DETAIL REQUEST FORM

ATTACHMENT TO RESOURCE ORDER NUMBER:

 

REQUEST NO(S):

O-

1.   POSITION(S):

 

NUMBER OF PERSONS REQUESTED:

 

2.   MINIMUM “RED CARD” RATING(S):

 

3.   EMPLOYMENT STATUS:

 

ANY FEDERAL AGENCY:

 

    SPECIFIC AGENCY:

 

AD (CASUAL HIRE ):

 

OTHER:

 

4.   AGENCY UNIFORM: 

¨ YES

¨ NO

FIRE RESISTANT CLOTHING:

¨ YES

¨ NO

5.   DRIVER’S LICENSE NEEDED:

¨ YES

¨ NO

ENDORSEMENT:

 

6.   VEHICLES AUTHORIZED OR REQUESTED:

    AGENCY OWNED VEHICLE (AOV):

¨ YES

¨ NO

TYPE:

NUMBER:

    PRIVATELY OWNED VEHICLE (POV):

¨ YES

¨ NO

    RENTAL VEHICLE:

¨ YES

¨ NO

7.   RADIOS NEEDED:

¨ YES

¨ NO

TYPE:

NUMBER:

8.     ELECTRONIC TECH’S NAME/PHONE NUMBER:

 

9.     LENGTH OF DETAIL:

 

THROUGH:

 

INCLUDING TRAVEL

10. TRAVEL OUTSIDE OF NORMAL DUTY HOURS IS AUTHORIZED/COMPENSATED:

¨ YES

¨ NO

11. ESTABLISHED WORK WEEK:

 

HOURS OF DUTY:

 

12. PERSONNEL MAY BE ROTATED:

¨ YES

¨ NO

HOW OFTEN?

 

ROTATION PAID BY:

¨ SENDING UNIT

¨ REQUESTING UNIT

13. BASE SALARY PAID BY:

¨SENDING UNIT

¨REQUESTING UNIT

     TRAVEL PAID BY:

¨ SENDING UNIT

¨ REQUESTING UNIT

     PER DIEM PAID BY:

¨ SENDING UNIT

¨ REQUESTING UNIT

     EQUIPMENT USE/MILEAGE PAID BY:

¨ SENDING UNIT

¨ REQUESTING UNIT

     ROTATION PAID BY:

¨ SENDING UNIT

¨ REQUESTING UNIT

14. REQUESTING UNIT’S ELECTRONIC ADDRESS:

 

15. REQUESTING UNIT’S ESTIMATED TOTAL COST:

 

16. PERSONNEL OFFICER/PHONE #:

 

17. BUDGET AND FINANCE OFFICER/PHONE #:

 

18. TEMPORARY DUTY STATION:

 

     ADDRESS/P. O. BOX:

 

     TELEPHONE NUMBER:

 

19. GOVERNMENT LODGING AVAILABLE:

¨ YES

¨ NO

     GOVERNMENT MESSHALL AVAILABLE:

¨ YES

¨ NO

     GOVERNMENT COOKING FACILITIES ONLY:

¨ YES

¨ NO

     COMMERCIAL LODGING AVAILABLE:

¨ YES

¨ NO

     COMMERCIAL MEALS AVAILABLE:

¨ YES

¨ NO

     MUST BE SELF SUBSISTING:

¨ YES

¨ NO

20. NEAREST COMMERCIAL AIRLINE CITY:

 

REMARKS: