[Your Name/Rank/Title]
[Your Signature] [Printed Name/Rank] [Unit, Duty Phone]
[Supervisor/Commander Signature] [Date]
☐ Change in duty status (e.g., TDY, remote assignment without messing facilities). ☐ Assigned to duties that prevent access to government dining facilities during regular meal hours. ☐ Approved to receive Basic Allowance for Subsistence (BAS) in lieu of meal card. ☐ Other: [Specify reason, e.g., released from mandatory meal deduction per command approval]. I request that meal deductions be stopped effective [Date – must be consistent with regulation, typically the first day of the next pay period or date of status change].
[Finance Office / Commander / Supervisor Name]
[Current Date]
