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The DD Form 2883 serves as a critical component in the evaluation process for government employees and military personnel looking to obtain a government travel charge card. Developed under the guidelines of DoDI 5154.31, volume 4, this form operates as an alternate creditworthiness evaluation when an applicant declines a traditional credit score assessment. Individuals must provide detailed personal information, including name, employment status, and contact details, in the first section. The second section focuses on personal financial information, requiring applicants to certify that their financial history aligns with specific criteria, such as having no bankruptcy filings or delinquencies exceeding 120 days. Acknowledging the importance of accurate information, the form emphasizes the legal repercussions of false statements. In the final sections, responsibilities are delineated among agency program coordinators and supervisors, who play a role in the card issuance process. The overall purpose of the DD Form 2883 is to assess an individual’s suitability for holding a government travel charge card, emphasizing the trust placed in personnel handling government resources.

Dd 2883 Example

Prescribed by DoDI 5154.31, volume 4

GOVERNMENT TRAVEL CHARGE CARD ALTERNATE CREDIT WORTHINESS EVALUATION

(Read Privacy Act Statement and Instructions on back before completing form.)

 

 

SECTION I - PERSONAL IDENTIFYING INFORMATION

 

 

 

 

 

 

 

 

 

 

1. NAME (Last, First, Middle Initial, Suffix (Jr., Sr., etc.))

 

2. EMPLOYMENT STATUS (X one)

3. MILITARY RANK/CIVILIAN GRADE

 

 

 

ACTIVE

GUARD

 

 

 

 

 

 

RESERVE

CIVILIAN

 

 

 

 

 

 

 

 

 

 

 

4. CONTACT TELEPHONE NO.

5. ADDRESS (Street, Apartment/Suite Number, City, State, ZIP

 

6. BILLING ADDRESS (If different from Item 5)

 

(Include area code)

Code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. E-MAIL ADDRESS

 

 

 

 

 

 

8. U.S. CITIZEN (X one)

 

 

 

 

 

 

 

 

YES

NO

 

 

 

 

 

 

 

 

 

SECTION II - PERSONAL FINANCIAL INFORMATION

This form is being used in lieu of a credit score submitted through a credit reporting agency. By signing in Block 15 you are certifying that ALL of the following statements are true as they apply to your current financial situation. If any of the statements are not true as they apply to your circumstances, you should NOT submit this form and you are not eligible to receive a government travel charge card. False statements may result in penalties for both military and civilian personnel (Article 107, UCMJ, and 18 U.S.C. 1001).

For the purpose of the government travel charge card, individuals who decline a credit score and complete this form will only be issued a restricted card having half the credit limits of a standard card. If you previously agreed to a credit score and were denied a card as a result, you may not obtain a card through this self certification. Individuals who decline both a credit score and completion of this form will not be issued a travel card.

9. In the past 7 years, I have not, nor has a company over which I exercise control, filed for bankruptcy, been declared bankrupt, been subject to a tax

 

True

 

False

 

 

lien, or had legal judgment rendered for a debt.

 

 

 

 

 

 

 

 

 

 

 

 

10.

I am not currently over 120 days delinquent on any loan or financial obligation. This includes loans or obligations funded or guaranteed by the

 

True

 

False

 

 

 

Federal Government.

 

 

 

 

 

 

 

 

 

 

 

 

 

11.

In the past 7 years, I have not had a government charge card cancelled as a result of delinquency or misuse.

 

True

 

False

 

 

 

 

 

 

 

 

12.

In the past 7 years, I have not been subject to any disciplinary action, adverse action, or UCMJ action (military personnel) stemming from the

 

True

 

False

 

 

 

improper use of a government charge card. (Actions which were reversed through appeal do not have to be included.)

 

 

 

 

 

 

 

 

 

 

 

 

 

13.

I have not been informed of any current investigations on my use of a government charge card or government purchasing instrument.

 

True

 

False

 

 

 

 

 

 

 

 

14.

I do not have debts to financial institutions or other third parties that are more than 120 days delinquent in accordance with the written agreements

 

True

 

False

 

 

 

with those parties.

 

 

 

 

 

 

 

SECTION III - CERTIFICATION

I certify that the statements above, and any attachments added, are true, complete, and correct to the best of my knowledge and belief, and are made in good faith. I understand that a knowing and willful false statement on this form can be punished by fine or imprisonment or both. (See Section 1001 of Title 18, United States Code and Article 107, UCMJ, False Official Statements.)

