Space-A Signup Request Form for Mobile Devices


...now for up to 5 departure airports at a time

Pepperd.com  

John D's Pages   

spacea.info  

MilitaryLiving.com  


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 ("-----")

Departure Airport 1:

Departure Airport 2:

Departure Airport 3:

Departure Airport 4:

Departure Airport 5:


Your Details





REMOTE SIGN-UP PROCEDURE CHANGE: When signing up remotely, travelers are required to identify their STATION OF ASSIGNMENT
(THE LOCAL AREA WHERE THEIR LEAVE OFFICIALLY START/END) or their current STATE/COUNTRY OF RESIDENCE on the request.

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.


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)
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:

Space Available Signup Certification
For Active Duty
You certify you are on leave/pass status at this time and will remain in when awaiting and/or having been accepted for space-A travel. If accompanied by dependents, you further certify that travel is not TDY/TAD and you are'nt using space-A to transport your dependents to/from your restricted duty station or all others (unaccompanied) tour location station.
For All
By submitting this form you certify that no element of travel is transportation via DOD-owned or controlled aircraft is for personal gain, nor for, or in connection with business of any nature and that this trip will not result in any form of remuneration to yourself or to your family. You further certify that you understand violation of any of the above could result in billing and/or punitive action.

PLEASE REVIEW YOUR DATA BEFORE SENDING THIS REQUEST



*Be Patient. Processing can take a few moments.


For verification, take your email copy with you when you go to the terminal for travel.