Standard Form 1164 (DoD Overprint4/2002) - Employer Support of ...-2026

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The document is a reimbursement claim form for expenditures incurred during official business, specifically for the Employer Support of the Guard and Reserve (ESGR) Missouri Committee. It includes sections for personal information, details of expenses such as travel and communication costs, and certification of the claim's accuracy. The form also outlines compliance with the Privacy Act and provides instructions for completing the claim.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out Section 1, where you will enter the Department or Establishment, Bureau, Division, or Office. This identifies the organization associated with the claim.
In Section 2, input the Voucher Number. This is essential for tracking your reimbursement request.
Proceed to Section 5 and provide your name, Social Security number, mailing address, and office telephone number. Ensure accuracy as this information is crucial for processing.
In Section 6, detail your expenditures. Enter dates, codes for types of expenses (local travel, telephone costs, etc.), and amounts claimed. Be specific in explaining each expenditure.
Complete Sections 7 through 12 by certifying the claim's accuracy and signing where indicated. Make sure to review all entries before submission.

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