NSSC Relocation Form All fields are required unless otherwise stated. Never include sensitive or personal information like your Social Security number as e-mail isn’t necessarily secure. Use postal mail for sensitive or personal information.Please Select Travel Type(Required)Domestic RelocationForeign RelocationRequestor InformationRequestor NASA site:(Required)NASA HeadquartersAmes Research CenterArmstrong Flight Research CenterGlenn Research CenterGoddard Space Flight CenterJohnson Space CenterKennedy Space CenterLangely Research CenterMarshall Space Flight CenterNASA Shared Services CenterOffice of Inspector GeneralStennis Space CenterOther (Please Specify)Other (Please Specify):Requestor Name:(Required) First Last Requestor Email:(Required) Requestor Phone:(Required)Employee InformationEmployee Name:(Required) First Last Departure City:(Required)Departure State:(Required)AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasArmed Forces AmericasArmed Forces EuropeArmed Forces PacificCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMS MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMN MontanaNE NebraskaNV NevadaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OreganPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWY WyomingOCONUS OverseasDeparture ZIP:(Required) ZIP Code Home Phone (Current):(Required)Office Phone (Current):(Required)Cell Phone:(Required)Email (Office):(Required) Email (Home):(Required) Duty Station (Current):(Required)NASA HeadquartersAmes Research CenterArmstrong Flight Research CenterGlenn Research CenterGoddard Space Flight CenterJohnson Space CenterKennedy Space CenterLangely Research CenterMarshall Space Flight CenterNASA Shared Services CenterOffice of Inspector GeneralStennis Space CenterOther (Please Specify)Other (Please Specify):Destination Reporting Station:(Required)NASA HeadquartersAmes Research CenterArmstrong Flight Research CenterGlenn Research CenterGoddard Space Flight CenterJohnson Space CenterKennedy Space CenterLangely Research CenterMarshall Space Flight CenterNASA Shared Services CenterOffice of Inspector GeneralStennis Space CenterOther (Please Specify)Proposed Enter on Duty:(Required)Destination State:(Required)AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasArmed Forces AmericasArmed Forces EuropeArmed Forces PacificCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMS MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMN MontanaNE NebraskaNV NevadaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OreganPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWY WyomingOCONUS OverseasDomestic RelocationDomestic Relocation Type:(Required)PCS TransferFirst Duty StationFirst Duty with Flex ActTCSSES/Last Move HomeLimited RelocationRemote Work Agreement TerminationLength of Service "From" Date?MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Length of Service "To" Date?MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Are travel and transportation expenses for employee authorized?YesNoAre travel and transportation expenses for employee family authorized?YesNoIs travel and temporary storage of HHGs authorized?YesNoIs house hunting trip authorized?YesNoIs temporary quarters authorized?YesNoHow many days of temporary quarters are authorized? (Not to exceed 60 days)Please enter a number from 1 to 60.Is miscellaneous expense authorized?YesNoIs Government Home Sale (GHS) program authorized?YesNoIs new employee currently on TDY/ETDY at Destination Reporting station?YesNoDoes the employee have a NASA travel card?YesNoHouse hunting is only allowed to TCS location, not back to PDS.Email signed Relocation Request along with proper supporting documentation (Offer letter, SF50, or SF52) to nssc@mail.nasa.gov.Foreign RelocationForeign Relocation Type:(Required)First Duty: OCONUS to CONUSFirst Duty: CONUS to OCONUSTransferee: CONUS to OCONUSTransferee: OCONUS to CONUSTransferee: OCONUS to OCONUSTransferee: Return from OCONUS for SeparationTransferee: Overseas Tour Renewal AgreementEducation TravelLength of Service?Is Shipment of POV authorized?YesNoIs new duty station in a non-foreign area (i.e., Alaska, Hawaii, Guam and the Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands)?YesNoIs old duty station in a non-foreign area (i.e., Alaska, Hawaii, Guam and the Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands)?YesNoTransferee: Is new duty station in a