mailing Address: Street, Apt#., P.O. Box, City, State, Zip & Home phone # (work phone # optional). Check box if you desire to have your LES address changed to address indicated in Block 5.

Indicate what type of duty is to be performed. ADT-AT over 12 duty days, ADSW-RC, ADT-OTD and RMP must be approved by regional ISC (pf). ADSW-AC: Accounting data and Document ID (TONO) must be entered in Section III by the command funding the ADSW-AC, and a copy of CG-3453

6.must be forwarded to regional ISC(pf). If you are attending a "C" school, e.g., CPO Academy, Mentoring Course, TQM Training, you must attach a completed TAD Travel request, CG HRSIC-2070

7.Enter the Duty Site and OPFAC where duty is to be performed.

8.Enter Reporting Time and Date, note alternate dates in Block 23.

9.Enter Departing Time and Date, note alternate dates in Block 23.

10.Enter the total duration of duty in days.

11.Enter Purpose of Orders. i.e., OJT, Special Operations, Course of Instruction, etc. Do not use this form to request a "C" school, use form CG-5223.

12.Enter Non-consecutive periods (if known), continue in Block 23 if necessary. Report all Non-Consecutive AD utilizing Non-Consecutive Ad Endorsement Sheet (CG-5131A).

13.Enter total days of ADT-AT performed so far in the fiscal year in which this request is submitted.

14.Elect either pay or non-pay. Indicate any other variation of pay in Block 23.

Enter the quarters and messing availability at the Duty Site cited in Block 7. If quarters and messing are not available you may be entitled to Per Diem.

15.Your Commanding Officer must approve the entitlement to Per Diem in Block #21.

16.Select appropriate type of travel: 16A. Enter total round trip mileage between Duty Site and Home or Airport and Home. 16B. Enter total cost of round trip commercial transportation fare (government rate). 16C. Check if Local Travel. 16D. Indicate if you hold a Government Travel Charge Card.

17.Sign and date form. Check box if you desire a copy of your orders to be mailed to the address in Block 5 or Faxed to a provided number.

18-20 Command approval/disapproval. If request is disapproved explain in remarks (Block 23).

21.Command approval of Per Diem. Commands should contact servicing (pf) for funding approval (except for ADSW-AC). Include estimated cost in block 24.

22.Command shall enter "Program Code" as listed in Section 6-D of the Personnel & Pay Procedures Manual, HRSIC M1000.2 (series).

24.Enter Accounting Data and Document ID funding for the ADSW-AC and/or Per Diem. 24A. Signature of person authorized to approve funding.

25.ISC (pf) use Only.

23.Remarks:

Section III - Document ID and Accounting Data

24. If applicable, provide Document ID and Accounting Data below:

DIST APPN LIM CODE

ALLOT

PGRM

COST

OBJECT TYPE FY

TONO

SUFFIX

EST COST

CODE

FUND

ELEMENT

CENTER

CLASS

 

 

 

P&A

72

FICA

72

TVL

24A. Approving Official Signature:

Date:

Section IV - ISC (pf)/fot Approval

25.

 

 

Approved

Authorizing Official Signature: (Name, Title, & Phone)

 

Date:

 

 

 

 

 

 

 

 

 

 

Disapproved

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

See Remarks

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

26.

PERSRU Action Completed

Date:

 

 

 

 

 

 

 

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