15. SIGNATURE

16.DATE (YYYYMMDD)

 

SECTION IV - TO BE COMPLETED BY THE AGENCY PROGRAM COORDINATOR (APC)

 

 

 

17. CARD TYPE (X one)

 

18. ACCOUNT HIERARCHY NUMBER

IBA TRAVEL

 

 

 

 

 

19. ORGANIZATION/UNIT NAME:

 

20. FIPS CODE:

a. NAME (Last, First, Middle Initial)

b. SIGNATURE

c.DATE (YYYYMMDD)

21. APC:

SECTION V - TO BE COMPLETED BY THE COMMANDER/SUPERVISOR

22.COMMAND/SUPERVISOR (acknowledging IBA need)

a. NAME (Last, First, Middle Initial)

b. TELEPHONE (Include area code)

c. WORK ADDRESS

DD FORM 2883, JAN 2020

PREVIOUS EDITION IS OBSOLETE.

Page 1 of 2

GOVERNMENT TRAVEL CHARGE CARD ALTERNATE CREDIT WORTHINESS EVALUATION

PRIVACY ACT STATEMENT

AUTHORITY: 5 U.S.C. 5701 note, Creditworthiness of Individuals To Be Issued Government Charge Cards; 10 U.S.C. 2784a. Management of travel cards; 41

U.S.C. 101 note, Administrator; DoDI 5154.31, V4, “Commercial Travel Management: DoD Government Charge Card (GTCC) Program.

PRINCIPAL PURPOSE(S): To establish whether applicants or incumbents that are to be issued a government charge card are suitable for the public trust of the government instrument. The information from this form will be used primarily as the basis for evaluating the credit worthiness of an individual in the absence of an authorized credit score. Applicants completing this form may only be eligible for a restricted individually billed travel charge card account.

ROUTINE USE(S): To disclose information to a Federal, State, local, tribal, or foreign agency responsible for investigating, prosecuting, enforcing, implementing, or carrying out a statute, rule, regulation, or order, where an agency becomes aware of a violation or potential violation of civil or criminal law or regulation. Additional routine uses may be found in the applicable system of records notice GSA/GOVT-3, Travel Charge Card Program at: https:// www.federalregister.gov/documents/2013/04/03/2013-07669/privacy-act-of-1974-notice-of-revised-system-of-records

DISCLOSURE: Disclosure is voluntary; however, if you do not provide the requested information, you may not be able to obtain a government travel charge card to perform government official travel duties on behalf of the government.

INSTRUCTIONS

Follow instructions fully and answer all questions or we cannot process your form. Be sure to sign and date the certification statement in Section III. If you have any questions, contact the Agency Program Coordinator who gave you the form or your Component Program Manager.

Purpose of this Form:

Complete this form only if you declined to permit a credit score for an individually billed travel card. Your APC will enter the Component FIPs (https:// nvlpubs.nist.gov/nistpubs/SpecialPublications/NIST.SP.800-87r2.pdf) in item 20.

The Review Process:

The information you provide is considered to be truthful and accurate. You should provide your completed form to your supervisor for review. Individuals unable or unwilling to sign this form will not be issued a government charge card. If your answers reflect no financial risk exists, your form will be maintained along with your application for the government charge card for which you are applying as a result of your official duties. Should information arise at a later date that would cause your current answers to be incorrect, you may revise and resubmit the form. Any information that indicates that your responses are not accurate or truthful may result in administrative action.

Completing this Form:

1.Follow the instructions given to you by the person who gave you the form and any other clarifying instructions furnished by that person to assist you in completion of the form. You must sign and date, in black ink, the original and each copy you submit.

2.Type or legibly print your answers in black ink. If your form is not legible, it will not be accepted. You may also be asked to submit your form in an approved electronic format.

3.Any changes you make to this form after you sign it must be initialed and dated by you. Under certain limited circumstances, agencies may modify the form consistent with their intent.

4.All telephone numbers must include area codes.

5.All dates provided on this form must be in Year/Month/Day (YYYYMMDD) format.

6.If the address is outside of the United States, please indicate the country.

Final Determination on Your Eligibility:

Final determination on your eligibility for credit worthiness and form acknowledgment is the responsibility of your commander/supervisor. The commander/ supervisor acknowledges the need for a travel card and does not validate the financial responses provided.However, it is DoD policy that failure to agree to a credit score or self-certify to your creditworthiness is sufficient reason to deny issuance of any such card.

