Get AMC 140 1999
Disclosure of SSN is voluntary. AMC FORM 140 MAR 99 EF Form Flow Ver 2. 15 REPLACES AMC FORM 140 FEB 95 AMC COPY. Military Space-A Air Travel Guide Appendix W - 195 APPENDIX W SPACE-A TRAVEL REQUEST SPACE AVAILABLE TRAVEL REQUEST INSERT HERE This form is affected by the Privacy Act of 1974-See below This information is required for space available travel registration* Upon completion place the upper right corner of this form and the back of your leave form into the Date/Time validator. Be sure to deposit one copy of this request into the box retain carbon copy for the Space Available roll call* Space A sign-up is good for a 60-day period or when your leave expires whichever comes first. For facsimile fax requests telefax header will establish date/time of sign-up* PLEASE PRINT CLEARLY 1. NAME Last First MI 4. SEATS REQUIRED 3. SSN 2. RANK/GRADE 5. TRAVEL STATUS Type of Leave FOR OVERSEAS TRAVEL CATEGORY I -- Civ or Mil Dependent on Emergency Leave Border Clearance Documents Current CATEGORY II -- Environmental Morale Leave EML CATEGORY III -- Active Duty on Ordinary Leave / House Hunting YES NO CATEGORY IV -- EML Unaccompanied Dependents See Appendix R CATEGORY V -- Permissive TDY or TAD / Student Travel / Overseas Command - Sponsored Dependents CATEGORY VI -- Retired Military / Reserves 6. SERVICE ARMY NAVY 7. DATE LEAVE BEGINS Active Duty Only AF MARINES OTHER 8. DATE LEAVE ENDS if extended you must notify us before this date 9. COUNTRY CHOICES List up to 5 one choice may be all 10. LIST NAMES OF DEPENDENTS TRAVELING AND TYPE OF PASSPORT US or Foreign 11. I CERTIFY THAT I AM ON LEAVE OR PASS STATUS AT THE TIME I REGISTER FOR SPACE AVAILABLE TRAVEL AND WILL REMAIN IN SUCH STATUS WHEN AWAITING AND/OR HAVE BEEN ACCEPTED FOR IS NOT IN CONJUNCTION WITH TDY/TAD AND THAT I AM NOT USING SPACE AVAILABLE TRAVEL TO TRANSPORT MY DEPENDENTS TO OR FROM MY RESTRICTED DUTY STATION OF ALL OTHERS UNACCOMPANIED TOUR LOCATION STATION* I CERTIFY THAT MY REQUEST FOR AND ACCEPTANCE OF TRANSPORTATION VIA DOD-OWNED OR CONTROLLED AIRCRAFT IS NOT FOR PERSONAL GAIN NOR FOR OR IN CONNECTION WITH BUSINESS OF ANY NATURE AND THAT THIS TRIP WILL NOT RESULT IN ANY FORM OF RENUMERATION TO MYSELF OR TO MY FAMILY. I UNDERSTAND VIOLATION OF ANY OF THE ABOVE COULD RESULT IN BILLING AND/OR PUNITIVE ACTION* 12. DATE 13. SIGNATURE PRIVACY ACT STATEMENT AUTHORITY 10 U*S*C. 8013 EO 9397 22 November 1943. PRINCIPAL PURPOSE To apply for air travel* SSN is needed for positive ID. ROUTINE USE S Records from this system of records may be disclosed for any of the blanket routine uses published by the Air Force. DISCLOSURE IS VOLUNTARY Failure to proved the information may result in member not being accepted for travel on military aircraft. Military Space-A Air Travel Guide Appendix W - 195 APPENDIX W SPACE-A TRAVEL REQUEST SPACE AVAILABLE TRAVEL REQUEST INSERT HERE This form is affected by the Privacy Act of 1974-See below This information is required for space available travel registration* Upon completion place the upper right corner of this form and the back of your leave form into the Date/Time validator. Be sure to deposit one copy of this request into the box retain carbon copy for the Space Available roll call* Space A sign-up is good for a 60-day period or when your leave expires whichever comes first. .
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