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Department of Health and Human Services Public Health Service APPLICATION FOR SHIPMENT OF HOUSEHOLD GOODS (COMMISSIONED OFFICERS) Type or print. Forward original (with signature) to PHS Shipping Officer.

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How to fill out the PHS-4013-1 online

The PHS-4013-1 form is essential for commissioned officers seeking to transport their household goods. This guide provides clear, step-by-step instructions for completing the form online, ensuring a smooth and efficient process.

Follow the steps to successfully complete the PHS-4013-1 form online.

  1. Click ‘Get Form’ button to obtain the document and access it for completion.
  2. In section 1, enter the name and address of the shipping officer to whom you are forwarding your application.
  3. In section 2, provide your last name, first name, middle initial, and rank.
  4. For section 3, fill in your telephone numbers for both office and home.
  5. In section 4, indicate your present permanent duty station, including the operating division, bureau, division, city, state, and zip code.
  6. For section 5, indicate whether you have an attached copy of your personnel or travel order, and provide the approximate weight and number of rooms related to the shipment.
  7. In section 6, if you have previously shipped household goods under the listed order, answer as yes or no and provide details if applicable.
  8. Section 7 requires you to specify the address from which the shipment will be made, if known.
  9. In section 8, provide the shipping address, including street address, city, state, and zip code.
  10. Fill in section 9 with your requested date for pickup and section 10 with your desired approval date.
  11. Complete sections 11 and 12 with additional local pickup and delivery addresses, if applicable.
  12. In section 13, enter your mailing address while your goods are in transit.
  13. Section 14 requires you to provide the name of the person who will receive the goods at the destination.
  14. In section 15, state if you request your goods to be placed in storage and provide the relevant city and state.
  15. Use section 16 for any remarks or additional information you wish to include.
  16. In section 17, certify that you understand the responsibilities associated with the shipment, including potential costs and notify any changes in orders that impact the shipment.
  17. Once completed, review the form for any errors, then save changes, download, print, or share the form as necessary.

Start filling out the PHS-4013-1 online to ensure your household goods are shipped promptly.

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  • Affidavits
  • Bankruptcy
  • Bill of Sale
  • Corporate - LLC
  • Divorce
  • Employment
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  • Internet Technology
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PHS-4013-1
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