Penalties for Inaccurate or False Statements:

The U.S. Criminal Code (Title 18, Section 1001) provides that knowingly falsifying or concealing a material fact is a felony that may result in fines of up to $10,000 and/or 5 years imprisonment, or both. In addition, Federal agencies usually remove from their employment, do not grant a security clearance, or disqualify individuals who have materially and deliberately falsified these forms, and this remains a part of the permanent record for future placements. Because the position you are in is considered necessary to require use of a government charge card, your trustworthiness and creditworthiness are important considerations in determining your eligibility for retention of a government charge card.

DD FORM 2883, JAN 2020

PREVIOUS EDITION IS OBSOLETE.

Page 2 of 2
Get Dd 2883 PDF Form

Form Characteristics

Fact Name Detail
Governing Law The DD Form 2883 is prescribed by DoDI 5154.31, volume 4.
Purpose This form evaluates the creditworthiness of individuals for government travel charge cards in the absence of a credit score.
Personal Information Section I collects vital personal identifying information such as name, employment status, and contact details.
Financial Eligibility Individuals must confirm that they have not filed for bankruptcy or had their charge card canceled in the last seven years.
Penalties for False Statements False information can lead to penalties under Article 107, UCMJ, or 18 U.S.C. 1001.
Restricted Cards If an individual declines a credit score, only a restricted travel card with reduced limits will be issued.
Signature Requirement Section III requires a signature and date, confirming that all statements provided are true and correct.
Agency Review Process The completed form must be reviewed and acknowledged by the individual's supervisor or commander.
Disclosure of Information Disclosure of requested information is voluntary but necessary for obtaining a government travel charge card.

Guidelines on Utilizing Dd 2883

Completing the DD Form 2883 is an essential step for those wishing to obtain a government travel charge card. Following the instructions carefully will ensure that your application can be processed accurately and efficiently. Pay attention to details as you fill out the required information.

  1. Begin with Section I: Personal Identifying Information. Fill in your full name, including last name, first name, middle initial, and any suffix (e.g., Jr., Sr.) in the appropriate box.
  2. Select your employment status by marking the appropriate box: Active, Guard, Reserve, or Civilian.
  3. Provide your military rank or civilian grade if applicable.
  4. Enter your contact telephone number. Make sure to include the area code.
  5. Write your complete address including street, apartment or suite number, city, state, and ZIP code.
  6. If your billing address differs from the one above, fill in that information as well.
  7. Include your email address in the designated space.
  8. Indicate your U.S. citizenship status by marking the appropriate box for "Yes" or "No."
  1. Proceed to Section II: Personal Financial Information. Carefully read each statement regarding your financial status. For each statement, indicate whether it is true or false as it pertains to your situation.
  2. Moving to Section III, sign and date the certification statement. Ensure you do this in black ink.
  3. Leave Sections IV and V blank; these will be completed by your Agency Program Coordinator and your commander or supervisor, respectively.

After filling out the form, make sure to review your responses for accuracy and clarity. If necessary, provide the form to your supervisor for their review. It is crucial that every detail is correct, as inaccurate information may cause delays or disqualify your application.

What You Should Know About This Form

What is the purpose of the DD Form 2883?

The DD Form 2883 is designed to assess an individual's creditworthiness for the issuance of a government travel charge card. When an applicant opts to decline a traditional credit score evaluation, this form serves as an alternative method to evaluate their financial status. This evaluation is crucial for determining whether someone is suitable for the public trust associated with managing government funds.

Who needs to complete the DD Form 2883?

This form is specific to individuals who are applying for a government travel charge card but have chosen to forgo the typical credit score review. If you're a military member or a civilian employee who needs to obtain such a card for official travel, this form is mandatory if you decline to provide a credit score.

What information is required on the form?

The form calls for several pieces of personal information to be filled out. This includes your name, employment status, military rank or civilian grade, contact telephone number, email address, and citizenship status. Additionally, you will need to disclose financial information such as any bankruptcies, debts, and financial delinquencies. Honest and accurate responses are essential, as they directly affect your eligibility.

What happens if I provide false information on the form?

Submitting false or misleading information could have serious consequences. Not only can it result in administrative actions, but it may also lead to criminal penalties, including fines or imprisonment. Moreover, misrepresentations can have long-term implications on your employment and security clearance eligibility.