non-foreign area (i.e., Alaska, Hawaii, Guam and the Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands)?YesNoTransferee: Is old duty station in a non-foreign area (i.e., Alaska, Hawaii, Guam and the Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands)?YesNoIs a home marketing incentive (HMI) authorized (when transfer is to a non-foreign area)?YesNoIs house hunting trip authorized (when transfer is to a non-foreign area)? (NTE 10 days)YesNoIs house hunting trip authorized (only when transfer is between non-foreign areas)? (NTE 10 days)YesNoIs temporary quarters subsistence expense (TQSE) at the new duty station authorized (when transfer is to a non-foreign area)? (NTE 60 days)YesNoIs temporary quarters subsistence allowance (TQSA) authorized preceding final departure at old duty station (when transfer is from a foreign location)? (NTE 60 days)YesNoIs temporary quarters subsistence allowance (TQSA) authorized preceding final departure at old duty station (when transfer is from a foreign location)? (NTE 30 days)YesNoHow many days of temporary quarters are authorized? (NTE 30 days)Please enter a number less than or equal to 60.Temporary quarters authorization not to exceed 30 days.Is predeparture (TQ) subsistence expense portion of foreign transfer allowance (FTA) authorized at old duty station (within the 50 states and DC)? (NTE 10)YesNoIs temporary quarters subsistence allowance (TQSA) at new foreign duty station authorized? (NTE 90 days)YesNoHow many days of temporary quarters are authorized?Is temporary quarters subsistence expense (TQSE) at new duty station authorized? (NTE 60 days)YesNoIs TQSA at the new duty station authorized (when transfer is to a foreign area)?YesNoIs predeparture subsistence expense portion of foreign transfer allowance (also referred to as TQSA) authorized at old duty station (within the 50 states and DC)?YesNoHow many days of temporary quarters are authorized? (NTE 60 days)Please enter a number less than or equal to 60.Temporary quarters authorization not to exceed 60 days.Is use of a relocation services company authorized?YesNoIs Property Management Services authorized?YesNoDoes the employee have a NASA travel card?YesNoNOTE: Temp Quarters is only applicable if Post Allowance is removed from pay at the time of the TQSA.Email signed Relocation Request along with proper supporting documentation (Offer letter, SF50, or SF52) to nssc@mail.nasa.gov.Procurement / Obligation InformationPR Number (HHG and GHS):(Required)PR Contact:(Required)NOTICE: The NSSC will notify the Center for the amount to be obligated on the Purchase Request once the estimate is complete. Be advised, this funding does not cover direct reimbursement liabilities.Center Providing Funding for Authorization:(Required)NASA HeadquartersAmes Research CenterArmstrong Flight Research CenterGlenn Research CenterGoddard Space Flight CenterJohnson Space CenterKennedy Space CenterLangely Research CenterMarshall Space Flight CenterNASA Shared Services CenterOffice of Inspector GeneralStennis Space CenterOther (Please Specify)Year Funding Will Be Used to Pay for Relocation:Fiscal Year 2024Fiscal Year 2025Cost Center:(Required)Funding Type:(Required)CMONo YearProject FundsWorking CapitalFund:WBS Element:WBS Element:WBS Element:Center InformationThe travel and relocation allowances authorized are in the interest and to the advantage of the Government, and the Change of Station is not made primarily for the convenience or benefit of the employee or at his or her request. Necessary expenses may be incurred in accordance with provisions of applicable financial laws and NASA regulations.Is the new official station at least 50 miles further from employees current residence than the old official station is from the same residence in accordance with FTR 302-2.6?:(Required)YesNoCenter Director or Designee(Required) I authorize the relocation benefits for this employee whose relocation falls within the regulations of FTR FTR 302-2.6.NASA Authorizer:(Required) First Last NASA Authorizer Signature:Center has informed the employee of his/her eligibility for relocation benefits authorized.Informed by:(Required)Remarks (Please limit to 4000 characters):This form cannot be submitted. Please right-click and choose the Print option. Once the form is signed, scan and email it to nssc@mail.nasa.govCommentsThis field is for validation purposes and should be left unchanged.
