Attachment_13_-_Form_55_R.pdf

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REQUEST AND AUTHORIZATION FOR TRAVEL OF DOD (1) PERSONNEL

(5) ITINERARY:

(5a) DATE:

(5b) CARRIER:

(7) AUTHORIZED DEPENDENTS:

(7a) NAME:

(7b) RELATIONSHIP:

(7c) DOB:

(7d) CITIZENSHIP:

(7e) AMC LINE #:

REMARKS: Authorized two pieces of checked baggage, not to exceed 70 pounds each and one hand-carried not to exceed 19”x12”x13” on AMC aircraft. Authorized piece(s) at pounds each of excess baggage. Rental vehicle is is not authorized. All TDY and subcontractor personnel must report to their administration office the day of arrival on Kwajalein;

POC:

IT IS IMPORTANT THAT YOU CONFIRM YOUR AMC RESERVATIONS WITH THE HONOLULU OFFICE (808-422-6447) THREE DAYS PRIOR TO YOUR DEPARTURE FROM HICKAM AFB. The SOFA [Article VIII] and USAG-KA/RTS Reg. 190-10, Section 3.2.1, PROHIBITS the importation and possession of firearms, ammunition and explosives at USAG-KA/RTS by persons not specifically authorized in writing. Violators of this regulation will face adverse administrative action.

(9) EMERGENCY NOTIFICATION:

(10) FOR TDY VISITORS / SUBCONTRACTORS ONLY:

(11) ON-ISLAND SPONSOR:

I certify the above named individual(s) is/are authorized to travel under these orders and that authorization to enter Kwajalein has been received from the Commander, U.S. Army Garrison Kwajalein Atoll.

(12) ENTRY/EXIT:

(13) PROVOST MARSHAL OFFICE:

USAG-KA FORM 55-R (Rev.20150506)

(3) TRAVELER:

9.0.0.2.20120627.2.874785