What type of card will I receive if I complete this form?

If you successfully complete the DD Form 2883 and it's approved, you will likely receive a restricted government travel charge card. This card typically has a lower credit limit compared to a standard card, reflecting the precautionary measures taken due to the absence of a comprehensive credit score.

How can I ensure my form is processed correctly?

To facilitate the smooth processing of your DD Form 2883, follow the instructions diligently. Fill out the form in black ink, ensure your writing is legible, and double-check that all sections are completed. Don't forget to provide your signature and the date. Submitting the form to your supervisor or designated Agency Program Coordinator for review is also key to ensuring everything checks out.

What steps should I take if my financial situation changes?

If your financial circumstances change after submitting the form, it’s crucial to revise and resubmit the form. This updated information will be important for a re-evaluation, as any changes could impact your financial risk assessment and, consequently, your eligibility for the government travel charge card.

Who is responsible for reviewing and approving the form?

The final decision on your creditworthiness based on the DD Form 2883 rests with your commander or supervisor. While they will acknowledge the need for a travel card, they do not verify the accuracy of the information you provided. Therefore, your responses should be both truthful and thorough to avoid complications.

Can I reach out for assistance if I have questions regarding the form?

Absolutely! If you have any questions or uncertainties about completing the DD Form 2883, you should contact the Agency Program Coordinator who provided the form to you. They can offer guidance and clarification to ensure you fill out the form correctly.

Is my personal information kept confidential?

Your personal information is treated with care and confidentiality. The form contains a Privacy Act Statement to inform you of how your data will be used and disclosed. Disclosure of the information is voluntary; however, without it, your chances of obtaining a government travel charge card may be at risk.

Common mistakes

Filling out the DD 2883 form can seem straightforward, but many people overlook key areas that lead to mistakes. One common error is not providing complete personal identifying information. Ensure you fill in your full name, including any suffixes. Missing just one part can create confusion and delay the processing of your application.

Another frequent misstep involves the employment status section. It’s important to mark the correct option—whether you are active duty, reserve, or civilian. If you skip this step or select the wrong category, it can complicate your eligibility assessment.

Many people also fail to check their financial information accurately. Statements about bankruptcy or being delinquent on loans should not be taken lightly. If any of these situations apply to you, it's crucial to be truthful. Providing false information could lead to serious penalties, including potential disqualification from receiving a government travel charge card.

Additionally, signing and dating the certification statement in Section III is essential. Skipping your signature, or failing to date the form in the required format, can result in your application being rejected. Always remember to double-check this before submitting your form, as it’s a vital part of the process.

Finally, delivering the form to the appropriate individuals is a step often overlooked. After completing your part, don’t forget to pass it along to your supervisor for review. This step is essential for ensuring everything is in order. If you miss this step, your form may stall and cause delays in getting your travel charge card.

Documents used along the form

When applying for a government travel charge card, the DD Form 2883 is an essential document, but it is often accompanied by several other forms and documents to ensure a thorough evaluation of an individual's eligibility. Each of these documents plays a crucial role in providing necessary information regarding the applicant's financial history and status. Below is a list of commonly used forms and documents along with brief descriptions of their purposes.

  • DD Form 2884: This form is a required application for the Government Travel Charge Card (GTCC) program. It collects detailed personal, financial, and employment information necessary for processing an application and determining eligibility for the credit card.
  • SF 87: The Standard Form 87 is used for requesting a background check. It includes personal identification information and may be used to evaluate the applicant's character, especially in relation to their suitability for a government position.
  • DD Form 220: This form documents service members' assignments and may provide context regarding their military support and travel needs. It serves as a verification of service, which can influence card eligibility decisions.
  • Credit Report: Although completion of the DD Form 2883 serves as an alternative to providing a credit score, a credit report may still be reviewed. This document offers insight into the applicant's overall credit history, helping to assess financial reliability.
  • Financial Disclosure Form: In some cases, applicants may be required to submit a financial disclosure form. This document provides a detailed overview of the individual's assets, liabilities, income, and expenses, painting a comprehensive picture of their financial health.
  • Additional Supporting Documentation: Applicants might need to attach other documents, such as pay stubs, tax returns, or any formal notices of financial obligation. These papers help verify claims made on the DD Form 2883 and demonstrate an applicant's financial responsibility.

