Mass Transit Claim (SF-1164)Instructional Presentation

By: YN1 Carol Taly

(510) 437-5767

carol.a.taly@uscg.mil

To fill out your claim electronically:

• Click on “Start”

• Click on “Programs”

• Click on “USCG Program Apps”

• Click on “Adobe_Forms_Library”

• From the drop down box select “SF 1000”

• Then click on “Find Forms” Box

• Double click on “SF1164.pdf”

Block 1 for SF 1164

Type “U.S. Coast Guard”

Type “Department of Homeland Security”

Block 4 of SF 1164Block 4A: Type your LAST NAME, then your FIRST NAME, then MI (if applicable)

Block 4B: Type in your FULL SSN (not EMPLID)

Block 4C: Type in your FULL mailing address including Zip Code

Block 4D: Type in you FULL work telephone number including area code

Block 6A of SF 1164

Type in the Year of the date claimed

Type in the full month of date claimed

Block 6C, 6D, and 6G of SF 1164

Type in City, State departing (BART station if taking BART)

Type in City, State arriving (BART station if taking BART)

Type “And Return”Type in form of transit used (i.e. Vanpool, Amtrak, BART, etc.)

Enter total amount claimed

Block 7 and 8 of SF 1164

Block 7: Enter total amount claimed. Can not exceed Maximum allowable of $115.00 as of 2/1/2008.

Block 8: LEAVE BLANK

Block 10

Sign your Claim Date your Claim

Accounting ClassificationType in this accounting string if you are a Coast Guard Civilian Employee.

Type in this accounting string if you are a Coast Guard Military person.

PLEASE NOTE: This accounting string is only good from OCT 2007 thru SEP 2008.

RECEIPTS

• Must be readable.

• Are required for reimbursement.

• If they are small enough not to block any pertinent information on Page 1 of the SF-1164 – Tape the receipt in Block 6 area.

• If the receipt is to large – Tape the receipt to Page 2 of the SF-1164.

RECEIPTS (cont’d)

• For full page receipts, staple the receipt to the back of the SF-1164.

• Do not highlight.

• Do not tape receipts to the back of Page 1 of the SF-1164.

Small receipts should be taped (do not staple) within confines of Block 6 on Page 1 of the SF-1164.

The End………