Form 619 and Form 619-1 Contents

 

Form DD Form 619, known as the Statement of Accessorial Services Performed.

 

A second version of this form, entitled Statement of Accessorial Services Performed (Storage-in-Transit Delivery and Reweigh) or DD Form 619-1, is very similar to the DD Form 619.

 

Military Form Field

Form 619

Block No.

Form 619-1

Block No.

Location in MoversSuite

Bill of Lading Number

1

1

GBL Number in Military/Government

Date of Pickup at Origin

2

2

Load Dates (first column when Range is selected) in Move Information

Name of Owner

3a

3a

Last Name/Company Name, First Name/MI in Name, Address, Phone

SSN

3b

3b

SSN in Military/Government

Rank or Grade

3c

3c

Rank/Grade in Military/Government

Origin of Shipment

4

4

Moving From > City and State in Name, Address, Phone

Only the City and State values display on forms.

Destination of Shipment

5

5

Moving To > City and State in Name, Address, Phone

Only the City and State values display on forms.

Ordering Activity

 

 

 

Installation Name

6a

6a

Ordering base in Military/Government

Location

6b

6b

Ordering base in Military/Government

Carrier Information

 

 

 

Name of Carrier

7a

7a

Carrier in Military/Government

Carrier’s Shipment Reference Number

10

10

Order Number

Remarks

 

12

Notes (only for Note Type of “619-1 Note”)

A Note Type of “619-1 Note” must be defined in Note Type Setup and must be associated to the order.

Only the memo portion of the note will print on the form; multiple notes of this type will not print on form.

Storage-in –Transit (SIT)

As a run-time parameter, a user can select either Origin or Destination for the SIT Location value.  This setting directs the application to reference the SIT data from one section or the other within SIT/Recurring Billing.

Stored at City

13a (1)

13a

Storage Carrier (when Stored at is “Carrier”) in SIT/Recurring Billing

Stored at State

13a (2)

13a

Storage Carrier (when Stored at is “Carrier”) in SIT/Recurring Billing

Dates In

13c

13c

In Date Actual in SIT/Recurring Billing

Dates Delivered Out

13e

13d

Out Date Actual in SIT/Recurring Billing

Number of Days

13f

13e

Days in SIT/Recurring Billing

Net Weight

13g

13f

Weight in Move Information

Re-Weigh Certification

 

 

 

Number

14a

 

Re-Weigh Weights > Number in Military/Government

Original Gross

14b

14a

Original Weights > Gross in Military/Government

Re-weigh Gross

14c

14b

Re-Weigh Weights > Gross in Military/Government

Original Tare

14d

14c

 Original Weights >Tare in Military/Government

Re-weigh Tare

14e

14d

 Re-Weigh Weights >Tare in Military/Government

 Original Net

14f

14e

Original Weights >Net in Military/Government

 Re-weigh Tare

14g

14f

Re-Weigh Weights >Net in Military/Government