Each of these forms and documents contributes to a clearer picture of an applicant’s financial history and overall eligibility for a government travel charge card. Providing complete and accurate information increases the likelihood of a successful application while ensuring that only trustworthy individuals are granted access to government spending privileges.

Similar forms

The DD Form 2883 is an important document used for evaluating the creditworthiness of individuals seeking a government travel charge card. There are several other documents with similar purposes and requirements. Below are four documents that share similarities with the DD Form 2883:

  • SF 85 (Questionnaire for Non-Sensitive Positions) - This form is used for background checks for non-sensitive federal positions. Like the DD Form 2883, it asks for personal identifying information and requires participants to disclose financial issues, thus examining trustworthiness for government responsibilities.
  • SF 86 (Questionnaire for National Security Positions) - This document delves deeper into an individual's history, including financial matters, to assess eligibility for access to classified information. Both forms require meticulous attention to honesty in disclosing financial and legal issues.
  • Form 4506-T (Request for Transcript of Tax Return) - This form is often used in financial assessments, enabling agencies to verify an individual's tax records. The purpose aligns with the DD Form 2883's aim of establishing financial responsibility relevant to obtaining a government travel charge card.
  • VA Form 21-526EZ (Application for Disability Compensation and Related Compensation Benefits) - While primarily focused on disability claims, this form also requests information about the applicant's financial situation. Similar to the DD Form 2883, it assesses the financial stability of individuals seeking benefits from the government.

Understanding these documents can help individuals navigate the requirements necessary for evaluating their eligibility for various government-related financial responsibilities and responsibilities effectively.

Dos and Don'ts

When filling out the DD 2883 form, it’s important to follow specific guidelines to ensure your application is processed smoothly. Here are four key things to remember:

  • Do: Follow instructions carefully as given by your Agency Program Coordinator (APC).
  • Do: Type or print your answers clearly in black ink to avoid any misunderstandings.
  • Don't: Submit the form if any of the required statements do not apply to your situation; this could lead to penalties.
  • Don't: Make any changes to the signed form without initialing and dating those changes to maintain its integrity.

Misconceptions

Understanding the DD 2883 form can be challenging due to the various misconceptions surrounding it. Below are nine common misunderstandings along with clarifications to help clear the air.

  1. It can be submitted without accurate information. Many believe they can simply fill out the form without ensuring accuracy. In truth, false statements can lead to serious penalties, including fines and imprisonment.
  2. The form is the same as a traditional credit application. Some assume this form functions like a standard credit application. However, it serves specifically as an alternative evaluation for those who decline to provide a credit score.
  3. A credit score is never required. Many think they can always bypass a credit score. Completing this form only applies if the applicant chooses not to submit a credit score.
  4. All applicants receive the same type of card. Some may think they will automatically receive the same travel card. In fact, those who decline a credit score and submit the form usually receive a restricted card with lower credit limits.
  5. This form is not time-sensitive. Some believe that they can take their time after filling it out. If circumstances change that affect their financial status post-submission, they must update their information promptly.
  6. Approval is guaranteed upon submission. It is a common myth that submitting this form ensures a government travel card will be issued. The final determination lies with the commander or supervisor, who may deny it even if the form is completed correctly.
  7. Disclosing information is optional. Some think that providing requested information is voluntary. In reality, if applicants do not provide the necessary details, they may not qualify for a travel card.
  8. The form is only for military personnel. While many associate the form with military use, civilians may also need to complete it if they are to receive a government travel card.
  9. Filling it out is a simple process. Many assume completing the DD 2883 is straightforward. In truth, it requires careful attention to detail and honesty to avoid future complications.

It is important to recognize and address these misconceptions to ensure a smooth application process for a government travel charge card.

Key takeaways

Key Takeaways for Completing the DD 2883 Form

  • The DD 2883 form is used when individuals decline a credit score for a government travel charge card.
  • Complete all sections accurately. Missing or incorrect information can delay processing.
  • Sign and date the form in Section III. Without this, the form is not valid.
  • Be honest when answering financial questions. Providing false information may result in serious penalties.
  • If your financial situation changes after submission, you must update and resubmit the form.
  • All entries must be legible; use black ink or an approved electronic format.
  • Your employment supervisor will review the form, but they do not validate your financial responses.
  • Final eligibility decisions rest with your supervisor or commander, who acknowledges your need for the card.

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