ACTIVE DUTY: YOUR LEAVE MUST HAVE ALREADY STARTED
WHEN THIS FORM IS SENT.
Complete all applicable fields.
Include an e-mail address that you can access now.
Select an airport's name only once. When signing up for less than 5 airports, leave the other airport fields empty ("-----")
Your Details REMOTE SIGN-UP PROCEDURE CHANGE: When signing up remotely, travelers are required to identify their STATION OF ASSIGNMENT DATE OF BIRTH NOW REQUIRED BY AMC SOFTWARE: A terminal software update now requires DOB in order to input space-a signups.
(THE LOCAL AREA WHERE THEIR LEAVE OFFICIALLY START/END) or their current STATE/COUNTRY OF RESIDENCE on the request.
(THE LOCAL AREA WHERE THEIR LEAVE OFFICIALLY START/END) or their current STATE/COUNTRY OF RESIDENCE on the request.
Station of Assignment or Current State/Country of Residence
This is to ensure passenger service agents have the information necessary to adjust the date/time of sign-up in regards to time zone differences.
Last Name:
First Name:
Middle Initial:
Grade:
SSAN: (OPTIONAL for AMC-operated terminals - don't enter it unless it's known to be required by the terminal)
Service:
If Service is "Other",
specify in Comments below!!
Email:
Phone:
Number of Seats Required:
Travel Status:
(Type of Leave)
Date Leave Begins: (AD Only)
(Leave MUST have started)
Date Leave Ends:
For Overseas Travel:
Border Docs Current?
Yes
No
Country Choices:
(List up to 5; one choice may be ALL)
1.
2.
3.
4.
5.
List Names of Dependents Traveling
Type of Passport (US or Foreign)
SSN * or Passport Number:
Comments:
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For Active Duty |
PLEASE REVIEW YOUR DATA BEFORE SENDING THIS REQUEST