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INFORMATION FOR SHIPMENT AND STORAGE OF PERSONAL PROPERTY (Prior to Counseling)

PRIVACY ACT STATEMENT

AUTHORITY: 10 U.S.C. 8013, Secretary of the Air Force; powers and duties; delegation by; implemented by JFTR-JTR, Air Force Supplement, AETC
Sup1, Air Force Personal property Moving and Storage, and E. O. 9397. PURPOSE: To prepare documents for the shipment and storage of personal
property. This includes household goods, unaccompanied baggage, mobile homes, privately owned automobiles, etc. ROUTINE USES: See page
three.

NAME (Last, First, Middle Initial) RANK/GRADE/SERVICE BRANCH SSN

ESTIMATED ARRIVAL DATE AT DUTY WITH DEPENDENTS DUTY TELEPHONE NO HOME TELEPHONE NO
LOCATION WITHOUT DEPENDENTS
PICKUP ADDRESS (Include county and zip code) DESTINATION ADDRESS (Include county and zip code)

TDY DUTY STATION INTRANSIT NOTIFICATION ADDRESS & TELEPHONEPERMANENT ADDRESS & TELEPHONE NO (Include
NO (Include area code) area code)

PCS DUTY STATION

ADDITIONAL PICKUP OR DELIVERY ADDRESS(Include city, state, county and telephone number, including area code)

SHIPMENTS EST WEIGHT PACK DATE PICKUP DATE SHIPMENTS EST WEIGHT PACK DATE PICKUP DATE
Household Goods (PCS) Nontemporary Storage
(1,000 lbs per room) (1,000 lbs per room)
Unaccompanied Professional Books,
Baggage (PCS) Papers & Equipment
Unaccompanied
Baggage (TDY)
RELEASING AGENT AND TELEPHONE NUMBER (Include area code) RECEIVING AGENT AND TELEPHONE NUMBER (Include area code)

See reverse for major items, POVs, boat/trailer, and mobil homes.
DO-IT YOURSELF (DITY) MOVE
PICKUP ADDRESS (Include county and zip code) DESTINATION ADDRESS (Include county and zip code)

EST START DATE EST WEIGHT EQUIP USED (Rental truck/trailer, POV) STATE OF LEGAL ADVANCE OPERATING ALLOWANCE
RESIDENCE DESIRED? (Non-government travel
cardholders only)
YES NO

I understand an appointment is necessary to complete all documentation pertaining to the DITY move of my personnel
property and to receive TMO approval for the move. I further understand that I will not be paid an incentive payment for the
DITY move unless I receive a briefing and TMO approval for the move. (Member's Initials)

TMO USE ONLY

POINT TO POINT MILEAGE FROM THE DEFENSE TABLE OF OFFICIAL DISTANCE (DTOD)

Linehaul + $5 Estimated Weight Government Cost Local Move Rate Estimated Weight Government Cost
X = X =

Government Cost 95% Gross Incentive Government Cost 60% Operating Allowance
X = X =

I understand an appointment is made to complete all documentation pertaining to the shipment of my personal property and it is necessary to meet this
appointment to eliminate shipping delays. If unable to keep appointment or need to reschedule - call:

DATE SIGNATURE OF MEMBER/DEPENDENT/AGENT

DATE AND TIME OF APPOINTMENT NAME OF COUNSELOR, DUTY LOCATION AND TELEPHONE NO

AETC FORM 280, 20000701 (IMT-V1) PREVIOUS EDITION IS OBSOLETE. PAGE 1 OF 3 PAGES