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Get DD 1853 1999

NAME OF VERIFYING OFFICIAL Last First Middle Initial 15. ORGANIZATION DD FORM 1853 OCT 1999 PREVIOUS EDITION MAY BE USED. VERIFICATION OF RESERVE STATUS FOR TRAVEL ELIGIBILITY Part B may be completed by the requester s commander First Sergeant or a DoD personnel official with access to the Personnel Data System* 1. DATE PREPARED YYYYMMDD PRIVACY ACT STATEMENT AUTHORITY 10 USC 8102 44 USC 3101 and EO 9397. PRINCIPAL PURPOSE Use of your SSN is necessary to positively identify you. ROUTINE USE Used by Reserve personnel to verify eligibility for space available transportation on DoD-owned or controlled aircraft. DISCLOSURE Voluntary however failure to disclose will prevent the applicant from traveling on a DoD-owned or controlled aircraft. PART A - TO BE COMPLETED BY APPLICANT 2. NAME Last First Middle Initial 3. PAY GRADE 6. UNIT/COMMAND NAME 4. BRANCH OF SERVICE 5. SSN 8. SIGNATURE 9. DATE SIGNED YYYYMMDD The Reservist named above is an active reserve component member and is eligible for space available transportation on DoD-owned or controlled aircraft in accordance with DoD Regulation 4515. 13-R and is authorized to so travel not to exceed six months. 10. FROM YYYYMMDD 11. TO YYYYMMDD 12. VERIFICATION OF RESERVE STATUS FOR TRAVEL ELIGIBILITY Part B may be completed by the requester s commander First Sergeant or a DoD personnel official with access to the Personnel Data System* 1. DATE PREPARED YYYYMMDD PRIVACY ACT STATEMENT AUTHORITY 10 USC 8102 44 USC 3101 and EO 9397. PRINCIPAL PURPOSE Use of your SSN is necessary to positively identify you. DATE PREPARED YYYYMMDD PRIVACY ACT STATEMENT AUTHORITY 10 USC 8102 44 USC 3101 and EO 9397. PRINCIPAL PURPOSE Use of your SSN is necessary to positively identify you. ROUTINE USE Used by Reserve personnel to verify eligibility for space available transportation on DoD-owned or controlled aircraft. ROUTINE USE Used by Reserve personnel to verify eligibility for space available transportation on DoD-owned or controlled aircraft. DISCLOSURE Voluntary however failure to disclose will prevent the applicant from traveling on a DoD-owned or controlled aircraft. DISCLOSURE Voluntary however failure to disclose will prevent the applicant from traveling on a DoD-owned or controlled aircraft. PART A - TO BE COMPLETED BY APPLICANT 2. NAME Last First Middle Initial 3. PAY GRADE 6. UNIT/COMMAND NAME 4. PART A - TO BE COMPLETED BY APPLICANT 2. NAME Last First Middle Initial 3. PAY GRADE 6. UNIT/COMMAND NAME 4. BRANCH OF SERVICE 5. SSN 8. SIGNATURE 9. DATE SIGNED YYYYMMDD The Reservist named above is an active reserve component member and is eligible for space available transportation on DoD-owned or controlled aircraft in accordance with DoD Regulation 4515. BRANCH OF SERVICE 5. SSN 8. SIGNATURE 9. DATE SIGNED YYYYMMDD The Reservist named above is an active reserve component member and is eligible for space available transportation on DoD-owned or controlled aircraft in accordance with DoD Regulation 4515. 13-R and is authorized to so travel not to exceed six months. 10. FROM YYYYMMDD 11. TO YYYYMMDD 12. .

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