Mass Transit Claim (SF-1164) Instructional Presentation. By: YN1 Carol Taly (510) 437-5767 [email protected] To fill out your claim electronically:. Click on “Start” Click on “Programs” Click on “USCG Program Apps” Click on “Adobe_Forms_Library”
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Mass Transit Claim (SF-1164)Instructional Presentation
By: YN1 Carol Taly
Type “Department of Homeland Security”
Type “U.S. Coast Guard”
Block 4B: Type in your FULL SSN (not EMPLID)
Block 4A: Type your LAST NAME, then your FIRST NAME, then MI (if applicable)
Block 4C: Type in your FULL mailing address including Zip Code
Block 4D: Type in you FULL work telephone number including area code
Type in the Year of the date claimed
Type in the full month of date claimed
Enter total amount claimed
Type in City, State departing (BART station if taking BART)
Type in City, State arriving (BART station if taking BART)
Type in form of transit used (i.e. Vanpool, Amtrak, BART, etc.)
Type “And Return”
Block 7: Enter total amount claimed. Can not exceed Maximum allowable of $115.00 as of 2/1/2008.
Block 8: LEAVE BLANK
Sign your Claim
Date your Claim
Type 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.
Small receipts should be taped (do not staple) within confines of Block 6 on Page 1 of the SF-1164.