Passenger Reservation Request Form PDF Details

In an effort to streamline the process for Navy members needing to arrange travel, the Passenger Reservation Request form (NPPSC 4650/1, revised February 2017) serves as a crucial document, working under the guidance of the Supporting Directive NPPSCINST 5213.1. This form is designed to meticulously gather all necessary details to assist the Navy Passenger Transportation Office (NAVPTO) in processing travel requests efficiently, whether it be for a new trip, a modification/change to an existing reservation, or a cancellation. The inclusion of the Privacy Act Statement at the beginning clarifies the authority under which the information is collected, ensuring that the mandatory disclosure of personal details such as name, Social Security Number or DoD ID, and travel specifics aims to facilitate the naval travel process without hindrance. Items outlined in the form range from basic identification and contact information of the traveler, including rank, date of birth, and gender, to more detailed travel plans like detachment and arrival dates, accompanied or unaccompanied travel, and even pet reservation details. Additionally, it encompasses the necessity for an overseas screening, dependent entry requirements, seat preferences, and the potential need to arrange for the shipping of a personal vehicle or pet. This document also allows for the specification of any alternate routes for personal convenience, albeit with the stipulation that certain conditions, such as compliance with U.S. flag carrier regulations, are met. Ultimately, the Passenger Reservation Request form is a testament to the Navy's concerted effort to ensure that its members' travel arrangements are handled with the utmost efficiency and care, respecting the privacy and personal circumstances of each individual.

QuestionAnswer
Form NamePassenger Reservation Request Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesnppsc 4650 1 instructions, form nppsc 1 pdf, form 4650 1, nppsc 4650 1 passenger reservation request

Form Preview Example

PASSENGER RESERVATION REQUEST

 

NPPSC 4650/1 (02-2017)

Supporting Directive NPPSCINST 5213.1

PRIVACY ACT STATEMENT

Authority: 10 U.S.C. 5013, Secretary of the Navy; and E.O. 9397 (SSN).

Purpose: To complete request for Navy Passenger Transportation Office (NAVPTO) to process Navy member's PRR and issue a port call.

Routine Uses: Department of Defense employees executing duties to assist in processing individual Navy travel requests and applicable port call(s).

Disclosure: Mandatory. Failure to provide the requested information may inhibit the Navy's passenger travel process.

1. Type Request:

New

Modification/Change

Cancellation

2. Date:

 

 

NAVPTO USE ONLY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

Transfer Clerk/Command POC:

 

 

 

 

Ship Location:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

POC Work Phone:

 

 

5. POC Work E-mail:

 

 

Date:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AMC Flight Available:

 

Yes

No

6. Name (Last, First, Middle - as shown on the photo ID used for travel and

 

7. SSN/DoD ID

Flight No:

 

 

 

Date:

 

present to the TSA Agent while going through airport security):

 

Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Show:

ETD:

 

ETA:

 

Date:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.

Rate/Rank:

 

 

9.

Date of Birth:

 

 

10.

Gender:

Male

 

Female

 

 

 

 

 

 

 

 

 

 

 

11. Passport Number / Expiration Date / Visa No.

12.

Traveler's Phone w/Area Code:

13.

Traveler's E-mail Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14.Detaching Command (Current PDS City, State, Country):

15.Gaining Command (New PDS City, State, Country):

16. Detachment Date (Current PDS):

17. Availability Travel Start Date/Time

18.Mandatory RNLT Date at NEW PDS. Mandatory TPP is 10 days for OCONUS; 20 days for pets.

19.

Are there any Intermediate/Temporary Duty Stations Enroute?

If Yes, please list with dates required for arrival and departure.

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

20.

Travel Type:

Accompanied

Unaccompanied

 

 

 

 

PCS

COT

Deferred COT

OTEIPO

 

RAT TVL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21(a). EAOS:

 

21(b). Extensions:

22. Overseas Screening Completed?

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23.

Prescribed Tour Length:

24. Dependent Entry Required?

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

25.

List of Family Member(s):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last, First, Middle Name

SSN

 

Relationship

Date of Birth

Passport #

 

Exp Date

 

Visa #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

+

X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

26.

Mailing Address while on Leave after Detachment:

 

 

27.

Phone Number(s) after Detachment (include Area Code):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street Address

 

 

 

 

 

Apt/Suite

 

Type

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

State

Zip

 

 

 

Type

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

28.E-mail Address After Detachment:

29.Next of Kin (Not Traveling) Contact Information:

Name

Phone

Street Address

 

 

 

Apt/Suite

 

 

 

 

 

City

 

 

State

Zip

 

 

 

 

 

30. Number of Seat(s) Required:

31. Seat Preference:

32. Excess Baggage Authorized (#):

 

 

 

 

 

33.Alternate Route(s) for Personal Convenience must be authorized per JTR/DoD 4500.9-R and comply with U.S. flag carrier regulations. Indirect/ Personal travel above and beyond entitlements will be the member's responsibility. If flying non-US airline, reimbursement will not be authorized.

+

XDate of Travel

Time

From: City

State

To: City

State

Mode of Travel

34.

Additional Information:

 

 

 

 

 

 

 

 

 

 

35.

Shipping POV To/From Overseas After Detachment from Current PDS?

Yes

No or Not Permitted

Not Applicable

 

 

 

 

 

36.

Pet Reservation (2 Pets Total, Cat or Dog Only, Allowed on AMC Flights)

Are you shipping pets?

Yes

No

 

 

 

 

 

37(a). Member Name/Rank:

37(b). Member Signature:

 

 

37(c) Date:

SOF

NOTE For Students Only: PSD obtaining Travel/Transportation Authorization form with signature from student check "SOF" box.

38(a). Supervisor Name/Rank:

38(b). Phone Number

38(c). Supervisor Signature:

38(d) Date:

FOR OFFICIAL USE ONLY

Page 1 of 1

PRIVACY SENSITIVE

 

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