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SAMPLE MEMORANDUM - Request for
Extension of Time Limit for Travel and Household (HHG) Transformation to Home
of Selection (HOS) DATE:
DD
MONTH YYYY TO:
Office of
Commissioned Corps Operations ATTN: Travel
Coordinator, Division of Commissioned Corps Officer Support FROM:
Rank and Name
of retired officer requesting extension Current
Mailing Address PHS
Serial Number XXXXX SUBJECT:
Request for Extension
of Time Limit for Travel and Household Goods (HHG) Transportation to Home of
Selection (HOS) I respectfully request an extension
of my time limit for travel and transportation to my home of selection. I also agree to pay all costs for non-temporary
storage for any period in excess of 1 year from the date of termination of
active service (or in addition to the longer
period previously authorized due to hospitalization or medical treatment, if
applicable). Provide an explanation of the circumstances preventing completion of the
final move within the allotted time with documentation supporting the
request. The request must also include
the specific additional time period required to complete the move and
acknowledge the extension will not be granted merely to accommodate personal
preferences or convenience.
*Submit a copy of original
/s/
Name
of Officer Requesting Action Rank,
USPHS (Ret.) _________________________________ _________________________________ Budget Officer/Admin Officer (must sign)
Commissioned Corps Liaison (must sign)
_________________________________
_________________________________ Date
Date
Concur ________ Non-concur________
Concur ________
Non-concur ________ |